Plantar Fasciitis

1. PLANTAR FASCIITIS
By ROMMEL LUIS C. ISRAEL III

2. PLANTAR FASCIA
• thick band tissue at the bottom of the
foot that runs from the heel to the toes.
• supports the muscles and arch of the
footImage from:
https://www
.fairview.org
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Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved
March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

3. PLANTAR FASCIITIS
• Inflammation of the fascia
• Once thought a heel spurs (bony growth)
- Now believed as
the result, not the
cause, of plantar
fasciitis
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

4. CAUSES
• When it’s overly stretched, it can get tiny tears in its
surface
- This can bring on pain and inflammation
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

5. CAUSES
• Can also be caused by certain diseases including:
- reactive arthritis
- ankylosing spondylitis
Reference: Shiel, William C. (ND). Plantar Fasciitis Facts. Retrieved March 26, 2020, from
https://www.medicinenet.com/plantar_fasciitis/article.htm.

6. RISK FACTOR
•Female
•40 to 60 years old
•Obesity
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

7. RISK FACTOR
•Flat feet or high arches
•Tight Achilles tendons, or “heel
cords”
•Unusual walk or foot position
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

8. RISK FACTOR
•Often wearing of high-heeled
shoes
•Prolong standing each day
•Wearing worn-out shoes/sandals
with thin soles
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

9. SIGNS AND SYMPTOMS
Image from: https://amsclinic.ca/wp-
content/uploads/2019/09/Fascitis-blog.png
 stabbing pain in the bottom of the
foot near the heel
 Pain is usually the worst with the
first few steps after awakening
 Pain is triggered by long periods of
standing or when getting up after
sitting
 Pain is usually worse after (not
during) exercise
Reference: Plantar Fasciitis. (2020). Retrieved March 26, 2020, from
https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/symptoms-causes/syc-20354846.

10. SIGNS AND SYMPTOMS
Image from: https://amsclinic.ca/wp-
content/uploads/2019/09/Fascitis-blog.png
Stiffness
Tenderness
Reference: Shiel, William C. (ND). Plantar Fasciitis Facts. Retrieved
March 26, 2020, from
https://www.medicinenet.com/plantar_fasciitis/article.htm.

11. TREATMENT
•Icing the area
•Night splints
- to stretch the calf and foot
while
sleepingReference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

12. TREATMENT
•Physical Therapy
- stretching exercises for fascia
and
achilles tendons that can also
strengthen leg muscleReference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

13. TREATMENT
•Rest
•Supportive shoes or inserts
- shoes with thick soles and
extra
cushioning
- arch supportsReference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

14. TREATMENT
• Don't wear worn-out athletic shoes
- Replace your old athletic shoes before they
stop supporting and cushioning your feet.
• Change your sport
- Try a low-impact sport, such as swimming
or bicycling, instead of walking or jogging.
Reference: Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/symptoms-causes/syc-20354846.

15. TREATMENT
•NSAIDs
Ibuprofen
Naproxen Sodium
Note: should not be taken for
more
than a month
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

16. TREATMENT
Improvements can be seen
within 10 months
If there is no improvement:
- use of Cortisone
- surgery in rare cases
Reference: Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020, from https://www.webmd.com/fitness-
exercise/understanding-plantar-fasciitis-basics.

17. TREATMENT
• Extracorporeal shock wave therapy
- sound waves are directed at the area of heel
pain to stimulate healing
- used for chronic plantar fasciitis that hasn’t
responded to more-conservative treatments
Reference: Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/symptoms-causes/syc-20354846.

18. TREATMENT
• Ultrasonic tissue repair
- An ultrasound imaging is used to guide a
needlelike probe into the damaged plantar
fascia tissue
- Using ultrasound energy, the probe tip
vibrates rapidly to break up the damaged
tissue, which is then suctioned out.
Reference: Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/symptoms-causes/syc-20354846.

19. TREATMENT
• Surgery
- To detach the plantar fascia from the heel
bone
- an option only when the pain is severe and
other treatments have failed
- done as an open procedure or through a
small incision with local anesthesia.
Reference: Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/symptoms-causes/syc-20354846.

20. EXERCISES TO HELP PREVENT PLANTAR
FASCIITIS
• Left:
To strengthen arch
muscles, place a towel
on the floor, grab the
towel with your toes
and pull it toward you.
Reference: Exercises To Help Prevent Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-
conditions/plantar-fasciitis/multimedia/foot-stretches-to-prevent-plantar-fasciitis/img-20008230.

21. EXERCISES TO HELP PREVENT PLANTAR
FASCIITIS
• Top:
While sitting, grasp
your toes and gently
pull them toward you
until you feel a stretch
in the arch of your
foot.
Reference: Exercises To Help Prevent Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-
conditions/plantar-fasciitis/multimedia/foot-stretches-to-prevent-plantar-fasciitis/img-20008230.

22. EXERCISES TO HELP PREVENT PLANTAR
FASCIITIS
• Right:
Stand as shown, with your
back leg straight and heel
down. Move your hips forward
until you feel a stretch in your
calf. Switch legs and repeat.
Hold each stretch for at least
30 seconds — don't bounce —
and do one or two repetitions
two to three times a day.
Reference: Exercises To Help Prevent Plantar Fasciitis. (2020). Retrieved March 26, 2020, from https://www.mayoclinic.org/diseases-
conditions/plantar-fasciitis/multimedia/foot-stretches-to-prevent-plantar-fasciitis/img-20008230.

23. REFERENCES
Wheeler, Tyler (2019). What Is Plantar Fasciitis?. Retrieved March 26, 2020,
from https://www.webmd.com/fitness-exercise/understanding-plantar-
fasciitis-basics.
Plantar Fasciitis. (2020). Retrieved March 26, 2020, from
https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/symptoms-causes/syc-20354846.
Exercises To Help Prevent Plantar Fasciitis. (2020). Retrieved March 26,
2020, from https://www.mayoclinic.org/diseases-conditions/plantar-
fasciitis/multimedia/foot-stretches-to-prevent-plantar-fasciitis/img-
20008230.

24. REFERENCES
Shiel, William C. (ND). Plantar Fasciitis Facts. Retrieved March 26,
2020, from
https://www.medicinenet.com/plantar_fasciitis/article.htm.