Foot and Ankle Pain

Plantar Fasciitis is an inflammation of the plantar fascia. Some recent reports stress that degeneration rather than inflammation of the plantar fascia occurs. “Plantar” refers to the bottom of the foot. “Fascia” is tissue that surrounds muscle and often separates the skin from muscle or other deep tissue. It functions as a bowstring to maintain the arch of the foot by connecting the heel bone to the ball and toes.

Plantar Fasciitis is closely related to heel spurs, although the two are not exactly the same. Heel spurs are bony growths that result from too much tension in the plantar fascia. Heel spurs are the common result of repetitive trauma or tension in the plantar fascia for an extended period of time. A heel spur and/or the plantar fascia may “trap” or irritate nerves in the heel area and cause more pain. It is often difficult and usually unnecessary to distinguish between plantar Fasciitis and heel spur syndrome. Causes and non-surgical treatments for the two conditions are the same. Many healthcare providers use the terms “heel spurs” and “plantar Fasciitis” interchangeably.

These conditions are usually caused by a change or increase in activities, no arch support, lack of flexibility in the calf muscles, being overweight, a sudden injury, using bad shoes on hard ground, or spending too much time on the feet. Arthritis can cause similar pain. Those with flat feet or high arches are more likely to get plantar Fasciitis (heel spurs). Many of the treatments are done by you. Your active involvement is essential for long term success. Frequent specific exercise and stretching can help prevent the onset of plantar Fasciitis and resultant heel spurs.

Conservative Chiropractic treatment of manipulation along with physiotherapy is an effective treatment for this condition. Other therapies, such as custom-fitted orthotics may also be necessary.