Plantar fasciitis also commonly referred to as a bone spur in the foot is a painful condition involving the ligamentous attachment on the heel bone on the bottom of the foot. Usually the bone spur is a byproduct and not a cause of the pain. The tough ligamentous tissue undergoes microtears with collagen breakdown and scarring. It usually begins slowly over time and may be related to over use The hallmark of symptoms is pain when first walking in the morning or after sitting for an extended period. It can be very difficult to cure or improve. Stretching is the mainstay of managing it and I advise patients to stretch their achilles and bottom of the foot every time before arising to walk. While it may take time this typically will help. Night splints may also help. Cortisone is rarely used and surgery is almost never indicated.
Rick Wright, MD, the author of this blog, is a sports medicine physician at Washington University Orthopedics in St. Louis and the head team physician for the St. Louis Blues. He specializes in the treatment of sports-related injuries, and has special interests in knee ACL and revision ACL injuries, meniscus injuries, articular cartilage injuries of the knee, shoulder instability, rotator cuff disease, and total knee replacements. Your comments and feedback are encouraged.
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