The plantar fasciitis is one of the most common foot conditions . In fact, between 20 and 30% of the population will suffer one, that is, they will have localized pain in the heel of the foot, in some of its stages throughout life.

The origin of this pain is multiple, as pointed out by Rafael Navarro, secretary general of the General Council of Official Colleges of Podiatrists , who indicates that it is not only due to inflammation of the fascia (the fibrous tissue that surrounds the intrinsic muscles of the foot and that goes from the heel to the toes). “There are a multitude of factors that can cause pain in the heel, from the fascia itself that is inserted into the heel bone (calcaneus), to the bursa (which is between this bone and the musculature), the bone itself ( due to a fracture or cyst), or the nerves that pass through this area and that, in the event of excessive compression, can lead to neuralgia “.

To these causes are added others such as being overweight, the degree of intensity with which physical exercise is practiced or wearing inappropriate footwear. ” Everything that involves excessive tension and stress of the fascia will increase the likelihood of developing fasciitis : overweight, one flat footvalgus , later shortened leg muscles, lower limb asymmetry, overtraining, etc. ”Adds Navarro.

This pathology can affect anyone, although it is true that practicing certain sports can be a risk factor for suffering from this pathology, as stated by Juan Carlos Montero Arroyo, advertising and network member of the Professional College of Podiatry of the Community of Madrid (Copoma) , who points out that sports such as running, basketball or volleyball are more likely to cause this type of pathology. “What does not mean that it can be generated by practicing any other type of sport,” he adds.

Can it be prevented?

One of the consequences of this disease is that it has a great impact on the quality of life of people who have it, because it does not allow them to carry out regular physical activity as a result of the pain it generates . “This can also affect the emotional component of people, since there are many who use sports to reduce anxiety and stress and with plantar fasciitis many times sports activity must be suppressed,” adds Montero.

The good news is that there are actions that can help prevent its appearance . To begin with, Navarro recommends acting on modifiable factors, such as being overweight. In addition, a podiatric treatment must be applied in case a person has a valgus foot or an asymmetry of the lower limbs and to finish, stretching the back muscles of the leg. “In the case of women, you have to carry out a transition from heels to flat shoes slowly,” she warns.

Other preventive measures that Montero adds are to use appropriate footwear, not to exceed the load threshold of our plantar fascia and, on some occasions, to use podiatry insoles.

How can we ease the pain?

And if we have not managed to prevent its appearance, what can we do to mitigate the pain associated with plantar fasciitis? “ The first measure that we will take in the event of plantar fasciitis is rest. The most important thing when this problem occurs will be to go to the podiatry consultation so that the professional can prescribe the most appropriate treatment in each case ”, indicates Montero.

Finally, Navarro emphasizes not letting time pass and going to the podiatrist when before and not waiting until the months pass and the pain is unbearable .

“It will not pass, but will become permanent. From there, anti-inflammatories, stretching, custom insoles, revision of footwear and physiotherapy, fundamentally ”, he concludes.

Categories: Heel pain


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