Heel pain is a very common foot complaint and may involve injury to the bone, fat pad, ligaments, tendons or muscles. The most common cause of heel pain is plantar fasciitis.Plantar fasciitis is a painful condition affecting the bottom of the foot. It is a common cause of heel pain and is sometimes called a heel spur. Plantar fasciitis is the correct term to use when there is active inflammation. Plantar fasciosis is more accurate when there is no inflammation but chronic degeneration instead. Acute plantar fasciitis is defined as inflammation of the origin of the plantar fascia and fascial structures around the area. Plantar fasciitis or fasciosis is usually just on one side. In about 30 per cent of all cases, both feet are affected.
when the foot is on the ground a tremendous amount of force (the full weight of the body) is concentrated on the plantar fascia. This force stretches the plantar fascia as the arch of the foot tries to flatten from the weight of your body. This is just how the string on a bow is stretched by the force of the bow trying to straighten. This leads to stress on the plantar fascia where it attaches to the heel bone. Small tears of the fascia can result. These tears are normally repaired by the body.
- The symptoms of plantar fasciitis include pain along the inside edge of the heel near the arch of the foot.
- The pain is worse when weight is placed on the foot.
- This is usually most pronounced in the morning when the foot is first placed on the floor.
- Prolonged standing can also increase the painful symptoms.