When you have planter fasciitis you  often describe the pain as worse when they wake up and start walking around in the morning or after sitting for long periods of time.

Plantar fasciitis generally causes a stabbing pain in the bottom of the feet, near the heel. As you have been walking for a few minutes, the pain decreases and feels less tender. For some patients, they realise their pain subsides, but then after a long period of resting or trying to stand and again, the fascia will hurt as it did when awakening at the beginning of the day. This symptom is called post static dyskinesia or pain after periods of rest, which is the most consistent symptom in most plantar fasciitis sufferers.

Causes of Plantar Fasciitis

Plantar fasciitis is generally the result of faulty biomechanics (how you move) in a patient that unconsciously forces the body to place too much stress on the heel bone and connective ligaments.

Your plantar fascia acts as the shock-absorbing ligament, that supports the arch of the foot. Some of the causes for the pain associated with Plantar Fasciitis are as follows:

• Walking gait abnormalities
• Equinus or tight calve muscles/ Tight Hamstrings
• Repetitive stretching
• Constant tearing of the plantar fascia due to untreated plantar fasciitis (called Plantar fasciosis)
• Wearing non-supportive footwear
• Pronation- a faulty type of gait pattern that causes chronic wear and tear of the lower extremity supporting structures of the foot and ankle.
• Undiagnosed Limb Length Discrepancies (both functional and structural)
• Overweight
• Injury during physical activity on hard surfaces

The first step is to have your foot analysed by a HCPC registered podiatrist. Our foot and ankle experts makes it clear that every patient should undergo a comprehensive physical examination and review of medical history to determine the cause of your foot pain.  

After diagnosis, there are a number of advanced therapy solutions that serve for chronic plantar fasciitis and foot pain.  

One of the advanced treatments we offer in clinic is Platelet rich plasma therapy. This is an advanced treatment technique for chronic plantar fasciitis and other foot and ankle abnormalities. Many of our patients in the past with chronic plantar fasciitis have not experienced relief from conservative stretches or custom orthotics due to the limited blood supply that reaches the bottom of the foot – a necessity for healing. In the end, the goal of PRP therapy is to increase healthy blood supply and increase growth factors presence at high concentration to initiate healing of the plantar fascia.

Please book an appointment and we can discuss all your options.