Plantar fasciitis is an inflammation of the plantar fascia. The plantar fascia is a thin ligament on the bottom of your foot which connects your heel, known as the calcaneus, to the front of your foot, more specifically the metatarsal heads. The main purpose of your plantar fascia is to support the arch of your foot and absorb any stressors from your daily activities such as walking, running, or jumping. Too much strain on the plantar fascia can lead to irritation or damage.

What are the symptoms and signs of plantar fasciitis?

Plantar fasciitis typically causes a sharp pain under the heel. This pain is most common in the morning before activity and improves with walking. Upon physical exam you will be very tender just in front of your heel bone and have increasing pain with flexion of your ankle.

What are the different nonsurgical treatments for plantar fasciitis?

Typically, non-invasive techniques are tried prior to any surgical interventions. Examples of nonsurgical treatment options are listed below.

• Medications: Nonsteroidal Anti-inflammatory medication such as Ibuprofen, Aleve, or Advil may reduce the pain and inflammation. A patient should check with their physician prior to taking these medications.
• Ice: An ice massage in the morning may also help to reduce pain. Freeze a water bottle and roll it along the bottom of your foot for 10-20 minutes.
• Supportive shoes/inserts: Heel cups are inserts in your shoes which help to cushion and decrease pressure on the heel.
• Exercises: Stretching your calf muscles and plantar fascia is also an effective way to manage plantar fasciitis.

The orthopedic foot and ankle specialists at Three Rivers Orthopedics are here to help you if you have any questions concerning plantar fasciitis or if you would like to learn more about more invasive treatment options. Call 412-782-3990 to make an appointment today!