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Plantar fasciitis Pain (heel-spur syndrome)
Calcaneal Spur Syndrome The spur is a bony exostosis (well defined on x-ray) that originates at the inner weight-bearing tuberosity of the calcaneus and extends forward horizontally toward the plantar fascia. Spurs result probably from an excessive pulling or stretching of the calcaneal periosteum by the plantar fascia. Excessive stretching may result in pain along the inner border of the plantar fascia (plantar fasciitis). Disorders associated with an increase in plantar fascial tension may include flatfeet and contracted heel cords. The Merck Manual
The plantar fascia is a thick, broad, inelastic band of fibrous tissue that runs along the bottom (plantar surface) of the foot. It is attached to the heel bone (calcaneus) and fans out to attach to the bottom of the metatarsal bones in the area of the ball of the foot. Because the normal foot has an arch, this tight band of tissue is at the base of the arch. In this position, the plantar fascia acts like a bowstring to maintain the arch of the foot. There is excessive strain on the plantar fascia with flat feet and high arches.
Plantar fasciitis is more common in middle-aged women and young male runners, and military personnel. Obesity is often a factor. A person of any age can be affected.
Do you have plantar fasciitis?
The classic sign of plantar fasciitis is heel pain with the first few steps in the morning or after periods of prolonged sitting. The pain is usually in the front and bottom of the heel, but can be anywhere along the length of the plantar fascia. Pain often will diminish as the muscle warms up. Plantar fasciitis starts out as a dull, intermittent pain in the heel and may progress to sharp, constant pain. The pain usually increases after standing or walking for long periods of time, and at the beginning of a sporting activity.
Plantar fasciitis can become a chronic condition if left unchecked. In very few cases, surgery may be required. Here are some non-drug suggestions for relief:
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