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 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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Which department should I register for plantar fasciitis?

To register for plantar fasciitis at a hospital, you need to visit two departments. The first is the orthopedics department, where the primary goal is to determine the cause of your plantar fasciitis. Firstly, it is necessary to check for the presence of heel spurs by taking an X-ray of the foot. Secondly, an MRI of the foot may be required to ascertain whether there is significant congestion and edema in your plantar fascia. As for treatment, you can seek help from the pain management department. The pain management department can provide local physical therapy and local blockade treatment to alleviate your pain. If this pain does not improve or worsens after more than six months of conservative treatment, severely affecting your daily life, you might need to return to the orthopedics department for surgical treatment. The surgery involves loosening the plantar fascia to help relieve the pain.

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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.

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Written by Guan Yu Hua
Orthopedic Surgery
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What causes plantar fasciitis?

Plantar fasciitis is mostly caused by prolonged standing, such as wearing high heels or leather shoes for extended periods. The fascia remains tense under these conditions, leading to tenderness in the sole's fascia upon examination. Pain tends to intensify while walking or bearing weight and alleviates when resting as the fascia relaxes. It is best to diagnose and treat this condition early. Applying heat, reducing the movement of the affected limb, and avoiding tension in the fascia are advisable. Consuming medications that invigorate blood circulation and relieve pain can also help, generally improving symptoms within 7 to 10 days. Recovery might be slow in some cases due to fascial damage. Furthermore, repeated pulling or tension from standing and working can lead to recurrent episodes. Rest is recommended for such individuals, and wearing softer sports shoes during activities can be beneficial. Resting and taking blood-invigorating medications usually lead to gradual recovery. For severe cases ineffective with conservative treatment, surgical cutting of the fascia may be performed to relieve pain. (Please use medication under the guidance of a professional physician.)

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Written by Lv Yao
Orthopedics
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What department should I go to for plantar fasciitis?

Plantar fasciitis refers to the aseptic inflammatory reaction of the plantar fascia caused by prolonged exercise or activity, which results in pain and restricted movement. If plantar fasciitis occurs, it is recommended to seek treatment in the orthopedics department of a formal hospital. Based on the symptoms, an appropriate treatment method should be chosen. Initially, it is important to rest and avoid excessive activities. Additionally, the application of non-steroidal anti-inflammatory drugs can help relieve symptoms and reduce inflammation, facilitating the restoration of walking and functional abilities.