Causes of Plantar Fasciitis

Written by Cheng Bin
Orthopedics
Updated on April 12, 2025
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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.

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Written by Wang Cheng Lin
Orthopedics
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How long does it take to recover from plantar fasciitis?

For the disease of plantar fasciitis, if treated under normal conventional methods, the recovery time is generally around four to six weeks. However, during the treatment period, it is crucial to strictly follow the treatment principles, such as prohibiting excessive weight-bearing walking, strenuous exercise, and overworking. At the same time, some physical therapy methods should be coordinated, such as massage, acupuncture, electrotherapy, and magnetotherapy. In more severe cases, occlusion methods can be used to alleviate local pain. Generally, the time frame is four to six weeks. If the results from regular conservative treatment are not satisfactory, surgical treatment may be required later on.

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Written by Guan Jing Tao
Orthopedics
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How is plantar fasciitis diagnosed?

The diagnosis of plantar fasciitis relies on the doctor's physical examination, the patient's symptoms, and imaging tests which serve as auxiliary examinations. These tests help to rule out other conditions such as bone spurs or osteoarthritis, as well as other abnormal lesions. Once these possibilities are excluded, a diagnosis of plantar fasciitis can be made. Typically, there are specific tender points on the foot, which could be singular or multiple. Improvements can often be achieved through appropriate measures such as heat application, physical therapy, rest, and, if necessary, electrical stimulation or pain point injection treatment. However, excessive weight-bearing activities could potentially lead to a recurrence of the symptoms in the later stages.

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Written by Guan Yu Hua
Orthopedic Surgery
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What should I do if plantar fasciitis is very painful?

Plantar fasciitis is mainly characterized by worsened symptoms after activity, with pain at the bottom of the foot, which tends to ease during rest. Typically, the most intense pain occurs when stepping down for the first time in the morning or when the affected foot bears weight painfully, possibly due to tension in the plantar fascia. This condition frequently arises in individuals who wear leather shoes or high heels for extended periods, stand for long durations, or walk on cobblestone pathways in flat shoes. Pain occurs when the plantar fascia is tense and gradually worsens, but rapidly alleviates when the fascia relaxes upon resting. Local heat application is recommended as it promotes dilation of the surrounding vessels, effectively stimulating blood circulation and thereby easing the symptoms. Additionally, it is suggested to reduce the amount of time standing and the frequency of activities, and to rest as much as possible in bed. Recovery is typically slow, generally improving gradually over about 3-4 weeks. For significant pain, medications that promote blood circulation and alleviate pain may be taken. If necessary, encapsulation therapy can be performed. In cases where repeated treatment is ineffective, fasciotomy might be considered, which can impact the function of the foot to various extents, yet the benefits outweigh the downsides and might be the last treatment option chosen. Many patients find that rest, along with medications that promote blood circulation and alleviate pain, physiotherapy, heat application, electric baking, massage, and others, help in alleviating the symptoms.

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Written by Guan Jing Tao
Orthopedics
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Plantar fasciitis pain lasts for how many days?

The duration of pain associated with plantar fasciitis varies from person to person. During the acute phase, severe pain may last for one to two weeks. If physical therapy and oral medication are promptly applied, the intensity of the pain can be significantly reduced, generally seeing improvement and relief after about 3 to 7 days. If the pain does not show significant improvement after more than three days of the above treatment, local trigger point injections can be considered, typically once a week for a total of 2 to 4 sessions, which can also yield good pain relief results. However, it is still advisable to avoid excessive weight-bearing activities afterwards to prevent recurrence.

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Written by Wang Cheng Lin
Orthopedics
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How to cure plantar fasciitis?

In clinical practice, there are currently two methods for treating plantar fasciitis. The first method is the most commonly seen conservative treatment, such as using rest, wearing orthotic shoes, and utilizing acupuncture, massage, electrotherapy, magnetotherapy, and local infiltration therapy to alleviate the symptoms of foot pain caused by the plantar fascia while walking. However, if conservative treatment does not yield results after six months or if the pain intensifies and severely affects weight-bearing walking, then it may become necessary to proceed with the second method of treatment, which is surgical intervention. The goals of surgical treatment include, firstly, loosening the plantar fascia and, secondly, removing bone spurs, as a significant number of patients with plantar fasciitis also develop bone spurs. Therefore, along with loosening the fascia, it is necessary to excise the bone spurs to relieve the symptoms of foot pain.