Plantar fasciitis etiology

Written by Wang Cheng Lin
Orthopedics
Updated on September 25, 2024
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The most common cause of plantar fasciitis is excessive weight-bearing walking, which leads to a type of nonspecific chronic aseptic inflammation of the plantar fascia, resulting in pain on the medial side of the foot when weight-bearing. This is the most common reason. The second cause is degeneration, which is most commonly seen in middle-aged and elderly female patients. The degeneration of the fascia can cause pain and may also be accompanied by heel spurs. Currently, there are two main treatments for plantar fasciitis. The first is conservative treatment, which includes rest, acupuncture, and local injection therapy to relieve pain. If conservative treatment does not work after more than six months or the condition gradually worsens, then surgical treatment becomes necessary. Surgical treatment can remove local inflammatory tissue and release the plantar fascia to achieve the purpose of relieving pain.

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Written by Su Zhen Bo
Orthopedics
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How to determine if it is plantar fasciitis?

Plantar fasciitis is a type of aseptic inflammation. In diagnosis, there is usually a history of chronic strain in the plantar area, or frequent exposure to cold. Patients may feel stabbing pain in the plantar area, swelling in the plantar muscles and fascia tissues, widespread tenderness, and some exhibit definite tender points, affecting normal plantar activity. There is fascial tissue adhesion; when touching the plantar area, the skin may also feel hard and tight. Ultrasonography and MRI can be conducted, and combined with physical examination, a definitive diagnosis can be made. In treatment, conservative methods are used. Often soaking feet in warm water, applying external ointments that invigorate blood circulation and reduce stasis, performing acupuncture and moxibustion, strengthening exercises for the plantar muscle tissues, and taking oral nonsteroidal anti-inflammatory and analgesic drugs.

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Written by Wang Cheng Lin
Orthopedics
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Plantar fasciitis clinical symptoms

The clinical manifestation of plantar fasciitis primarily involves pain on the inner side of the foot when bearing weight, particularly severe during excessive weight-bearing activities. This pain can significantly affect your posture while walking and has a substantial impact on daily life. Currently, there are two main treatments used clinically. The first is conservative treatment, which mainly involves rest, local injections, electrotherapy, magnet therapy, and acupuncture to alleviate the pain. If conservative treatment fails to yield results after more than six months and the pain progressively worsens, surgical treatment becomes the only option. Surgical treatment includes releasing the plantar fascia, removing bone spurs, and eliminating inflammatory tissue around the plantar fascia to relieve pain.

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Written by Wang Cheng Lin
Orthopedics
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How is plantar fasciitis treated?

For the treatment of plantar fasciitis, there are currently two approaches clinically. The first is conservative treatment, which includes the following options: The first is rest, meaning to minimize weight-bearing walking and rest as much as possible. The second is to use heat application, such as applying a hot towel to the sole of the foot for 10-20 minutes each day, twice a day, which can help increase local blood circulation and alleviate pain. The third is the use of oral non-steroidal anti-inflammatory and pain-relief medications, as well as medications that promote blood circulation and remove blood stasis to relieve local pain. The fourth is extracorporeal shock wave therapy for relief. The fifth, and most commonly used, is injection therapy, but it is important to note that there are clear limits on the number of times injection therapy can be used. If conservative treatment does not work for over six months, or if the symptoms of plantar fasciitis progressively worsen, surgical treatment may be necessary.

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Written by Cheng Bin
Orthopedics
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Causes of Plantar Fasciitis

The main causes of plantar fasciitis are usually due to local trauma, prolonged overexertion, chronic irritation, or exposure to cold, which can lead to aseptic inflammation of the plantar fascia, resulting in plantar fasciitis. This causes pain symptoms, and in severe cases, it may affect the patient's ability to walk and engage in normal activities. Patients with plantar fasciitis must pay attention to rest and protection for a recent period of time, try to minimize local irritation, and absolutely avoid exposure to cold. Persist in actively applying warm compresses to the area every day, use topical ointments that activate blood circulation and remove blood stasis, and take oral non-steroidal anti-inflammatory and pain-relieving drugs along with drugs that promote blood circulation and remove stasis. With consistent treatment, recovery will gradually occur.

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
57sec home-news-image

Plantar fasciitis etiology

The most common cause of plantar fasciitis is excessive weight-bearing walking, which leads to a type of nonspecific chronic aseptic inflammation of the plantar fascia, resulting in pain on the medial side of the foot when weight-bearing. This is the most common reason. The second cause is degeneration, which is most commonly seen in middle-aged and elderly female patients. The degeneration of the fascia can cause pain and may also be accompanied by heel spurs. Currently, there are two main treatments for plantar fasciitis. The first is conservative treatment, which includes rest, acupuncture, and local injection therapy to relieve pain. If conservative treatment does not work after more than six months or the condition gradually worsens, then surgical treatment becomes necessary. Surgical treatment can remove local inflammatory tissue and release the plantar fascia to achieve the purpose of relieving pain.