Understanding Plantar Fasciosis/Fasciitis: Causes and Effective Treatments

This article highlights the causes and advanced treatment options for plantar fasciitis/fasciosis in a hospital setting. It will also explain why strengthening exercises are more effective than traditional stretching and manual therapy treatments.

What is Plantar Fasciosis/Fasciitis?

Plantar fasciitis, sometimes referred to as plantar fasciosis in chronic cases, is one of the most common causes of heel pain. This condition results from inflammation or degeneration of the plantar fascia — a thick band of tissue running along the bottom of the foot that connects the heel to the toes. Plantar fasciitis is generally characterised by sharp pain in the heel, especially with the first steps in the morning or after prolonged periods of rest. Over time, if left untreated, the inflammation can worsen and lead to more severe pain and dysfunction. Plantar Fasciitis is also often over diagnosed, and whilst the most common there are more than 10 conditions that can cause heel and plantar foot pain.

Common Causes of Plantar Fasciosis/Fasciitis

Plantar fasciitis typically develops due to repetitive stress and strain on the plantar fascia, leading to small tears and irritation. Some of the primary causes include:

1. Overload or Overuse: A sudden increase in activity like walking, running, or standing for prolonged periods, especially on hard surfaces, can overload the plantar fascia.
2. Foot Mechanics: Flat feet, high arches, or abnormal walking patterns can place additional strain on the plantar fascia.
3. Obesity: Increased body weight adds stress to the feet, particularly the plantar fascia. Sudden increase in bodyweight is most problematic, especially in those who partake in running or jumping sports.
4. Footwear: Wearing shoes with poor support or cushioning can exacerbate foot strain and contribute to plantar fasciitis. This is commonly seen in shoes that are worn out and overdue to be replaced. Sudden changes in footwear type also causes problems.
5. Ageing: As we age, the plantar fascia loses its elasticity, making it more prone to injury.

Advanced Treatment Options Offered at KIMS Hospital

At our hospital, we provide a comprehensive approach to treating plantar fasciitis, combining advanced therapies and evidence-based treatments to ensure the best possible outcomes. Some of the key treatments we offer include:

1. Custom Orthoses: Custom orthoses are specially designed shoe inserts tailored to your foot structure and biomechanics. These devices provide support, redistribute pressure, and help correct any imbalances in the way you walk. Custom orthoses can reduce strain on the plantar fascia, easing pain and promoting healing. Our specialists use state-of-the-art technology to create orthoses that fit your unique needs, offering both immediate relief and long-term prevention.
2. Shockwave Therapy: Shockwave therapy is a non-invasive treatment option that involves sending high-energy sound waves to the affected area. This promotes blood flow, encourages tissue repair, and helps break down scar tissue. Shockwave therapy is particularly effective for chronic cases of plantar fasciosis, where tissue degeneration has occurred. Many patients report significant improvements after just a few sessions, making it an excellent option for those seeking to avoid surgery.
3. Injection Therapy: Injection therapy can be used to target inflammation and pain directly at the source. Our hospital offers two types of injection treatments:
   1. Corticosteroid Injections: These can reduce inflammation and provide fast relief for severe cases of plantar fasciitis.
   2. Platelet-Rich Plasma (PRP) Injections: PRP is derived from your own blood and contains growth factors that promote tissue healing. This is a more natural option and can be particularly effective in long-term recovery.

Why Strengthening Exercises are Superior to Stretching and Manual Therapy

While stretching and manual therapy (such as massage or myofascial release) can provide short-term relief, they do not address the root causes of plantar fasciitis. Strengthening exercises, on the other hand, are a more effective long-term solution. Strengthening the muscles that support the foot and ankle helps improve overall foot mechanics, reduces stress on the plantar fascia, and increases what we call the tissue capacity of the Plantar fascia and thereby preventing recurrence of the condition. By incorporating a targeted strengthening program, patients can expect better outcomes and faster recovery times.

At KIMS Hospital, our physiotherapists develop individualised exercise plans to help strengthen the intrinsic muscles of the foot, along with the calves and lower leg muscles. This approach not only alleviates pain but also provides lasting protection against future flare-ups.

Conclusion

If you’re suffering from heel pain caused by plantar fasciitis or fasciosis, you don’t have to live with discomfort. Our hospital offers a range of advanced treatments, from custom orthoses and shockwave therapy to injection therapy, all designed to provide both immediate relief and long-term recovery. Combined with a focus on strengthening exercises, our approach ensures that you receive the highest quality care and a path to a pain-free future. Contact us today to schedule a consultation with our specialists.

Article produced by

Mr Liam Stapleton

Specialist in Podiatric Sports Medicine

KIMS Hospital & Sevenoaks Medical Centre

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