Plantar Fasciitis

Description:

An Ingrown Toenail (Onychocrytosis), occurs when the edge of the nail grows into the surrounding skin (sulci) of the toe. Causing swelling and redness, then pain and then infections if left untreated. Unfortunatley, a lot of the time once these start, they are hard to prevent from coming back however, we have some maintenance solutions and also permanent treatment solutions.

Causes:

Commonly caused by a mixture of trauma and genetic nail shape. Some people are more predisposed to having ingrown toenails due to the shape of the nail and/or toe.

However, they can also be caused by improperly cutting the nail, trauma (kicking, dropping something on it, hiking etc), fungal infections.

Description:

Plantar fasciitis is a common condition characterised by inflammation of the plantar fascia, a thick band of connective tissue that runs along the sole of the foot, connecting the heel bone (calcaneus) to the toes. This condition typically presents as pain in the heel or arch, especially noticeable with the first steps in the morning or after periods of rest.

Plantar fasciitis is often caused by overuse, poor foot biomechanics, or inadequate footwear and can significantly impact daily activities if left untreated.

Causes:

Overuse: Prolonged standing, running, or high-impact activities can overstress the plantar fascia.

Poor Foot Mechanics: Flat feet, high arches, or abnormal walking patterns.

Tight Calf Muscles: Reduced flexibility in the Achilles tendon and calf muscles increases strain on the plantar fascia.

Inappropriate Footwear: Shoes lacking proper arch support or cushioning.

Obesity: Excess weight increases pressure on the plantar fascia.

Sudden Activity Changes: Rapid increases in activity levels without adequate conditioning.

Symptoms:

Sharp, stabbing pain in the heel or arch, especially during the first steps after waking up.

Pain that worsens after prolonged standing or activity.

Tenderness along the sole of the foot.

Stiffness in the arch or heel area.

Risks if left untreated:

Chronic Pain: Persistent pain that affects mobility and quality of life.

Altered Gait: Compensating for pain can lead to strain on other parts of the body, such as knees, hips, and lower back.

Heel Spurs: Prolonged inflammation may lead to calcium deposits forming a bony growth on the heel bone.

What Appointment to Book:

New Patients: Initial Consultation.

Returning Patients: Advanced Therapies or Biomechanical Assessment.

Effective Treatments We Offer:

Manual Therapy: Soft tissue mobilisation, stretching, and massage to relieve tension in the plantar fascia and surrounding structures.

Custom Orthotics: Tailored insoles to support the arch and correct biomechanical imbalances.

Shockwave Therapy: Non-invasive treatment that stimulates healing and reduces pain through targeted sound waves.

Taping or Strapping: Provides temporary support and relieves strain on the plantar fascia.

Stretching and Strengthening Exercises: Focused on the plantar fascia, Achilles tendon, and calf muscles to improve flexibility and reduce stress.

Footwear Advice: Guidance on supportive and cushioned footwear to alleviate pressure on the heel and arch.

Night Splints: Keeps the foot in a stretched position overnight to reduce morning pain.

Anti-inflammatory Therapies: Advice on medications or topical treatments to reduce swelling and discomfort.

Time Frame for Resolution:

Condition Stage Resolution Time Notes
Acute
6-12 weeks
Responds well to stretching, foot mobilisation therapy, footwear modification, and orthotics.
Moderate
10-16 weeks
Shockwave therapy and a comprehensive care plan often needed in addition to the above. Ultrasound scan may also be required.
Chronic
12-18 weeks
May require ongoing orthotic use, strapping, and lifestyle adjustments.