Plantar fasciitis is a common condition affecting the foot, particularly the heel and the underside (plantar area) of the foot. It occurs when the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes, becomes inflamed. This inflammation can cause pain and stiffness, making it difficult to walk or stand.
- The most common sensation is a stabbing pain near the heel.
- Pain is usually worse in the morning or after sitting long.
- Pain may also worsen after exercise, not during it.
Reasons for Plantar Fasciitis
- Walking on toes or heels: Alters standard foot mechanics.
- Barefoot running: Puts extra stress on the plantar fascia.
- Poor footwear: Shoes without proper support can strain the fascia.
- Direct pressure: Standing for long periods, especially on hard surfaces.
Types of Pain Distribution
1. Classic Distribution: Pain at the base of the heel.
2. Rolling Arch Plantar Fasciitis: Pain starts at the heel, travels inside the heel bone, and extends towards the big toe.
3. Complicated Plantar Fasciitis: Often co-exists with ligament damage or medial tibial stress.
Acute vs. Chronic Plantar Fasciitis
- Acute Plantar Fasciitis: Lasts for a shorter duration and is often easier to treat.
- Chronic Plantar Fasciitis: More persistent and typically more challenging. It's crucial to seek care within four weeks of the onset of symptoms. After this period, the condition may progress towards chronicity, indicating a state of poor healing.
Importance of Recognising Early Symptoms
Pain may fluctuate, often described on a scale of intensity. Recognising even mild discomfort as a sign of potential plantar fasciitis is essential. Many individuals overlook mild pain, leading to a delay in treatment and potentially more chronic conditions.