7 Causes of Plantar Fasciitis

Plantar fasciitis is the most common condition that I see in clinic at MyfootDr Singapore. As a podiatrist, taking a good history of the patient is key. I have to work out whether it is an acute presentation of plantar fasciitis or a chronic presentation of plantar fasciitis.

Plantar Fasciitis causes pain and inflammation in the heel of the foot. It occurs when the plantar fascia, a thick band of tissue that runs along the bottom of the foot, becomes irritated and inflamed. The most common symptom that patients feel is pain on the first few steps in the morning. This is because the foot has relaxed, the plantar fascia has been placed in a shortened position while sleeping, and then when the person takes a step, the plantar fascia is lengthened, pulling on the injured part of the tendon, reopening microtears within the fascia.

While the exact cause of plantar fasciitis is not fully understood, several risk factors have been identified. Here are 7 causes of plantar fasciitis:

1. Overuse or a sudden increase in activity: Overuse of the plantar fascia, especially in activities such as running and jumping, can lead to microtears and inflammation. Suddenly starting training for a marathon after not running for many years is enough to set this condition off.
2. Foot mechanics: Flat feet, high arches, or an abnormal gait can put additional stress on the plantar fascia, leading to inflammation and pain.
3. Age: Plantar fasciitis is more common in middle-aged and older adults, as the plantar fascia becomes less flexible with age.
4. Obesity: Being overweight can put additional stress on the plantar fascia, increasing the risk of inflammation and pain.
5. Footwear: Wearing shoes with poor arch support, a lack of cushioning, or an improper fit can contribute to plantar fasciitis.
6. Occupation: Jobs that require prolonged standing, walking, or heavy lifting can put additional stress on the feet and increase the risk of plantar fasciitis.
7. Genetics: Some individuals may have an inherited predisposition to plantar fasciitis due to structural abnormalities in the foot or a family history of the condition.

If you are experiencing pain and inflammation in your heel, it is important to seek the advice of a podiatrist. With proper diagnosis and treatment, including stretching, taping, orthotics, shockwave therapy, compression sleeves, and physical therapy, most cases of plantar fasciitis can be successfully managed. To book an appointment with me or my colleagues, please click here.