Plantar Heel Pain – PLANTAAR FASCITIIS – More Common Than You Would Expect

Plantar Heel Pain or Plantaar Fascitis is a more common injury in sport than people think.

It can be caused by the different surfaces that players and athletes train or play on like indoor or futsal surface which is wooden, as well as AstroTurf pitches etc.

There are other causes too.

I have treated a number of players and athletes with Plantaar Fascitis but most recently a player from the Ireland Diabetic Futsal squad that I work with.

It can the treated by either applying kinesiology tape or getting a rolling pin and glass bottle and rolling it along the sole of the foot or a combination of both.

The player recovered well and was happy with the treatment 

Plantar Heel Pain – PLANTER FASCIITIS – In Medical Terms

Plantar fasciitis also known as Plantar Heel Pain (PHP) is a painful inflammatory  process of the plantar fascia, the connective tissue or ligament on the sole of the foot. It is often caused by overuse of the plantar fascia, increases in activities, weight or age. It is a very common condition and can be difficult to treat if not looked after properly.  Longstanding cases of plantar fasciitis often demonstrate more degenerative changes than inflammatory changes, in which case they are termedplantar fasciosis. The suffix “osis” implies a pathology of chronic degeneration without inflammatory.

DIAGNOSIS: The diagnosis of plantar fasciitis is usually made by clinical examination alone.  The clinical examination may include checking the patient’s feet and watching the patient stand and walk. The clinical examination will take under consideration a patient’s medical history, physical activity, foot pain symptoms and more. The doctor may decide to use imaging studies like X-ray, diagnostic ultrasound and MRI.

Heel bone with heel spur An incidental finding associated with this condition is a jheel spur, a small bony calcification on the calcans heel bone, in which case it is the underlying plantar fasciitis that produces the pain, and not the spur itself. The condition is responsible for the creation of the spur; the plantar fasciitis is not caused by the spur.  Sometimes ball-of-foot pain is mistakenly assumed to be derived from plantar fasciitis. A dull pain or numbness in the metatarsal region of the foot could instead be metatarsalgia, also called capsulitis. Some current studies suggest that plantar fasciitis is not actually inflamed plantar fascia, but merely an inflamed flexor digitorum brevis muscle (FDB) belly. Ultrasound evidence illustrates fluid within the FDB muscle belly, not the plantar fascia.

 

 

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