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Do I Need Plantar Fasciitis Surgery?

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Foot doctor looks at patient's foot to evaluate for plantar fasciitis surgery

When you experience the distinct pain of plantar fasciitis, it can be debilitating and relenting, which can leave you wondering whether or not you need plantar fasciitis surgery. The good news is that in most cases, plantar fasciitis surgery is not required.

What is Plantar Fasciitis?

Plantar fasciitis, a common foot condition, is the inflammation of the plantar fascia. The plantar fascia is a thick band of tissue that runs along the bottom of your foot and connects your heel to your toes. It supports the arch of your foot and helps to absorb shock as you walk.

What Does Plantar Fasciitis Feel Like?

The hallmark symptoms of plantar fasciitis are sharp heel and arch pain, especially noticeable with your first steps in the morning or after you have been sitting for long periods of time. The pain often feels sharp or stabbing and can be localized to the heel or arch of the foot. As the day progresses, the pain may decrease, but it can become more intense after prolonged standing or activity.

Symptoms of Plantar Fasciitis

  • Heel Pain & Arch Pain: Typically worse with the first steps in the morning or after sitting for a long time.
  • Stiffness: Increased stiffness in the morning or after periods of inactivity.
  • Tenderness: Painful to the touch, especially at the heel or arch.
  • Swelling: Some people may experience mild swelling around the heel.

Causes of Plantar Fasciitis

Plantar fasciitis often results from excessive stress on the plantar fascia. Common causes include:

  • Overuse: Prolonged standing, walking, or running, particularly on hard surfaces.
  • Foot Structure: Flat feet, high arches, or abnormal gait can contribute.
  • Improper Footwear: Shoes lacking adequate arch support or cushioning put excessive stress on the plantar fascia.
  • Weight: If you are carrying excess weight it puts extra strain on the plantar fascia.
  • Occupational Factors: Jobs that require long periods of standing or walking.

Visit our Plantar Fasciitis conditions page.

Risk Factors for Plantar Fasciitis

Awareness of plantar fasciitis risk factors can help in preventing recurrence.

These include:

  • Age: Plantar fasciitis is more common in people aged 40-60.
  • Exercise: Engaging in new or intensified physical activities can increase risk.
  • Foot Mechanics: Flat feet, high arches, or abnormal walking patterns can contribute to the condition.
  • The Wrong Shoes: Wearing footwear that doesn’t properly support your feet

Treating Plantar Fasciitis at Home

While the sharp, debilitating pain that accompanies plantar fasciitis may seem severe, there are several home remedies you can try to help alleviate the symptoms:

Rest

Give your feet time to recover by reducing activities that cause pain.

Night Splints

Along with resting, wearing a night splint can keep your foot in a position while you sleep, which helps to stretch the plantar fascia and Achilles tendon. This can help reduce your morning pain and stiffness.

Ice Therapy

Apply ice to the affected area for 15-20 minutes multiple times a day. This helps to reduce inflammation. A common trick is to freeze a small water bottle and use your foot to roll it back and forth, icing and massaging it.

Stretching Exercises

Gentle stretching of your calf muscles and the plantar fascia can relieve tension. Try the “towel stretch” by pulling a towel towards you while keeping your leg straight.

Footwear

Investing in high-quality, supportive footwear is important. Avoid wearing high heels, flip-flops, or worn-out shoes. Look for shoes that provide good arch support and cushioning. Custom orthotics may also be helpful for some people. If you have flat feet or know you overpronate or underpronate consider seeing a specialist to help you find the right footwear. It is also helpful to avoid walking barefoot on hard surfaces.  

Orthotic Inserts

Use over-the-counter or custom orthotic inserts to provide additional arch support and cushioning.

Massage

Gently massaging the arch and heel can help relax the plantar fascia and reduce pain.

Weight Management

If you are overweight, losing weight can reduce the stress on your feet and help alleviate symptoms. Combining a balanced diet with regular low-impact exercise can be beneficial.

A Good Foot Care Routine

Incorporating a regular foot care routine can aid in preventing and managing plantar fasciitis. This can include:

  • Daily Stretching: Regularly stretching your calves and the plantar fascia to maintain flexibility.
  • Foot Massage: Use a tennis ball or a specialized foot roller to massage the bottom of your foot.
  • Warm Soaks: A warm water soak for your feet, especially with Epsom salts, can help relax the muscles and reduce pain.

Avoid High-Impact Activities

While dealing with plantar fasciitis, it is recommended that you avoid high-impact activities that put additional strain on your feet, such as running or jumping. Opt for low-impact exercises like swimming, cycling, or using an elliptical machine.

At OIBO, we have a team of specialists dedicated to helping you with your pain. Contact us to schedule an appointment; we can’t wait to help you.

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When to See a Foot Doctor

If at-home treatments don’t provide relief within a few weeks, or if the pain is severe and persistent, it may be time to consult an orthopedic doctor or podiatrist. A specialist can evaluate your condition, rule out other potential causes of heel pain, and recommend more advanced treatments, which may include:

  • Physical Therapy: A physical therapist can design a personalized program to strengthen the muscles of the foot and improve flexibility.
  • Medications: Anti-inflammatory medications can help reduce pain and inflammation.
  • Injections: Corticosteroid injections may be recommended to provide temporary relief by reducing inflammation.
  • Plantar Fasciitis Surgery: In rare cases, surgical intervention may be needed to release the tension on the plantar fascia. Plantar fasciitis surgery, known as Plantar Fascia Release, may be recommended when plantar fasciitis is not responding to non-surgical treatments after many months of treatment.

But What Is Plantaritis?

It’s worth noting that this term is sometimes used interchangeably with plantar fasciitis, but “plantaritis” isn’t a formally recognized medical term. It generally refers to the inflammation of the plantar fascia, aligning with the symptoms and treatments associated with plantar fasciitis.

Importance of Consistency in Treatment

For the best results, it’s crucial to follow the recommended treatments and exercises consistently. Improvements can take time, so patience and adherence to the prescribed routine are essential.

Plantar fasciitis can certainly be a challenging condition. With the right approach, many people find significant relief without needing plantar fasciitis surgery. Managing plantar fasciitis involves a combination of consistent home care, proper footwear, and, when necessary, professional treatment. By understanding the causes, symptoms, and effective treatments, you can take steps to proactively manage and alleviate your pain. If your symptoms persist despite home treatments, seeking professional advice can help you explore further options for relief and provide guidance on maintaining foot health and preventing future flare-ups.

Disclaimer: This blog is intended for information purposes only and is not medical advice or diagnosis. Please contact us with questions or to schedule with one of our orthopaedic specialists.

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Patients deserve personalized, outcome-driven care provided by physicians who genuinely care about them. As medicine has become more corporate and transactional, OrthoNJ prioritizes exceptional doctor/patient relationships. This is why we say we have The Power to Put Patients First.

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We listen. We collaborate. We Serve.

Compassionate Orthopaedic Care In New Jersey

Patients deserve personalized, outcome-driven care provided by physicians who genuinely care about them. As medicine has become more corporate and transactional, OrthoNJ prioritizes exceptional doctor/patient relationships. This is why we say we have The Power to Put Patients First.

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