- Inflammation of the insertion of the plantar fascia to the heel bone (calcaneus) resulting from repeated injuries or stresses.
- May be occasionally associated with a LENOIR SPINE, which results from calcification but is not necessarily symptomatic.
- Without appropriate treatment, this condition can develop into a chronic and recurring problem. The presence of a partial or complete tear of the plantar fascia is possible.
- Begins with a dull and intermittent pain in the heel that can evolve into persistent acute pain.
- The pain can also be present in the middle of the sole of the foot or near the toes.
- Pain generally present in the morning during the first steps, after a prolonged sitting period or at the beginning of a sporting activity.
- May cause low back or knee pain due to tread adjustment.
- Flat feet in pronation
- Rigid Feet with High Arch
- Extended standing position
- Shoes not suitable, inadequate or too worn
- Abuse of exercise (“too much effort, too early” syndrome)
- Soft ground (running on sand)
- Activities involving stops and sudden changes of direction
- Stiffness of Achilles tendon and calf muscles
- Decreased inflammation with ice (20 minutes / 2 hours) and complementary therapies such as neurocryotherapy and kinesio taping.
- Articular manipulations and soft tissue work (Active Release Techniques and Graston) to correct the biomechanics of the foot and reduce the scar tissue
- Exercises to soften the plantar fascia and the Achilles tendon
- Exercises to strengthen and stabilize the foot
- Plantar orthoses for treating or preventing the condition
- Change in activities
- Drugs (anti-inflammatory) as needed
- Cortisone injections as needed
- Very rare surgical interventions
- Plasma-rich plasma
Source: Association of Chiropractors of Quebec