Plantar Fasciitis is a painful condition caused by overuse of the plantar fascia or arch tendon of the foot. The Plantar Fascia is a broad, thick band of tissue that runs from under the heel to the front of the foot. Plantar fasciitis can also be known as a heel spur although they are not strictly the same. A heel spur is a bony growth that occurs at the attachment of the plantar fascia to the heel bone (calcaneus). A heel spur can be present (through repetitive pulling of the plantar fascia) on a foot with no symptoms at all and a painful heel does not always have a heel spur present.
Plantar fasciitis was traditionally thought to be an inflammatory condition. This is now believed to be incorrect due to the absence of inflammatory cells within the fascia. The cause of pain and dysfunction is now thought to be degeneration of the collagen fibres close to the attachment to the calcaneus (heel bone).
Plantar fasciitis is typically caused by a biomechanics abnormality that places the plantar fascia under excessive stress. Treatment typically consists of correcting the biomechanics through either strengthening weakened muscles, stretching tight structures, mobilising stiff joints and providing custom made insoles when needed.
The Adelaide Therapy Centre is able to offer a complete bio-mechanical assessment with the benefit of having expert physiotherapy and podiatry input under one roof.