Plantar Fasciitis

What is Plantar Fasciitis?

Plantar Fasciitis is inflammation caused by excessive stretching of the plantar fascia. As seen in the picture on the right the plantar fascia is a a band of fibrous tissue that runs along the bottom of the foot. When the plantar fascia is stretched it can cause the fascia to tear away from the calcaneal attachment (heel bone) . Plantar fasciitis is a relatively common foot complaint which can linger for months.

Causes

Excessive pronation (rolling in, or arch collapse), or a high strike angle supinated foot structure , can elongate the plantar fascia, causing it to tear at the attachment on the heel bone.  Sometimes poorly fitting footwear or a sudden increase in weight bearing activities can also cause plantar fasciitis.

Symptoms

  • A dull to sharp pain  in the heel when getting out f bed in the morning, or when standing after a prolonged period of sitting.
  • The pain usually subsides within a few minutes of walking around.
  • Pain can be intermittent or constant, and may occur on the inside or outside of the heel.

Treatment

  • Realigning the  biomechanical structure  with the use of Orthotics
  • Stretching and strengthening of the calf muscles
  • Low dye taping
  • Acupuncture and mobilisation
  • Anti-inflammatory medication
  • Changing of footwear

Orthotic Treatment

The aim of Orthotic treatments for PTTD is to decrease the pain you experience by maintaining a neutral foot and ankle position and prevent or postpone progression of deformity (flat foot). Orthotics can be used successfully for the majority of PTTD patients.

Orthotic treatment choices for PTTD vary based on the clinical presentation, symptoms and patient activity level. Sometimes PTTD has progressed to the level where orthotics may have little impact and at this stage surgery maybe considered.

The photo on the right shows how an orthotic can be used to maintain the architecture of the foot and help to protect against it flattening.

We can assess your foot and lower limb function during a biomechanical assessment to see if orthotics may provide effective treatment for your foot pain.

Painful Posterior Tibial Tendon (PTTD)

posterior tibial tendon dysfunction

Adult aquired flat foot (PTTD)

posterior tibial tendon dysfunction

Orthotic treatment for PTTD

posterior tibial tendon dysfunction

We can provide you with Custom made orthotics

orthotics for posterior tibial tendon dysfunction

Orthotics for Posterior Tibial Tendon Dysfunction

 

 

  • We can take a direct cast of your foot in its optimal position
  • Following assessment we can make a high quality custom orthotic using industry leading materials to treat your foot pain
  • We can provide custom made orthotics for all types of footwear
  • Assessment, casting, manufacturing and fitting all done on-site avoiding lengthy waiting times for your orthotics to be in your shoes