Pain on the bottom of the foot plagues approximately 10% of Americans at some point in their lives, and the most common cause is plantar fasciitis. The plantar fascia, where this pain originates, is a ligament connecting the heel bone between your toes. This ligament supports the arch of your foot and becomes weak, swollen, and inflamed with strain, making walking difficult.

Who Develops Plantar Fasciitis?

Many individuals in their 40s and 50s develop the condition, often due to years of wearing inappropriate footwear. However, athletes, soldiers, and restaurant wait staff can also develop this problem. Risk factors for developing plantar fasciitis include:

  • Excessive pronation: Your feet turn in when you walk.
  • High arches
  • Flat feet
  • Excess weight
  • Wearing shoes that do not fit or are worn down.
  • Tight Achilles tendons
  • Tight calves

If you have plantar fasciitis, you most likely experience pain when you take your first few steps in the morning or after sitting for a prolonged period of time. Pain often increases as the day continues, especially after activities like climbing stairs or standing for a long period of time.

Treatments for Plantar Fasciitis

If you’re struggling with pain relating to plantar fasciitis, a wide variety of treatments can help. While physical therapy, night splints, and orthotics can help. However, if you pain is persistent and excessive, your doctor may recommend steroid shots or even surgery.

Steroid Injection Therapy

Individuals with developed plantar fasciitis can benefit from steroid injections, which decrease inflammation and thus, discomfort. A plantar fasciitis injection is placed at the most painful site and includes a combination of numbing medications and steroids. Your physician will then cover the site. You will be encouraged to begin exercises and stretching again as soon as you are comfortable. At Willamette Pain and Spine, we administer the injection to the medial side of the heel, rather than directly underneath it. Doing so can help prevent deep pain and any injury to the fat pad of the heel. Our goal is always to provide the most supportive treatments to our patients, offering customized treatments plans that specifically target management of your pain. Plantar fasciitis, while common, is treatable, and can be targeted using specific pain management techniques, including steroid injections.

In pain? You don’t need to suffer. Contact our team at Willamette Pain and Spine today. Our experienced physicians and friendly support staff are happy to customize a plan for you!


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