Will plantar fasciitis cause pain on the top of the foot?

Written by Guan Jing Tao
Orthopedics
Updated on November 14, 2024
00:00
00:00

Generally speaking, it is not the case. Plantar fasciitis is mostly characterized by distinct pain at the point where the muscles and fascia on the bottom of the foot connect with the bones, especially during walking or other activities, where a clear pain point can be observed.

Top-of-the-foot pain should not be ruled out as being caused by other reasons, such as soft tissue injuries on the top of the foot, gout, or local tissue damage due to accidental strains. Therefore, plantar fasciitis does not induce pain on the top of the foot, unless there are soft tissue injuries and inflammation in both the plantar and dorsal areas of the foot, which would result in corresponding pain in both areas.

Other Voices

doctor image
home-news-image
Written by Guan Jing Tao
Orthopedics
52sec home-news-image

Can plantar fasciitis be treated with acupuncture?

After the non-acute phase of plantar fasciitis, it is possible to combine local acupuncture, physiotherapy, and treatments that stimulate circulation and relieve blockages to promote the recovery of inflammation and local tissue damage. However, during the acute phase of plantar fasciitis, and if there is no significant improvement after acupuncture treatment during the non-acute phase, it may be necessary to combine oral non-steroidal anti-inflammatory and pain-relieving medications, along with daily local heat physiotherapy. Generally, improvement can be seen after two to four weeks. If there still is no obvious improvement, it is recommended to revisit the hospital for further examination. If significant localized tenderness is confirmed, local block therapy may be considered. (Medication should be used under the guidance of a doctor.)

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
54sec home-news-image

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.

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
55sec home-news-image

Can you run with plantar fasciitis?

Patients with plantar fasciitis should absolutely avoid running, as running can increase the pressure on the sole of the foot, leading to a worsening of the symptoms of plantar fasciitis. If you want to exercise while suffering from plantar fasciitis, it is recommended to go swimming, as swimming does not put pressure on the feet. Additionally, swimming can provide proper stretching of the plantar fascia, which can help alleviate pain symptoms and aid in the treatment of plantar fasciitis. Currently, there are two main clinical treatments: the first is conservative treatment, such as rest, massage, acupuncture, and injection therapy to alleviate local pain. If these treatments are ineffective or if the pain gradually worsens, surgical treatment may be necessary. The goals of surgery are to release the plantar fascia and to remove bone spurs to help relieve pain.

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
1min 9sec home-news-image

Plantar fasciitis symptoms

The main symptom of plantar fasciitis is pain on the inner side of the foot when bearing weight and walking, which severely affects weight-bearing walking. Over time, this pain during weight-bearing walking can turn into what is known as rest pain, which is pain in the foot even when it is not bearing weight. The treatment of plantar fasciitis is currently divided into two parts in clinical practice. The first part is conservative treatment, which mainly involves massage, acupuncture, electrotherapy, magnet therapy, and occlusive methods to relieve the symptoms of foot pain when bearing weight. If this conservative treatment is ineffective and the pain worsens, severely affecting weight-bearing walking, surgical treatment may be necessary. The goals of surgical treatment are, firstly, to release the plantar fascia, and secondly, to remove heel spurs, as a significant number of patients with plantar fasciitis also have heel spurs. Thus, the aim of surgery is to release the plantar fascia and remove the heel spur to alleviate the pain during weight-bearing walking.

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
1min 1sec home-news-image

How to completely cure plantar fasciitis?

Plantar fasciitis clinically has no method that can achieve a radical cure. Only through surgical treatment can the recurrence rate be reduced, but it cannot be completely cured. Of course, the effects of surgical treatment are definitely more significant than conservative treatment. The first step in surgical treatment is to release the plantar fascia, and the second step is to remove bone spurs, as a significant portion of patients with plantar fasciitis have concurrent bone spurs. Of course, during the surgical process, it is necessary to remove bone spurs. The third step involves drilling into the heel bone to decompress it, as some patients also suffer from high pressure in the heel bone. Therefore, the surgery aims to decompress the heel bone by drilling, thus further alleviating pain in the heel and foot. However, if rest is maintained post-surgery, and strenuous activities are avoided, it can significantly reduce the chances of recurrence of fasciitis, but surgical treatment is not a cure-all method.