Plantar Fasciitis

What Is Plantar Fasciitis?

Plantar fasciitis is a painful condition that usually results from an injury to or overuse of the plantar fascia, which is a ligament that connects the heel to the front portion of the foot. If this ligament is torn or stretched too far, however, it can create severe pain when you walk, stand or flex your foot. Plantar fasciitis pain is the result of inflammation, which is a response by your body’s immune system to injuries or infections.

The podiatry experts at Ideal Foot & Ankle Group can provide you with solutions for inflammation and the underlying injuries that cause plantar fasciitis. We are committed to the highest standards of excellence in the field of podiatry and will work with you to determine the right solutions for you.

Are You at Risk for Plantar Fasciitis?

If you are overweight, over the age of 40, have high arches or flat feet or typically wear high-heeled shoes or shoes with minimal support for your feet, you may be at higher risk for developing plantar fasciitis. The most common symptom of this condition is pain in your heel that is worse when you first get up or when you rise after sitting for a prolonged period of time. It can also become much worse after a prolonged period of standing or walking.

How Is Plantar Fasciitis Diagnosed?

If you report severe pain in your heel, we will usually conduct a few tests to rule out a fracture or other issue that could be causing your pain. These tests may include physical examinations, ultrasound imaging and X-rays to pinpoint the cause of the problem. If plantar fasciitis is diagnosed, we will also check to see if bone spurs may be present. These issues can often be treated at the same time as plantar fasciitis to produce greater pain relief for you when walking, standing or jogging.

Conservative Treatment Options for Mild Plantar Fasciitis

For very mild cases of plantar fasciitis, we will typically recommend RICE therapy:

  • Rest
  • Ice
  • Compression
  • Elevation

In most instances, the compression part of this therapeutic regimen is achieved by wearing inserts or supportive shoes that reduce the chance of further injury to the ligaments of your foot. These custom-made orthotics solutions are designed specifically for you and provide added help during the healing process.

If you do not achieve relief by using the RICE method, we will look at other treatment options to help you maintain mobility and to reduce your pain.

  • We may recommend prescription or over-the-counter medications to address the pain caused by plantar fasciitis. Non-steroidal anti-inflammatory drugs (NSAIDs) are specifically designed to fight inflammation. In general, however, you should only use these medications for less than a month and under the supervision of a medical professional.
  • Cortisone injections are also sometimes used as a way of breaking down scar tissue and treating inflammation. These steroid injections are used alone or in conjunction with other treatments to offer relief during the healing process. Cortisone injections can often reduce pain to produce added mobility for patients at Ideal Foot & Ankle Care.

Treatment for Severe Plantar Fasciitis

For pain and loss of mobility that does not respond well to conservative treatment plans, we can offer some more assertive treatments that can address the underlying causes of your plantar fasciitis:

  • TOPAZ RF coblation is a minimally invasive treatment for plantar fasciitis. This treatment option directs radiofrequency energy directly to the point of the injury. If TOPAZ coblation is appropriate for your condition, the experts at Ideal Foot & Ankle Care will place you under light or local sedation to perform the procedure, which breaks up scar tissue to allow faster and more effective healing for your ligament injury. After the procedure, you will usually need to wear a boot to protect your foot for at least one or two weeks.
  • Endoscopic plantar fascia release procedures are performed by using a miniature camera and a blade to release pressure on your plantar fascia. This allows the ligament to heal more rapidly and with less chance of further tears. You will need to wear a boot for between one and two weeks after this minimally invasive surgical procedure. In most cases, this advanced procedure allows for faster healing and an improved prognosis for the patients we see in our office at Ideal Foot & Ankle Group.

The experts at Ideal Foot & Ankle Group can provide you with the right treatment options to address your issues with plantar fasciitis and many other problems that could affect your ankles and feet. We work with patients in Floral Park, Astoria and many other communities in New York to provide real help in managing podiatric conditions. Give us a call today at 718-626-3338 to schedule an appointment with our team. We look forward to the opportunity to help you stay mobile, active and pain-free now and in the future.