What is Plantar Fasciitis?
Plantar fasciitis is a common condition of the foot and heel affecting both athletes and members of the general public. The plantar fascia is a fibrous band of tissue that attaches to the base of the heel and supports the muscles and arch on the base of the foot. When the plantar fascia becomes chronically irritated, it is referred to as plantar fasciitis.
What are the symptoms of Plantar Fasciitis?
Plantar fasciitis is characterised by pain at the base of the heel. The pain is usually noticed upon waking when people take their first steps of the day. The pain usually settles down after walking around, yet may reappear after sitting for a while and getting up again. The pain can usually be reproduced when the inside of the heel is pressed, and the calf muscles might be noticeably less flexible.
Plantar fasciitis can usually be diagnosed with a physical assessment by a physiotherapist. Left
untreated, plantar fasciitis can lead to chronic heel pain, which can have a significant impact on quality of life, interfering with day to day activities.
None of the information in this newsletter is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.
What Are The Causes of Plantar Fasciitis?
The plantar fascia supports the arches in the foot during weight-bearing and acts as a shock absorber. Small tears can appear in the fascia when it is exposed to excess tension and stress
over time. While the exact cause is unknown, there are several risk factors that can increase the risk of this condition developing.
These include obesity, excessive foot pronation, inadequate shoe support, prolonged standing and excessive running. It has previously been thought that plantar fasciitis is linked to or caused by heel spurs. However, this has been shown to be untrue, and many people have heel spurs without any symptoms.
How can physiotherapy help?
The goal of physiotherapy is to reduce symptoms and support the fascia to reduce and repair any tissue damage. This is done through short term pain reduction strategies such as ice application, rest, activity modification and gentle stretches.
To help reduce the tension on the fascia, lower leg strengthening and balance exercises will be implemented along with orthotics, night splinting and in some cases, corticosteroid injections. A night splint can be helpful in keeping the calf muscles lengthened as they often rest in a shortened position overnight.
Other treatment options include extracorporeal shockwave therapy and endoscopic plantar release. However, these interventions will also be coupled with physiotherapy treatment for best results. Patients who are not responding to physiotherapy and other conservative management are candidates for surgical release of the plantar fascia.
Frequently Asked Questions
What services do you offer?
We specialize in the practice of Sports Medicine and provide services related to Sports Therapy, Chiropractic Care, Physical Therapy, Massage as well as off the shelf and custom Prosthetics & Orthotics.
Do I need an appointment?
Yes! We take pride in personal service and being very accomodating. Please click any of our Appointment Buttons and submit your information, we will be in touch to confirm your date and time.
Where is your office located?
We are located in downtown Calgary at 639 – 5th Ave SW – Suite 130. Easy street access right across 5th Avenue from Tim Hortons. Limited customer parking available at rear of building.
What are the office hours?
We are open Monday – Friday from 7:00 am until 5:00 pm.
Do I need a referral from my physician?
No, a referral is not required to schedule an appointment.
Do you provide custom brace solutions?
Yes, Dr. Rennick is qualified by the world’s top orthoepedic brands to develop custom bracing solutions for many conditions.
What Brands does Action Sports Clinic Carry?
We carry brands from the worlds top manufacturers including Donjoy, Össur, CTi, Bauerfeind, Thuasne and more.