Doctors once thought bony growths called heel spurs brought on the pain. Now they believe that heel spurs are the result -- not the cause -- of plantar fasciitis. Plantar fasciitis is inflammation of the thick band of tissue (also called a fascia) at the bottom of your foot that runs from your heel to your toes. this is a brief study on plantar fasciitis please comment thank you

1. PREPARED BY
MARTIN SHAJI
PHARM D

2. 🔵 Introduction
•Plantar fasciitis is inflammation of the thick band of
tissue (also called a fascia) at the bottom of your foot
that runs from your heel to your toes.
•Doctors once thought bony growths called heel spurs
brought on the pain. Now they believe that heel spurs
are the result -- not the cause -- of plantar fasciitis.

3. 🔵 Symptoms
It's more likely to be plantar fasciitis if:
Pain The pain is much worse when you start walking after sleeping or
resting
▪️ The pain feels better during exercise, but returns after resting
▪️ It's difficult to raise your toes off the floor
The major complaint of those with plantar fasciitis is pain at the bottom
of the heel or sometimes at the bottom mid-foot area. It usually affects
just one foot, but it can affect both feet.

4. Pain from plantar fasciitis develops gradually over time. The pain can
be dull or sharp. Some people feel a burning or ache on the bottom of
the foot extending outward from the heel.
The pain is usually worse in the morning when you take your first
steps out of bed, or if caused been sitting or lying down for a while.
Climbing stairs can be very difficult due to heel stiffness.
After prolonged activity, the pain can flare up due to increased
irritation or inflammation. People with plantar fasciitis usually feel
pain during the activity, but rather just after stopping.

5. Characteristics/Clinical Presentation
Heel pain with first steps in the morning or after long periods
of non-weight bearing
Tenderness to the anterior medial heel
Limited dorsiflexion and tight achilles tendon
A limp may be present or may have a preference to toe walking
Pain is usually worse when barefoot on hard surfaces and with
stair climbing
Many patients may have had a sudden increase in their activity
level prior to the onset of symptoms

6. 🔵 Causes
Plantar fasciitis is most commonly caused by
repetitive strain injury to the ligament of the sole
of the foot. Such strain injury can be from
excessive running or walking, inadequate foot
gear, and jumping injury from landing. Plantar
fasciitis can also be caused by certain diseases,
including reactive arthritis and ankylosing
spondylitis.

7. 🔴 Risk Factors
▪️ Age - Plantar fasciitis is most common between the ages of 40 and
60.
▪️ Certain types of exercise - Activities that place a lot of stress on your
heel and attached tissue - such as long-distance running, ballet
dancing and aerobic dance - can contribute to the onset of plantar
fasciitis.
▪️ Foot mechanics - Flat feet, a high arch or even an abnormal pattern of
walking can affect the way weight is distributed when you're standing
and can put added stress on the plantar fascia.

8. ▪️ Obesity - Excess pounds put extra stress
on your plantar fascia.
▪️ Occupations that keep you on your feet -
factory workers, teachers and others who
spend most of their work hours walking
or standing on hard surfaces can damage
the plantar fascia.
▪️ If you have planter fascitis / heel pain.

9. Diagnosing Plantar Fasciitis
Your doctor will ask about your symptoms and check your
feet to see where you’re having pain. They sometimes
want you to have imaging tests to make sure something
else isn’t causing your problem. These tests include:
An X-ray to rule out bone fractures or arthritis
An MRI to look for fractures

10. 🔵 Do the following
▪️ Rest and raise your foot on a stool when you can
▪️ Put an ice pack (or bag of frozen peas) in a towel on the
painful area for up to 20 minutes every 2 to 3 hours
▪️ Wear wide comfortable shoes with a low heel and soft sole
▪️ Use soft insole or heel pads in your shoes
▪️ Regular gentle stretching exercises
▪️ Exercise that do not put pressure on your feet, such as
swimming

11. 🔴 Avoid the following
▪️ Do not walk or stand for long periods
▪️ Do not wear high heels or tight pointy shoes
▪️ Do not wear flip-flops or backless slippers
▪️ Try not to walk barefoot on hard surfaces

12. Night splints. You wear these to stretch your calf and foot while
you sleep.
Physical therapy. Certain exercises can stretch your fascia and
Achilles tendon and strengthen your leg muscles, which will
make your ankle and heel more stable.
Rest. Stop doing things that make the pain worse. This might
include some types of exercise, like running or jumping.
Management

13. Supportive shoes or inserts. Shoes with thick soles and extra
cushioning will make it less painful for you to stand or walk.
Arch supports can distribute pressure more evenly across
your feet.
Taking pain-relieving non-steroidal anti-inflammatories
(NSAIDs) like ibuprofen or naproxen sodium. You shouldn’t
take these for more than a month, so talk with your doctor.

14. Heel pad ,,,,…this can be used
Standing Heel Rise