The plantar fascia is a very dense fibrous band of connective tissue that sits under the foot. Plantar fasciitis occurs when this tissue gets inflamed and irritated when the calf muscles get tight from overuse and there is a log of pressure in the foot. Common patient complaints will be pain on the bottom and inside of the heel especially first thing in the morning and after prolonged sitting.
Causes of plantar fasciitis can be from wearing heels, standing too long, being overweight, having high arches, tight heel cords or wearing unsupportive shoes. Treatment for plantar fasciitis includes reducing the inflammation, stretching the muscles and connective tissue, mobilizing the subtalar joint and rigid and kinesiology taping to maintain joint positioning to reduce tension on the fascia. A physical therapist can guide you in wearing night splints, resting, wearing supportive inserts and exercises to stretch and strengthen the lower leg musculature.
Plantar fasciitis can take months to resolve because of the constant use of our feet and the wear and tear they endure. If physical therapy does not resolve it quickly, injections can be an adjunct option during your rehabilitation.