Plantar fasciitis is a common foot condition affecting the thick band of tissue, called the plantar fascia, that runs along the bottom of the foot.
Plantar fasciitis is a common foot condition affecting the thick band of tissue, called the plantar fascia, that runs along the bottom of the foot. This tissue stretches from the heel bone (calcaneus) to the base of the toes, helping to support the arch and absorb the impact of walking, running, and standing.
Despite the name, plantar fasciitis is not primarily an inflammatory condition. Instead, it is a degenerative disorder of the plantar fascia, meaning the tissue gradually weakens and develops tiny tears over time. This degeneration can cause persistent heel pain, especially during the first steps in the morning or after long periods of rest.
The condition tends to be chronic and can last for months, sometimes up to a year, affecting everyday activities like walking, standing, or exercising. Plantar fasciitis is often linked to overuse, repetitive strain, high-impact activities, poor foot mechanics, or prolonged standing.
Knee osteoarthritis is typically classified into four stages, based on the degree of joint damage:
The condition develops when the plantar fascia is subjected to repeated strain or injury, which over time leads to degeneration of the tissue. Small tears, known as microtears, form in the fascia, triggering a process called mechanotransduction. This is where mechanical stress is converted into biochemical signals, altering the structure of the tissue. The result is fragmentation of the plantar fascia and disorganisation of its collagen fibres, which contributes to pain and reduced function.
Several factors can increase the risk of developing plantar fasciitis:
Symptoms usually present as pain in the heel, which can vary in intensity and timing depending on activity and foot stress.
Some of the common features include:
Certain factors can make the plantar fascia more vulnerable to strain and degeneration, increasing the likelihood of developing plantar fasciitis:
Diagnosing plantar fasciitis usually begins with a thorough evaluation of your symptoms and a physical examination of the foot. Our doctor will assess the heel and arch, check for tenderness, and perform specific tests to pinpoint the source of pain.
Imaging studies may also be used to confirm the diagnosis or rule out other causes of heel pain.
Many cases of plantar fasciitis improve with rest and time, but a variety of treatments are available to relieve pain, support healing, and restore foot function.
Plantar fasciitis is a common cause of heel pain, often affecting athletes, older adults, and individuals carrying excess weight. While the condition can sometimes improve with rest, chronic plantar fasciitis may lead to persistent pain and affect daily activities. The good news is that most cases respond well to non-surgical treatments, and in rare cases where conservative methods are insufficient, surgical options are available to relieve discomfort and restore foot function.
Contact us today to explore the most suitable treatment options for plantar fasciitis and get back to comfortable, pain-free movement.
Many cases of plantar fasciitis improve over time with rest, stretching, and conservative care. Symptoms often resolve within 12 months. However, if pain persists or worsens, it’s important to consult a doctor for further evaluation and treatment.
You should see a doctor if heel pain is persistent, affects your daily activities, or reduces your quality of life. Early assessment is important, as other conditions like fractures or nerve problems may require prompt treatment.
Heel pain can arise from various conditions, including tendonitis, bursitis, or nerve irritation. A healthcare professional can perform a physical examination and recommend imaging or tests to accurately identify plantar fasciitis.
Yes, plantar fasciitis can recur, especially if risk factors such as overuse, poor footwear, or obesity are not addressed. Continuing stretches, proper footwear, and maintaining a healthy weight can help prevent recurrence.
Simple measures like stretching the calf and plantar fascia, using cushioned insoles, avoiding prolonged standing, and applying ice to the heel can help reduce discomfort and support healing.
Surgery is rarely required and is usually considered only when conservative treatments for 6 to 12 months have not provided relief. Most patients achieve significant improvement with non-surgical methods.