We are seeing a steady increase in referrals for Heel pain at our clinic, the most common cause being plantar fasciitis or, in lay terms, ‘heel spurs’. Plantar Fasciitis is a common foot problem that is associated with heel pain and is particularly common in runners and athletes performing sports involving large running requirements. In addition, people who are overweight, women who are pregnant and those who wear shoes with inadequate support are at increased risk.
Plantar Fascitis is an overuse condition of the plantar fascia at its attachment to the calcaneus and, as such, generally results from activities that require maximal plantar flexion of the, while simultaneously dorsiflexing the metatarsophalangeal joints.
Patients will commonly report increased heel pain in the morning, which gradually dissipates during the day. The point of maximal tenderness is generally found at the medial process of the calcaneal tuberosity and may radiate a few centimetres along the medial border of the plantar fascia.
It is important that those patients suffering Plantar Fasciitis cease aggravating activities, apply ice and seek the assistance of a physiotherapist. Initial physiotherapy treatment may consist of soft tissue massage to reduce tightness of the plantar fascia and calf muscles, electrotherapy, and taping. Patients may also be given a stretching program to assist in their recovery.
Upon symptoms settling, patients will often be given advice about adequate footwear and additional exercises they can do to help prevent reoccurrence of the condition. As excessive pronation is commonly associated with plantar fasciitis, which may also be linked to an abducted gait pattern, specialised examination of walking patterns may also form an important part of the rehabilitation process.
To refer any patients that present with Plantar Fasciitis please call our practice on 03 9716 2250 to organise an appointment with one of our experienced physiotherapists.