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What Is Plantar Fasciitis?

Image The plantar fascia is a ligament-like band running from your heel to the ball of your foot. This band pulls on the heel bone, raising the arch of your foot as it pushes off the ground. But if your foot moves incorrectly, the plantar fascia may become strained. The fascia may swell and its tiny fibers may begin to fray, causing plantar fasciitis.

Causes

Plantar fasciitis is often caused by poor foot mechanics. If your foot flattens too much, the fascia may overstretch and swell. If your foot flattens too little, the fascia may ache from being pulled too tight.

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Foot flattens too much

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Foot flattens too little

Symptoms

With plantar fasciitis, the bottom of your foot may hurt when you stand, especially first thing in the morning. Pain usually occurs on the inside of the foot, near the spot where your heel and arch meet. Pain may lessen after a few steps, but it comes back after rest or with prolonged movement.

Related Problems

A heel spur is extra bone that may grow near the spot where the plantar fascia attaches to the heel. The heel spur may form in response to the plantar fascia’s tug on the heel bone.

Bursitis is the swelling of a bursa, a fluid-filled sac that reduces friction between a ligament and a bone. Bursitis may develop if a swollen plantar fascia presses against a plantar bursa.

Publication Source: Canale ST, Campbell's Operative Orthopaedics, 10th ed., Cavus foot, 2003, pp 4148
Publication Source: Noble J, Textbook of Primary Care Medicine, 3rd ed., Muscuskeletal disorders, 2001, pp 1218-9
Publication Source: Willaims SK, Clinics in Sports Medicine, 23(1), Heel pain-plantar fasciitis and achilles enthesopathy, Jan 1, 2004, pp 123-44
Publication Source: Young CC, American Family Physician, 63(3), Treatment of plantar fasciitis, Feb 1, 2001, pp 467-4, 477-8
Online Medical Reviewer: Bhattacharyya, Tim MD
Date Last Reviewed: 6/1/2005
Date Last Modified: 7/9/2002