Plantar fasciitis

Are you tired of having heel pain?

Then Footfocus will help you
GET PAIN FREE  AND STOP IT RETURNING!

Many of our patients who walk through our doors are suffering from plantar fasciitis and most have shown signs of it in the past. So as with all our treatments, our approach is to make you healthy for the future and not just in the short term.

We use our advanced purpose built foot clinic to ensure you leave our doors able to move, enjoy walking again and do more of what you love

We are dedicated to treating plantar fasciitis. As if left untreated, plantar heel pain can lead to other conditions such as a plantar fascial tear/rupture, fat pad syndrome, bursitis, bone bruising, stress fracture, muscles and joint pain in your knees and hips. 

Plantar Fasciitis is a very common condition which affects the heel of the foot. You will typically experience pain across the bottom of your foot around the heel area. When this gets worse you may feel it towards your toes or even up the inside of your ankle. 

Plantar fasciitis pain is usually caused by a combination of factors, ranging from:

  1. Tight muscles
  2. Ineffective or inappropriate foot/joint motion
  3. Unsupported or inappropriate footwear for your foot type
  4. Weight distribution
  5. Trauma to the heel area
  6. Inflammatory conditions such as diabetes and arthritis to name few
  7. Increase in impact activity  like starting a 5k parkrun race 
  • Stabbing pains in the bottom of your foot near the heel
  • Pain that is usually at its worst when you take the first few steps after sleeping or sitting down. Alternatively, this pain can also be triggered by long periods of standing or rising from a seated position.
  • Your heel pain is usually worse after exercise, rather than during. However if it is worse all the time this could lead to a different diagnosis which is not usually plantar fasciitis and may indicate calcanea oedema (bruising) or fat pad syndrome. 

We are committed to combining professional, proactive and friendly care with state of the art technology to overcome the pain and discomfort of plantar fasciitis to get you back to doing what you love again. 

As the causes and symptoms relating to plantar fasciitis vary considerably from person to person, we engage in an in-depth comprehensive diagnostic assessment to ensure we opt for the most appropriate treatment(s) for you.

The Biomechanical assessment involves:

  • Taking a full medical history as there are always clues to the cause of your heel pain in your past
  • Force pressure analysis
  • Slow motion high definition Video gait analysis
  • Diagnostic ultrasound
  • Advanced footwear assessment
  • Lifestyle review
  • Dietary assessment

This is aimed at getting an accurate diagnosis of your pain thus helping us prevent your pain returning and improving your overall foot health. 

Our Plantar fasciitis treatments typically involve some or all of the following:

  • Joint mobilisation and manipulation (therapeutic) 
  • Stretching and strength programmes (therapeutic) 
  • Strapping and taping the foot (therapeutic) 
  • Custom Orthotics (therapeutic) 
  • Shockwave Therapy (therapeutic) 
  • Dietary review (therapeutic)
  • Blood analysis (investigative)
  • Footwear advice (Preventative)
  • Education (Preventative)
  • On-going Foot Health support and review (Preventative) 

Foot pain is most commonly due to repetitive strain. So at Footfocus Ringwood we see foot pain as a sign that something else is off and take it serviously.

 With all our heel pain patients we put emphasis on effectively diagnosing, educating you on the causes  AND treating your heel pain. This ensures the root cause is dealt with, and not just the consequences.

To find out how to take proactive steps and preventative action, book a Podiatry appointment at Footfocus today. Nobody takes your foot health as seriously as us. 

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Every day we treat patients suffering heel pain otherwise known as Plantar Fasciitis which significantly affect their lives. This stops them doing what they love and is, we believe, absolutely incomprehensible. 20-25% of the population will at some point suffer from Plantar Fasciitis which can be a debilitating condition.

 

 

 

What is the Plantar Fascia?

The plantar fascia connects the heel bone to the front of the foot and is very important in normal foot function as it acts as a pully to tension the foot and allow you push off with a strong foot structure. It is known as the longest Ligament in the body and is pretty vital to normal foot function.

 

Diagnostic Ultrasound, at Footfocus Podiatry

 

Causes of Plantar Fasciitis

The causes of Plantar Fasciitis range from muscle imbalance to chronic inflammatory conditions. Repetitive trauma injury is the most common cause of injury to the heel. Running and Walking increases the load to the fascia where it attaches to the heel bone and a process of degeneration and subsequent swelling and pain can arise.

Incorrect diagnosis of the problem is one of the most common reasons why your heel pain treatment fails. Factors involving inadequate foot joint function, weak or tight foot muscles and incorrect footwear are only 3 aspects which, if addressed, can make a huge difference to healing the problem.

There are a few common causes of heel pain which are not plantar fasciitis such as Baxters Neuritis (an impingement of the nerve passing the heel), fat pad syndrome (degeneration of the fat pad of the heel) or stress fracture of the heel bone. These can be accurately diagnosed at our clinic during your detailed Biomechanical assessment. These can commonly overlap and therefore accurate diagnosis is vital to a speedy recovery.

Our Treatment for Plantar Fasciitis

 

 Our very much utilised Shockwave machine. This is a lifeline for people suffering with plantar fasciitis but is not used in isolation.

We take treatment of foot pain extremely seriously. We provide only the best option available to cure you of heel pain as fast as possible and stop it from returning.

Once we have the diagnosis and discussed a treatment plan taping and footwear advice is usually the first port of call as strapping takes the strain from the plantar fascia therefore relieving the pain. If there are no tears/other risks found on the ultrasound scan (which could make it worse) we will guide you on the stretches and strengthening of muscles that are specific to your foot type.

Orthotics (insoles) are used to treat this condition and can be used to great effect when the cause is related to foot malfunction. Usually at the assessment of at your follow-up we will cast your foot for a bespoke orthotic that you will walk out with the same day. This means that the load on the fascia is managed and allows you to start the healing journey the same day you arrive.

Shockwave therapy is a fantastic tool when the problem is chronic which in the case of plantar heel pain is almost always the case (unless it is due to trauma or a nerve entrapment). Used in combination with a package of treatments we regularly see our patients walk out in less pain than they walked in with.

Joint mobilisation helps increase the range of motion in the foot and ankle. This is what Physiotherapy and Chiropractic practitioners use to treat this condition and can significantly improve the function of the foot in the short term. This is something we do daily for many different foot conditions and is an effective tool to reduce pain in the heel.

Hyperbaric Oxygen therapy: Every cell requires oxygen for healing ad normal function. We are proud to be the first and only Podiatry clinic in the UK to have a Hyperbaric Oxygen (HBOT) chamber. HBOT increases the amount of oxygen available to a wound and speeds up healing by between 30-60% depending on the condition. Our chamber is a hard shell chamber capable of delivering high pressure while you breathe 97% concentrated oxygen. There are many other benefits of HBOT other than treatment of plantar fasciitis, look up the dedicated page HERE for more information.

If hyperbaric oxygen isn’t for you then we can recommend Non-steroidal anti-inflammatory drugs (NSAIDS) such as Ibuprofen can be helpful to decrease the pain (if suitable) but we don’t like suggesting drugs to mask a problem.

So, in summary Plantar Fasciitis when diagnosed and treated appropriately can be healed. As you hopefully have gathered we are very passionate about finding the cause and helping your own body heal from the ground up and will never stop moving towards our new vision of healthcare which provides the motivation, tools and experience to help you live life without poor health restrictions.