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Oppo’s Arch support provides targeted compression to relieve plantar fasciitis pain. Equipped with an adjustable strap for a customized fit. One Size.
This is one of the most common causes of heel pain experienced by North American adults. Plantar fasciitis affects up to 1 in 10 people at some point in their lives.
The causes have not been fully established. However, the commonly recognized risk factors are spending prolonged periods standing, high impact exercise and being overweight.
Plantar fasciitis treatment includes rest, icing and use of night splints. It should also include physical therapy exercises to stretch the calf muscles and the plantar fascia.
In addition to reading this article, you can find more information about managing and recovering from plantar fasciitis symptoms here.
The plantar fascia is a thick bowstring-shaped band of tissue that extends across the bottom of the foot. It extends from the heel bone to the region just behind the toes (the metatarsals).
The plantar fascia supports the arch of the foot and helps to absorb shocks transmitted from the ground while walking.
Over time, the cumulative impact of tension and stress on the plantar fascia can become excessive. This can produce small tears in the tissue of the fascia. Repeated pressure on the plantar fascia can then cause the appearance of inflammation and the development of plantar fasciitis. The inflammation affects mainly the part of the fascia where it inserts into the heel bone (calcaneum).
Under this scenario, plantar fasciitis is an overuse injury caused by structural breakdown of the plantar fascia. This structural breakdown is the result of repetitive microtrauma (small tears) to the fascia.
This scenario accounts for many of the observed cases of plantar fasciitis. However, there are some situations when it appears with no obvious cause.
Risk factors for plantar fasciitis include the following:
The main symptom of plantar fasciitis is a stabbing pain along the bottom of the foot and near the heel. Often, the pain is initially diffuse and then later localises to the inner aspect of the heel.
People with plantar fasciitis usually report that the pain is most severe when taking the first few steps of the morning. It then decreases in severity as the day progresses.
Another characteristic of this foot pain is that it usually flares up after a period of strenuous activity, not during it.
Sometimes, the pain can get worse after standing or sitting for a while and then getting up to start moving again.
The pain is also usually aggravated by high impact exercise (i.e. activity involving running or jumping).
Over time, individuals with untreated plantar fasciitis can change the way they walk to reduce the pain they are feeling. Their new gait patterns may then lead to problems elsewhere in the feet or in the hips, knees or even back. Further possible complications include chronic heel and arch pain as well as scar tissue.
To diagnose plantar fasciitis, doctors will usually first review the patient’s medical history. The painful area along the bottom of the foot will then be examined to ascertain its exact location.
Imaging tests will not usually be required. A doctor will probably only request them to rule out other possible causes of the symptoms, such as a stress fracture.
Treatments for plantar fasciitis can be either home-based or provided by a doctor. We will list the home-based conservative physician based treatments first.
To treat your plantar fasciitis, you can follow the following steps at home:
If the above home-based treatments fail to provide relief from plantar fasciitis symptoms, consult with a doctor for medical advice. Physician based treatments can be either conservative or surgical.
A doctor may suggest injecting a steroid medication into the painful and tender area to combat inflammation. However, this is a risky procedure as it can weaken the plantar fascia and cause it to rupture. There is also a small risk of infection.
This procedure directs sound waves at the painful area of the heel in an attempt to stimulate the healing process. However, this approach has so far shown no consistent pattern of success.
This procedure uses ultrasound imaging to insert a needle-like probe into the damaged tissue. It then uses ultrasound energy to vibrate the probe rapidly in an attempt to break up the damaged tissue. Once this is done, doctors will then suction the damaged tissue out of the plantar fascia.
Traditionally, heel spurs were thought to be a cause of plantar fasciitis pain. As a result, they were removed surgically as part of the treatment. However, the link between heel spurs and plantar fasciitis is not clear. The spurs can exist in many patients with no heel pain being present.
The more standard surgical treatment for plantar fasciitis is to detach the plantar fascia from the heel bone. This is usually a last resort option. Doctors will generally only opt for it when the patient is in severe pain. In addition, there must have been no improvement with conservative treatments after 12 months.
Surgery is not always successful. It is also associated with the risk of complications such as infection, increased pain or injury to nearby nerves.
To avoid this unpleasant condition, the following steps can be taken:
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