Want to stop reading and start living? Call your closest clinic today and make an appointment. Otherwise, keep reading the answers to the 9 most asked questions about plantar fasciitis revealed below.
Plantar Fasciitis treatment FAQs
What is Plantar Fasciitis?
Why do you get Fasciitis?
Is Plantar Fasciitis the same as a Heel Spur?
Treatment options for Plantar Fasciitis
How long does it take to recover from Fasciitis?
What are the best shoes for Plantar Fasciitis?
Do you need to have an X Ray to diagnose Heel Spurs?
Heel pain can be a terribly debilitating condition that can last for years if untreated. Every day we see people who have been told by their family doctors that there is no treatment available and it will go away eventually. This can be true. In a fair number of cases, plantar fasciitis will go away eventually without treatment. ‘Eventually’ though, could mean literally years and years of pain and disability. Even then, it is very likely to keep recuring after some time.
It is simply not true that you have to suffer this condition with no relief. Living without pain is possible with the right treatment.
This condition is one that predominately affects adults. If the pain that you are researching is heel pain in a child, please see our section on Sever’s Disease.
What Is Fasciitis & How To Treat It?
Plantar fasciitis is the most common cause of heel pain on the bottom surface of your foot. The plantar fascia is a thick band of gristle that runs from the heel to the ball of the foot. It covers a large area of the sole of the foot. Unlike a tendon or a muscle, the fibres that make up a plantar fascia are very rigid. It has a medial band which is on the inside / big toe side of the foot. There is also a lateral band that runs up to behind the small toes. It is almost always the inner medial band that becomes painful. The pain is usually bad for the first couple of minutes of standing after rest or sleep. It will then often improve before worsening again with ongoing use. Standing still may be as bad as, or worse, for pain than walking.
Everyone wants to be able to leave and walk without pain, and here at our four clinics in Brisbane, that is just what we do. Skilled and experienced podiatrists make up our team and use the latest methods and treatments to relieve any chronic pain that you might be experiencing. If you believe that you could be suffering from plantar fasciitis, we can offer you treatment that lets you live your life more comfortably.
There are several options of plantar fasciitis therapy, and one thing that you can be certain of when you come to Walk Without Pain is that your podiatrist will offer you the best treatment for your plantar fasciitis, all while keeping you and your circumstances in mind. Read More
Why Do you Get Plantar Fasciitis?
When your foot is sitting properly, the band stretches across the arch, travelling a particular distance. The higher the arch of the foot, the shorter the distance from the heel to the toes. In a foot that rolls in (flatfoot, pronation, fallen arches) the distance that the plantar fascia has to cross increases. As the band is not a stretchy structure, this elongation will cause the plantar fascia to pull on its weakest attachment. For most people, this is at a point called the Medial Tubercle of the Calcaneus. This is directly under the heel, shown in the image shaded red.
Other common places for plantar fascia related pain include around the rim of the heel and through the arch. If the tissue is under stress for a long period, the body may lay down extra bone at the Medial Tubercle. This is called a heel spur.
For more information on What causes Plantar Fasciitis, read this in depth discussion on a separate page.
Choosing The Right Treatment Options
Treating your plantar fasciitis is essential to stem the possibilities of suffering from its effects for years to come. Many patients speak about having endured ‘attacks’ or episodes from time to time. Bad advice says to just ride it out and wait for it to go away, but this does nothing and achieves little for you in the long run. It is much more important to actually treat this condition so that you don’t have to limit your life and live in fear of that chronic pain recurring again and again, and most likely at inopportune moments.
The initial assessment allows us to get a sense of how this affects you and how damaged the ligaments are. We usually finish this session by strapping up the foot, which for most people cuts down the pain that they are experiencing sometimes by half.
Following this, orthotics may be determined to be the best solution that will offer you comfort and freedom of movement. Here at Walk Without Pain, we can customise orthotics that will fit the exact structure of your feet, however, this may not be necessary. Regardless, we have plenty of choices where orthotics is concerned and all of them at much more affordable rates than other practitioners.
Something that has come to the fore in recent years as a potential best treatment for fasciitis is ESWT therapy. This method sees a pulse delivered to the affected area and involves no electricity, in case you were wondering. This triggers the body into repair and sees more blood delivered to the area.
Fasciitis Treatment Options at Walk Without Pain in Brisbane
The first thing that we will do when you book an appointment at Walk Without Pain is to give you an examination so that we can make a proper diagnosis. If plantar fasciitis is found, we will then discuss a treatment plan with you.
During your assessment, we have access to the latest technology, and along with our experience, this allows us to make an accurate diagnosis. Each clinic is fitted out with diagnostic ultrasound equipment. Along with this, each of our podiatrists is also able to order X-rays if they are required so that we can get to the bottom of your problem.
As part of your plantar fasciitis therapy, you might be offered orthotics. Orthotics are special inserts that relieve any pressure or chronic pain you may be feeling, and they are chosen or created for you depending on what the problem is.
At Walk Without Pain, we offer a variety of options for orthotics in Brisbane, and these all come in at different price points. Our cheapest orthotic option is the Component Orthotic, where your podiatrist will choose prefabricated components to treat your plantar fasciitis. These are usually quick to make, although the downside is that they are often chunky and thick as this component cannot be customised.
However, a Measured Orthotic gives you a customisable orthotic that is done by using a high-tech computer program that takes a model of your feet. They can be customised according to the thickness, flexibility, fit, contour and degree of correction, so they are an excellent option for many of our patients.
At Walk Without Pain, we also have Copythotic, which copies an existing orthotic device and can make small adjustments. A great advantage is that they can be made firmer or softer to make your orthotics more comfortable and functional.
We can also offer injections and medication for relief from plantar fasciitis, and each practice has a podiatrist who can prescribe medicines.
Finally, we can offer shockwave therapy, which often provides relief from the chronic pain of your plantar fasciitis.
Removing Pain From Your Future At Walk Without Pain
At Walk Without Pain, we have a wide knowledge available to us and we have treated all types of plantar fasciitis successfully over the past three decades. As such, Brisbane natives that may have failed to get relief from other practitioners are encouraged to attend our clinic because you are the ideal candidates that we love to work with.
So, book your online appointment today with Walk Without Pain and let us take care of your feet and remove pain from your future.
Have you ever experienced a particularly bad pain in the heels of your feet when you stand after resting or sleeping for a period? This pain may have dissipated after a few minutes only to recur once you have been standing for a little while. If these symptoms sound familiar then there is a distinct possibility that you have plantar fasciitis and the only way that you are going to get relief is to seek out fasciitis treatment. Fortunately for those living in Brisbane, the team here at Walk Without Pain podiatry clinics offer a world-class service that puts the most modern techniques and technology to effective use in relieving patients of their foot issues. We have been operating exclusively in Brisbane for almost three decades and in that time have addressed the issues presented in over half a million feet. With a team of 9 doctors, all of whom are dedicated to the field of podiatry looking after our patients, you can approach us with confidence that we will have the know-how to fix your feet as we have done for thousands of others.
Our goal is to offer professional treatment services that are accessible to all. As such, we can process HICAPS rebates in any of our clinics on the spot, to ensure that you need not worry about the financial implications of your treatment, given our alliances with Medibank Private and BUPA. What’s more, with the ability to see 180 clients every day there are a lot of appointment slots available, both during work hours and outside of traditional work hours, so that regardless of what your timetable is, we will be able to accommodate you.
Don’t Wait to Treat Fasciitis, Get All The Information You Need Today
Heel pain treatment is something that requires the attention of a professional if you wish to rid yourself of it once and for all. The sooner you present yourself to us, the faster we can make an accurate assessment and get to work addressing the root cause of the problem.
Even after our initial consultation with you, there is the distinct possibility that you could see a reduction in pain of up 50% because we will strap your feet up to give them the kind of relief you probably have been dreaming about for a long time.
Simple solutions such as that, as well as orthotics, which can be customised to your feet to give you a kind of support that will make a remarkable difference, are standard, however, there are alternate solutions also available.
Shockwave therapy is something that we believe is tremendously effective here at Walk Without Pain. This technique sparks your body into recovery mode and prompts the increase of blood flow to stimulate repair of damaged plantar fascia.
Local injection is also an effective way to bring about a similar response and recovery. This technique will result in a reduction of pain, which can often be immediate, and will stimulate repair of the damaged area.
Second To None Expertise in Foot Health
Here at Walk Without Pain, we have absolute confidence in our ability to effectively treat even the most persistent or complex problems. Even if you have been to countless podiatrists in the past, we encourage you to make contact with us and book an appointment. Our team has a wealth of knowledge that is second to none and with our continued dedication to ongoing learning, you will find a team ready, willing and able to bring the most advanced solutions to the treatment of your problem.
So, if you want plantar fasciitis treatment near Brisbane that could finally put that aching problem to rest once and for all, get in touch with the team here at Walk Without Pain today.
Is Fasciitis The Same As A Heel Spur?
As far as a diagnosis of your pain goes, the answer is usually yes. The two terms are used interchangeably. However, just because you have heel pain, it does not mean that you definitely have a spur. Likewise, many people have spurs but no pain. It is important to know that spurs don’t cause the pain. It is the pulling that causes the spur to grow and the pulling that causes the pain but the spur does not itself cause pain.
Plantar fasciitis treatment in Brisbane requires professional care to determine the cause of the tissue strain. A podiatrist will be able to treat the plantar fasciitis quickly with high chances of success with a variety of treatment options. By recognising plantar fasciitis early on, the podiatrist will be able to implement a more effective management plan.
Very often we will finish our assessment of your foot condition with an offer to ‘strap you up’. For most people, this is a little taste of magic, often reducing the pain by 50% within minutes.
Orthotics are an important part of the treatment to resolve the condition for most people. This is because the underlying cause of fasciitis is almost always poor foot position creating too much tissue on the tissue. Orthotics have come a long way in recent years and are more comfortable and slim line than ever. See our page on orthotic devices for more information.
Extra-corporeal shockwave therapy is a treatment that is designed to alert your body to the lingering injury of fasciitis and bring on repair mode. Blood flow is increased in order to stimulate neovascularisation of the damaged plantar fascia. The shockwave treatment is repeated, often three or four times over a number of weeks. Use of shock wave in plantar fasciitis
The podiatrist can administer an injection around the plantar fascia. This aims to bring about a reduction in the pain as well as to incite tissue repair over a number of weeks. This is particularly useful for a complication of fasciitis called Baxter’s nerve entrapment. You can find information related to prolotherapy and Neural Prolotherapy for ligaments, tendons and joints here. On some occasions, we may use a corticosteroid injection around the point of pain to settle the condition rapidly.
Spurs almost never need to be cut out and surgery is very rare these days.
Why does Plantar Fasciitis Last So Long?
Earlier, we discussed that the plantar fascia is a thick band of gristle. At the point of attachment of the plantar fascia into the heel bone, the tissue splits up into thousands of fibres. Each of which punctures the bone to hang on. This anchor point is called an aponeurosis or enthesis. This zone has very poor blood flow. If you were to cut the area surgically, you would squeeze out a few of drops of blood, but nothing like what would flow by cutting skin, bone or muscle. Plantar fasciitis is an episodal condition. This means that, if you are prone to it, you are likely to suffer episodes or ‘attacks’ on and off through your life. An episode might last a month or it could much, much longer. Without treatment, the condition can go on for years.
Due to the fact that fasciitis will come and go, doctors will often say “Don’t worry, it will go away by itself”. This is probably true, but five years is a long time to put your life on hold waiting for it to clear up naturally.
Added to this, the older you become, the less ‘bouncy’ the collagen in your connective tissues becomes. This is the reason you get wrinkles in your skin as you age. It is also the reason why attacks of plantar fascia get more severe and more frequent as you age. Furthermore, increases in weight often accompany heel pain, as exercise is difficult. Weight gain can exacerbate the problem and make it harder to treat. For these reasons, do your plantar fasciitis treatment early and effectively.
How long will it take to recover from plantar fasciitis?
This is a multi-part question, with a multi part answer. At the first appointment with our podiatrist, several things usually are achieved. Firstly, a diagnosis will most likely be reached, unless there are complex issues involved. Secondly, treatment options will be discussed. Thirdly treatment will be commenced if you elect to do so. Brisbane’s Plantar Fasciitis Treatment at this stage may involve Shock Wave Therapy, planning for orthotic supports, shoe advice, stretches (perhaps) and almost certainly taping.
The taping that we would employ binds the two ends of the arch together into a shortened position. This will take the tension off the fascial band immediately. People do vary in their response to treatment but it is not uncommon that it will reduce the pain by 50% within half an hour. So, it is possible to feel better with plantar fasciitis much quicker than it is to actually achieve recovery. Unfortunately, the benefits cease when the tape is removed in the early stages of recovery.
If it is decided to go down the path of making orthotics, they take around a week to make. From here, it will often take 10 days before your orthotics work to peak efficiency. This delay occurs because the foot will start out wanting to continue to work in the same pattern it always has done. You might elect to continue with the taping to reduce pain and keep the momentum of healing going during this phase.
From here, we ask that you return three weeks after the orthotics are dispensed for an assessment. This time frame is no accident! Usually, at the three week mark, you will have had a good improvement and have happy news to report. We would generally expect you to have reduced your pain by 50% or better within this time frame. However, the damaged tissue of the plantar fascia has very poor blood flow and is slow to repair. You should assume that it will take about three months of walking around with little or no pain before the damage to the plantar fascial tissue is healed. This means that, while your orthotics are off and your arch is unsupported, you will still have some pain. This is particularly so of first-step pain in the mornings. You should aim to be in your supports as often as possible for two reasons. Firstly, pain hurts! Secondly, pain means damage is occurring. Too much pain is telling you that the area is being re-injured and this will slow down your healing unnecessarily.
- Read more about the best shoes for plantar fasciitis here.
- Other conditions that look like Plantar Fasciitis. Coming soon
- Do I need to X Ray Heel Spurs to confirm Plantar Fasciitis ?
Book Your Appointment to Start Your Plantar Fasciitis Therapy Today
At Walk Without Pain, we would love to help you to live a pain-free life, and with our range of treatments for plantar fasciitis, the possibility for this is within your reach. Contact us today by email, phone or our online contact form, and book an appointment at a time to suit you. Read Less