One of the more common foot complaints is pain underneath the foot, either in the middle of the arch itself or where the arch meets the heel bone.
The primary piece of tissue that runs through the under surface of the foot is called the plantar fascia. Irritation of this structure is called plantar heel pain (commonly referred to as plantar fasciitis).
Plantar heel pain usually develops gradually, although once present sufferers can experience very sharp stabbing pain – particularly first thing in the morning, or when they move again after being seated for a period of time. There are a range of potential causes, including flat feet, tight calves, poor footwear, or changes to training loads. If the cause is not correctly identified, treatment only provides short term relief. Hence, a thorough biomechanical examination of sufferer’s feet should be undertaken.
Scans (X-ray, MRI) are not usually required. The key to correct diagnosis lies in a thorough biomechanical assessment including Gaitscan™ technology. Your physiotherapist can use this information to determine any need for orthotic support (whether that be custom made, or prefabricated orthotics). The Gaitscan™ process takes about 20 minutes, and is a FREE service to Hartwell Physio clients.
Depending on the exact biomechanical factors present in your case, treatment could require any of the following:
