Plantar Fasciitis
Plantar Fasciitis is a straining and or stressing of the Plantar Fascia (Plantar Arch) resulting in inflammation, swelling and pain in the arch of the foot. It is a first cousin to the Heel Spur and/or Heel Pain problems. When the arch is strained it normally hurts in the morning when you first get out of bed or after getting up after 20 minutes or so after sitting. The Plantar Fascia (Plantar Arch) is like a rubber band that runs from the heel to the metatarsal heads in the front part of your foot.
The function of the plantar arch is to form a bridge between the front and the back part of the foot. The bones, ligaments and tendons in the arch are subjected to considerable stress throughout the day, and if your foot does not work properly due to Abnormal Pronation and/or ill-fitting shoes, it will quickly result in arch pain which is a sign that this part of the foot is being overworked and is suffering from fatigue.
People with chronic arch problems should sacrifice the higher-heeled shoe for one with a more "sensible" heel, one with good support through the arch area, and one with a thick shock-absorbing sole. Once again--avoid buying shoes that need to be "broken in" and wherever possible, avoid walking on very hard surfaces like concrete or cement.
If arch pain does not subside within a reasonable time, it is best to look further in attempting to treat this very painful problem. A podiatrist will determine, through a careful examination and x-ray evaluation, what areas of your foot are under the greatest amount of stress. He may perform an additional lab test to determine if Arthritis is a factor. Should this be the case, it can be treated in a variety of ways through anti-inflammatory medications, by padding & taping of the arch, and/or by stretching or by using various combinations of Physical Therapy methods. In some cases, a nerve is injured in the arch area, and a vitamin injection is needed to reduce the inflamed nerves. If the problems is due to Abnormal Pronation then an Orthotic device placed inside the shoes will help the arch from re-injuring itself.

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