Plantar fasciitis is a very common inflammatory condition that involves the plantar fascia of the foot. The plantar fascia is a support structure for the arch of the foot, and an extension of the Achilles tendon. This inflammation can occur from trauma, biomechanical issues, poor shoe gear, but most commonly occurs without a specific injury. Plantar fasciitis is rarely accompanied by swelling.

Symptoms

Pain is described on the bottom of the heel or arch. Pain occurs usually after periods of rest or with activity. Symptoms can worsen or improve with shoe gear.

Treatment

Treatment always starts with an Achilles and fascia stretching program. Other treatments include supportive shoes, inserts, anti-inflammatory, cortisone, physical therapy, immobilization and amniotic injectable. Surgical intervention is a last resort.

Surgery

Although surgery is rarely needed, sometimes surgery is warranted. Surgery is completed when all conservative modalities have failed. The surgery is completed usually with either an endoscopic plantar fascial release, percutaneous release, or the use of a Topaz surgical technique. This choice is based on surgeon preference.