Plantar Fasciitis
Plantar fasciitis is a common orthopedic condition characterized by inflammation of the plantar fascia, the thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. This condition can cause intense heel pain, which is often most severe with the first steps after waking up, after prolonged periods of rest, or after extended activity. The pain is attributed to the straining and micro-tearing of the plantar fascia, leading to inflammation and discomfort.
Risk factors for developing plantar fasciitis include excessive weight, occupations that require long hours on the feet, flat feet or high arches, and tight Achilles tendons or calf muscles. Overpronation during walking or running can also contribute to the stress on the plantar fascia. Diagnosis is typically made through patient history and physical examination, with imaging tests used to rule out other conditions. Treatment generally involves rest, ice, stretching exercises, proper footwear, over-the-counter pain relievers, and, in more severe cases, physical therapy, orthotics, or corticosteroid injections. Most patients recover with non-surgical methods, although persistent cases might require surgical intervention.