At North Platte Foot Clinic we see patients every day who suffer from heel and arch pain. Heel and arch pain is most often caused by Plantar Fasciitis. What causes heel pain or plantar fasciitis? Plantar fasciitis is caused by too much stretching of the plantar fascia, usually because of excessive pronation or flattening of the arch of your foot while you walk. Some people just have excessive stretch because they have flat feet. Others have really high arches and their fascia is under a lot of stress in normal walking. Some are just too heavy. It can be triggered by an injury like simply falling off a curb, excessive stress from a new exercise program, shoes that don’t offer proper support, and many other increases in stress like a new job or carrying heavy objects. One theory even that states that plantar fasciitis is caused by weakening of the muscles of our feet from wearing shoes all of our lives. Perhaps we should have a closer look at that in a biomechanics lab
If Plantar Fasciitis is left untreated it can turn into a more serious condition called Plantar Fasciosis. Plantar Fasciosis is heel pain that has been present for more than 6 months. Plantar Fasciosis is characterized by a lack of inﬂammation and a large amount of scar tissue and ﬁbrosis. The body’s response to chronic inﬂammation is actually to give up and decrease the healing blood supply necessary for resolution. Successful treatment of plantar fasciosis requires irritation of the tissue, break up of the scar tissue and in fact are-injury of the area so that it transforms back to plantar fasciitis. Treatment of fasciosis needs to be aggressive and resolution can take up to 4-6 months.
There is often a simple solution to heel and arch pain if you consult a Podiatrist early. If you’re suffering from heel and arch pain please contact North Platte Foot Clinic and let one of our foot specialists help make sure you don’t have to live with foot pain.