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.
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.
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.
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.
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.