Plantar Fasciitis is one of the most common causes of heel pain. -an inflammation of a thick band of tissue that connects the heel bone to the toes. -more than 10 million cases per year(INDIA)

1. Plantar Fascitis

2. PLANTAR FASCITIS – A LIFESTYLE
RELATED DISEASE
• Modern sedentary lifestyle
• Lack of exercise with use of shoes or footw
are and i.e rarely do we walk on bare foot
• Muscles and fasia are prone to tightness

3. Anatomy
Heel takes 1.1times body weight.
Fat Pad - fibroelastic septae
Plantar aponeurosis – three
segments
• Medial : overlies the muscles to the
Hallux
• Lateral : overlies the muscle to the
little toe
• Central fascia : originates from
medial calcaneal

5. “Windlass effect”
The Plantar fascia becomes tight as
we rise onto our toes, making our
midfoot rigid.
This maintains the arch and helps in
locomotion.

6. “Heel Spur”
Heel spur: 50% (+) ; 15% normal
individuals (+)
Not pathological
Originates at origin of FHB

7. Plantar Heel Pain
Patient not treated
Etiology
Differential diagnosis
Treatment - conserve / operate !

8. Plantar Heel Pain

9. Plantar Heel Pain
“Systematic approach”
- Is it due to local or systemic cause?
- History, clinical examination and
investigation - centred to come to
diagnosis.
- Management directed to diagnosis.

10. Plantar Fascitis
 Inflammation of a thick band of tissue that co
nnects the heel bone to the toes.
 Small injuries to the fascia
SYMPTOMS
 Morning foot pain is a signature symptom.
 Heel pain

11. CAUSES OF PLANTAR FASCITIS
 OBESITY
 AGE
 OCCUPATIONS THAT KEEP YOU ON FOOT
 CERTAIN TYPES OF EXERCISE
 FOOT MECHANICS

12. Evaluate the strength of the muscles and health of your
nerves by checking
 Reflexes
 Muscle tone
 Sense of touch and sight
 Coordination
 balance

13. TREATMENT OPTIONS
HOME TREATMENTS
MEDICAL TREATMENTS

14. HOME TREATMENT
• APPLYING ICE
• REDUCING OR CHANGING EXERCISE ACTIVITIES
• STRETCHING EXERCISES
• NONSTERIODAL ANTI-INFLAMATORY DRUGS

15. MEDICAL TREATMENT
• Corticosteroid Injection
• Physical Therapy
• Extracorporeal shock wave therapy
• Surgery

16. Physical therapy

17. Thank you.