Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
The plantar fascia is a thick ligament on the bottom of your foot. If it is repeatedly overstretched, it can become inflamed and painful, a condition we call plantar fasciitis. This common condition is not serious, but it can be uncomfortable.
The plantar fascia is a strong ligament that runs the length of your foot from the heel bone to the toes. Although it is strong, it is not very elastic, so repeated movements, such as running, can overstretch it and partially tear or pull it away from the heel bone. The plantar fascia can also overstretch or tear at the arch.
Usually, the symptoms begin gradually, but after several weeks, the pain gets worse and does not diminish. Generally, there is no swelling or bruising in the area. However, you may feel tenderness when you apply deep pressure to the heel pad or the arch.
The plantar fascia ligament runs the length of your foot from the heel bone to the toes.
Plantar fasciitis causes a number of symptoms that include:
Pain can last for several weeks or months and can range from mild to severe. Plantar fasciitis will likely go away on its own, with rest, but it may take several months or longer to resolve completely. There is treatment to help you recover faster.
We usually diagnose plantar fasciitis by asking you about your symptoms and physically examining your foot. We may order an imaging study, such as an X-ray, if we suspect that your symptoms may be caused by another condition, such as a stress fracture, but this is rare.
Excessive strain on the plantar fascia causes plantar fasciitis. Over time, this strain can tear the plantar fascia. Repeated stretching and tearing causes pain and inflammation. You may feel pain where the plantar fascia attaches to the heel bone, on the side of your heel, or in the arch area of your foot.
There are a number of factors that can increase the likelihood that you will develop plantar fasciitis including:
If your foot flattens (pronates) excessively when you walk, it places additional stress on the plantar fascia.
There are a number of things you can do to protect your feet and prevent injury to your plantar fascia:
Stretching your foot and calf muscles will help stretch out your plantar fascia ligament and loosen your Achilles tendon.
It may take 3 to 12 months for your plantar fascia to heal completely. Treatment can help your foot heal faster. We recommend using a number of treatment approaches simultaneously, including home treatments and medical treatments. It is important that you continue treatment until you have been pain-free for at least 3 months.
The majority of people with plantar fasciitis recover within 3 to 9 months without the need for more aggressive treatment. In rare cases (less than 1%), surgical treatment may be considered.
Rest your foot for 2 to 6 weeks. Stand, walk, or run less.
While your foot is resting, try exercise that does not stretch your arch, like swimming or cycling.
Shoes and devices that support your foot can help protect your plantar fascia and allow it to heal. We recommend a combination of the following footwear and devices:
Massage the painful area with ice for 2 to 3 minutes, several times a day.
Stretch your calf muscles and Achilles tendon. It's important to stretch before and after you exercise. We recommend that you warm up a little and then stretch at the beginning of your exercise program, if possible.
If the home treatment methods do not completely resolve your symptoms, we may recommend additional treatments that may include:
We may recommend a cortisone injection to reduce inflammation and accompanying pain. Cortisone is a steroid that mimics natural hormones that reduce inflammation.
Nonsurgical treatments are effective for most people. However, if your symptoms are severe and other treatments have not worked for at least 6 to 9 months, plantar fascia release surgery may be an option.
Plantar fascia release surgery involves cutting part of the plantar fascia in order to relieve some of the tension on the ligament.
We may perform the surgery using tiny incisions (endoscopic surgery) or a traditional open incision on the bottom of your heel. Both types of surgeries are performed in our outpatient surgery center, and you will be able to go home the same day.
Most people recover within 4 to 12 months. You will need to wear a walking cast for several weeks after surgery. We will also advise you to use foot orthotics after the surgery on an ongoing basis.
For most people, this surgery is successful and their pain is significantly reduced. However, as with any surgery, there are a number of potential risks and complications that we will discuss with you before your surgery. These include:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.