It is very important to understand the symptoms of plantar fasciitis, so that you do not mistake it for other conditions. The most important symptom of plantar fasciitis is the pain in the heel experienced as soon as you get out of bed. The same type of pain can be experienced when you change the weight your feet have to support. While you may feel less numb or stiff as soon as you take a few steps, you will notice how the heel pain stretches throughout the day, despite walking more.

So what does the scientific literature have to say? A 2003 review of 50 cases performed by Lemont et al stated that plantar fasciitis is a “degenerative fasciosis without inflammation, not a fasciitis.” 1. In medical terms a suffix of -it is means inflammation where -osis means degenerative. Andres et al. wrote in the journal Clinical Orthopedics & Related Research “Recent basic science research suggests little or no inflammation is present in these conditions”. 2. An article titled Overuse tendinosis, not tendinitis, part1: a new paradigm for a difficult clinical problem published in Phys Sportsmed states “numerous investigators worldwide have shown that the pathology underlying these conditions is tendonosis or collagen degeneration”. 3. I can go on citing many more although you can see that the experts agree that the theory of inflammation present in plantar fasciitis no longer valid.

plantar-fascia-treatmentThe problem with Darwin’s theory of evolution is the human body is limited in how quickly it can adapt and evolve to the environment. Fortunately, the vast medical knowledge and technological advancements in modern society gives incredibly useful insights to help the human body adapt.

Someone with this condition may have pain in their heel, pain through the arch, pain just behind the ball of their foot, heel spurs, or a variety of other issues. Often the bottom of the foot will hurt near where the heel and the arch meet. After a long rest or first thing in the morning many people feel the greatest pain from because the plantar fascia tightens up during rest periods then suddenly gets stretched when weight is placed on it. During the day, the plantar fascia is stretched regularly as you walk, so it doesn’t tighten up as much and the pain often decreases.

Further causes include

No Shoes. Like me. I just decided a bit of exercise in bare feet wouldn’t hurt me and yet one time was all it took. Whether exercising or walking barefoot on hard surfaces, the risk is the same.

Massaging the arch area of the foot and completing stretching exercises for the plantar fascia and the calf muscles can also be used as a means of getting some relief. Avoiding activities such as walking or running helps the healing process, but can often be difficult if your work requires you to be on your feet. If you must walk or complete specific activities a good plantar fasciitis taping technique can be used to provide support to the plantar fascia. Talk to your physical therapist or physiotherapist for plantar fasciitis taping and exercise techniques.

In recent tests over 80% of patients suffering from plantar fasciitis reported that increasing flexibility helped their recovery and over 25 percent thought that their stretching programs were the best treatment they used.

How a shoe fits is important


Wearing shoes that are too small is likely to aggravate the symptoms of plantar fasciitis. When choosing shoes or trying on shoes that have been purchaed and delivered on the internet, patients should do so late in the day. This is because as the day progresses, feet swell and become slightly larger than in the morning. Furthermore, people often have one foot that is slightly larger than the other. If so, patients should check the fit based on how the larger foot feels. It is better for shoes to be slightly too big than vice versa.

Pinching the toe is a common practice, but Florsheim suggests you also slide an index finger behind your heel. If it doesn’t fit, go a size up; if it slides into the shoe easily, you should probably drop a half- to full-size. Even then, some stores will try to make the sale by convincing you that, while the shoe might feel tight, it will stretch and break-in as you wear it. And that’s true, but only barely, and something you should never rely on.

More Info on Plantar Fasciitis Treatment

Jay is a physical therapist for various professional sports teams and specializes in treating foot problems for athletes. There are extra options like massage which can be done at home to help plantar fasciitis.

Plantar Fasciitis (pronounced “plantar fash-eee-eye-tiss”) is an “inflammation of the plantar fascia.” Plantar Fasciitis is also called “Policeman’s Heel” or the “Flip-Flop Disease” because it is often associated with heel spurs, also known as calcaneal spurs.

The intense flare-ups of pain in the arch of the foot associated with plantar fascitis can be best managed through conservative, regular treatments. Patient education on how to treat plantar fasciitis and self-care are critical components in healing from plantar fasciitis. Patience is also key, as an inflamed plantar fascia can take six months to a year to completely recover.