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What is plantar fasciitis?


The plantar fascia is a connective tissue band that sits under the foot. The band attaches to the heel bone (calcaneus) and goes towards the toes and absorbs much of the forces under load. With increased load, it is important that the plantar fascia is strong enough so that it does not get overload damage. These injuries usually occur during attachment to the heel bone and you suffer from plantar fasciitis. When jumping from high altitudes, you can get injuries later in the plantar fascia.


What is a health spur?


On the heel bone (calcaneus) at the attachment of the plantar fascia and muscles, a calcium deposit can form and it is called a heel spur. Most often, this is a result of prolonged and heavy load. You can have a health spur without having any problems and for the most part it is not the cause of the problems themselves and therefore does not need to be remedied.

Why do you get to plant fasciitis and heel spurs?


When walking and running, the foot and plantar fascia are loaded. If, for example, you have increased the distance / pace when walking or running, added hope to the training and do not let the foot get used to it, there is a risk that small injuries will gradually occur in the plantar fascia. But even work with a lot of standing / walking on hard surfaces can cause these problems. If you have pain in the heel, then you may have suffered from plantar fasciitis or so-called heel spur. If you do not take the problems seriously, there is a risk that the problems will get worse and become chronic. We physiotherapists at Alta Vita Physiotherapy have extensive experience of working with plantar fasciitis.


Symptoms of plantar fasciitis


  • Morning stiffness and marked pain on the underside of the heel when you get up in the morning or when getting up after sitting for a long time, which subsides after a while.

  • More or less pain during exercise such as standing, walking and running.

  • Increased pain after exercise and you can then also have rest pain.

Diagnosis of plantar fasciitis


Diagnosis is made after anamnesis and examination.  Ultrasound diagnostics  can be performed to ensure diagnosis and provide answers to the extent of damage.

Other possible diagnoses are:

  • Damaged heel cushion. In order to make this diagnosis, an ultrasound examination must be performed.

  • Entrapment (narrowing) of nerves on the inside of the foot

Treatment of plantar fasciitis


If you do not wait too long before seeking help, the prognosis for recovery is good. We physiotherapists treat all patients individually depending on the examination findings. Common measures are taping or testing of anatomical insoles and home training programs with eccentric training to increase load tolerance in the plantar fascia. Radial  shock wave therapy  which has an excellent effect on plantar fasciitis, we always include in the treatment. If you are a runner, you can  medical running analysis  performed to see how you load the foot when you run.

Plantar fasciitis can also be written with other spellings such as plantar fasciitis, plantar fasciitis, plantar fasciitis.

Physiotherapy at Alta Vita Physiotherapy

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