e-Wellness: Plantar Fasciitis 

Do you have ever feel pain and stiffness in the bottom of the heel? And is the pain usually worse in the morning when you take your first step?

If yes, you may likely have plantar fasciitis.


What is plantar fasciitis?

It is an inflammation of thick tissue on the bottom of foot (called as plantar fascia). This tissue connects the heel bone to toes and creates the arch of foot.

How it occurs?

It occurs when plantar fascia is overstretched or overused.

You are more likely to have plantar fasciitis if you have:

  • Foot arch problems (either flat feet or high arches)
  • Long distance running
  • Sudden weight gain
  • Tight Achilles tendon (the tendon connects the calf muscles to the heel)
  • Shoes with poor arch support.


What are the symptoms?

Pain and stiffness at the bottom of heel and it is getting worsened:

  • In the early morning
  • After sitting or standing for a while
  • When climbing stairs
  • After intense activity


How it is treated?

1)   Physiotherapy approaches:

  • Apply ice at the pain area (for acute stage) or hot pack (for chronic stage)
  • Heel and foot stretching exercise
  • Night splints to stretch the foot
  • Wearing a heel cup in the heel area
  • Ultrasound treatment
  • Trascutaneous Electrical Nerve Stimulation (TENS)
  • Soft tissue mobilization and acupressure techniques for plantar fascia
  • Massage for calf muscles (if patient presents with calf muscle tightness)

2)   Doctor managements:

I.        Medication

  • Acetaminophen or ibuprofen


II.        Steroid injection into heel


III.        Surgery



You are also recommended to:

  • Resting as much as possible for at least one week
  • Wearing shoes with good support and cushions



Prepared by:

Nur Hidayu Bolia (Kemaman E-Wellness)

Husna (Kuantan E-Wellness)

Mahyuddin (Kuantan E-Wellness)

Syafikah (Johor E-Wellness)

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