My Feet Hurt with the First Few Steps Out of Bed in the Morning! Is it Plantar Fasciitis?

My Feet Hurt with the First Few Steps Out of Bed in the Morning!  Is it Plantar Fasciitis?

Perhaps, you have something called plantar fasciitis…..

What is Plantar Fasciitis? 

Plantar Fasciitis

Plantar Fasciitis

Commonly (but not exclusively) found in runners, plantar fasciitis (more currently referred to as plantar fasciosis, plantar fasciopathy, or heel foot pain) is a common cause of back heel pain. The most commonly known syndrome is sharp pain at the bottom of the heel with the first few steps out of bed. Pain can also occur with prolonged walking, running, or standing. The cause of this condition is a build up of tension in the tissues under the feet (the plantar fascia) which tugs on the inferior aspect of the heel bone causing pain. Sometimes this constant tug of the heel bone creates a heel spur at the back of the foot.

What symptoms may I experience?

-Symptoms include heel pain, under the heel and usually on the inside, at the origin of the attachment of the fascia.

-Pain when pressing on the inside of the heel and sometimes along the arch (see plantar fasciitis diagnosis).

-Pain is usually worse first thing in the morning as the fascia tightens up overnight. After a few minutes it eases as the foot gets warmed up

-As the condition becomes more severe the pain can get worse throughout the day if activity continues.

-Stretching the plantar fascia may be painful.

-Sometimes there may also be pain along the outside border of the heel. This may occur due to the offloading the painful side of the heel by walking on the outside border of the foot. It may also be associated with the high impact of landing on the outside of the heel if you have high arched feet.

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What treatment options are available to me? 

Several treatment options can help relieve tension in the tissues including soft tissue therapy, interferential current, cold therapy, graston, ultrasound and custom made orthotics (for shock-absorption). To learn more about how these techniques may help you, please feel free to contact us.


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Dr. Luciano Di Loreto