The plantar fascia is a thick band of fibrous tissue that runs from the inside edge of the heel to the toes. It provides support to your arch and when overloaded this can cause pain and swelling. Risk factors for developing plantar fasciitis include tight calf muscles, flat feet or recent increase in your physical activity.
Pain is the most common complaint which will be located under the foot at the inside edge of the heel bone and is worse with the first step in the morning. It will usually improve with motion but then return after periods of prolonged rest (sleeping or sitting). Pain may occur or worsen if walking barefoot or in shoes with a poor arch support (flip flops or sandals).
Treatment usually involves multiple options including reducing your training / activity and limiting barefoot walking. May also involve changing your running shoes, use of heel cushions, arch supports, night splints, use of short-term antiflammatories and formal physical therapy. If you have tried the above and are still having pain you may be a candidate for Tenex or Platelet Rich Plasma (PRP).
Author Dr. Siatta Dunbar