An inflammation of the main ligament in the arch where it attaches to the heel bone and supports the foot.
- Postural Abnormailities of the Feet, such as Low Arch (pronated) or High Arch Feet (Supinated).
- Tight muscles- This can be Pre-existing or a Compensation for the Low Arch or High Arch Feet.
- Poor shoe gear or having a habit of walking barefoot
- Pain first thing in the morning when getting out of bed and putting the foot down to the floor.Â However, with weight bearing the pain diminishes.
- Pain after sitting for a prolonged period of time and getting up to walk or getting out of a car and starting to walk.
- Occasional burning, numbness, shooting or tingling into the heel.
- Tight muscles in the lower extremity, especially the postural muscles such as the calf and hamstring.
- Rarely is swelling or discoloration seen in the heel or arch area.Â There is tenderness along the arch ligament or directly on the bottom or inside of the heel.
- Proper shoe gear to support the arch and heel.
- Taping the foot to support it and give immediate relief.
- Custom molded prescription orthotic (shoe insert) to permanently support the foot and prevent recurrence of the problem
- Frequent stretching of the calf and hamstring muscles to improve overall flexibility.
- Splinting the foot at night to stretch the muscle in the back of the leg.
- Injectible anti-inflammatory medications to reduce the inflammation.
- Oral anti-inflammatory medications to reduce the inflammation
- Physical Therapy Anti-Inflammatory Modalities to reduce the inflammation
- Occasionally immobilization of the foot in a CAM walker or walking cast to completely rest the foot.
In the vast majority of cases (98%), the condition is successfully treated with conservative measures.Â In the minority of cases that do not respond completely with conservative measures, there are modern minimally-invasive surgical procedures to address the condition.
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