Plantar Fasciitis: Common Questions and Concerns

Questions about plantar fasciitis?

I am currently 18 years old and a senior high school student living in Banqiao.
I have been suffering from plantar fasciitis for over six years.
I have flat feet and now I go to the hospital every three days for ultrasound treatment.
The areas where I experience pain often feel sore or warm, right? The plantar fasciitis has been a long-standing issue for me.
Every time I hang out with friends or play sports, my foot starts to hurt again after a while.
The pain is located on the bottom of my left foot, around the arch.

1.
When I watch TV or use the computer for too long, my left foot starts to hurt.
What could this be?
2.
Since I only have flat feet and have been dealing with this for six years, how long will it take to fully recover with treatment?
3.
If my shoes already have cushioning, do I still need to add insoles?
4.
Do I need surgery for this condition?
5.
Will I be able to play sports in the future? I really enjoy exercising, but this issue is very troubling.
I'm afraid I won't be able to play basketball, volleyball, or other intense sports anymore.

6.
Can I go for a light jog with plantar fasciitis?
7.
On average, how long does it take for plantar fasciitis to heal?
8.
I have been stretching, but every time I finish stretching, it feels even more painful.
Should I continue doing it?
9.
What is a safe temperature for soaking my feet in hot water? I'm worried about burning my feet or worsening the inflammation.

10.
What stretches can help with my foot?
11.
I heard that consuming starchy foods can slow down recovery.
Is this true?
Thank you, doctor, for your kind responses.

Dai Dai, 10~19 year old female. Ask Date: 2004/11/13

Dr. Lin Gengxiao reply Orthopedics

Hello,
1.
The condition you referred to as plantar fasciitis should be correctly termed as plantar fasciitis.

2.
The actions related to pain while watching TV or using a computer are not clearly defined; please consult an orthopedic or rehabilitation specialist to describe your symptoms in detail to determine if they are related to those activities.

3.
Flatfoot is mostly hereditary, and the symptoms experienced by patients are related to individual characteristics, work conditions, and age.
Currently, conservative treatment through rehabilitation is the primary approach.
Please visit an orthopedic or rehabilitation clinic for a physician to assess the relevant factors before considering any treatment options.

4.
The effectiveness and material of the shoe's cushioning should be evaluated; the cushioning may lose its effectiveness over time.
Additionally, insoles are meant to support the cushioning, and whether you need them should be discussed with an orthopedic or rehabilitation physician.

5.
Surgical treatment is generally rare; please consult an orthopedic or rehabilitation physician.

6.
It is generally recommended to rest for a while and return for follow-up to monitor improvement.
Forcing yourself to maintain such activities may lead to long-term issues.

7.
It is generally advised to wait until you have fully recovered before resuming activities.

8.
Exercise should be performed under the guidance of a physician (orthopedic or rehabilitation specialist).

9.
The recovery period varies depending on individual constitution, work content, and adherence to physician instructions; please follow up at an orthopedic or rehabilitation clinic.

10.
Management should be conducted under the guidance of a physician (orthopedic or rehabilitation specialist); self-attempts are not recommended.

11.
You can receive guidance from rehabilitation physicians and therapists at a rehabilitation clinic.

12.
There is no conclusive evidence indicating that starchy foods affect recovery.

Reply Date: 2004/11/13

More Info

Plantar fasciitis is a common condition that affects many individuals, particularly those who are active or have certain foot structures, such as flat feet. It is characterized by inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. Given your situation, let’s address your concerns and questions regarding plantar fasciitis.

1. Pain During Prolonged Sitting: The pain you experience in your left foot after sitting for extended periods is likely due to the strain on your plantar fascia. When you remain in one position for too long, especially if your foot is not properly supported, it can lead to stiffness and increased tension in the fascia, resulting in pain. It’s important to take breaks and stretch your feet regularly.

2. Duration of Treatment: Since you have been dealing with plantar fasciitis for six years, the duration of treatment can vary significantly from person to person. Factors such as the severity of your condition, adherence to treatment protocols, and lifestyle choices all play a role. While some people may see improvement in a few months, others may take longer. A comprehensive treatment plan that includes physical therapy, stretching, and possibly orthotics can help expedite recovery.

3. Shoe Support: If your shoes already have cushioning, adding orthotic insoles can provide additional support and help distribute pressure more evenly across your foot. Custom or over-the-counter orthotics designed for flat feet can be particularly beneficial in alleviating pain associated with plantar fasciitis.

4. Surgery Considerations: Surgery is typically considered a last resort for plantar fasciitis, usually after conservative treatments have failed. Most individuals can manage their symptoms effectively with non-surgical interventions. It’s essential to discuss your specific case with a healthcare professional to determine the best course of action.

5. Returning to Sports: It’s understandable to be concerned about your ability to participate in sports like basketball and volleyball. With proper management and rehabilitation, many individuals with plantar fasciitis can return to their favorite activities. However, it’s crucial to listen to your body and avoid high-impact activities until you have adequately healed.

6. Running with Plantar Fasciitis: While some individuals with plantar fasciitis can engage in low-impact activities like jogging, it’s essential to approach this cautiously. If running exacerbates your pain, it may be best to focus on low-impact exercises, such as swimming or cycling, until your symptoms improve.

7. Average Recovery Time: Recovery from plantar fasciitis can vary widely. Some people may experience relief within a few months, while others may take a year or more. Consistent treatment and lifestyle modifications are key to speeding up recovery.

8. Stretching and Pain: If stretching seems to increase your pain, it may be a sign that you are overstretching or not performing the stretches correctly. It’s advisable to consult with a physical therapist who can guide you through appropriate stretching techniques that won’t exacerbate your symptoms.

9. Warm Water Soaks: When soaking your feet in warm water, the temperature should be comfortable—typically around 100 to 110 degrees Fahrenheit (37 to 43 degrees Celsius). Avoid water that is too hot, as it can lead to burns or increased inflammation.

10. Effective Stretches: Some effective stretches for plantar fasciitis include calf stretches, toe stretches, and rolling your foot over a tennis ball or frozen water bottle. These can help relieve tension in the plantar fascia and surrounding muscles.

11. Dietary Considerations: While there is no direct evidence that eating starchy foods slows recovery from plantar fasciitis, maintaining a balanced diet that supports overall health and weight management is essential. Excess weight can put additional strain on your feet, potentially worsening your condition.

In conclusion, plantar fasciitis can be a frustrating condition, especially for an active individual like yourself. It’s crucial to follow a comprehensive treatment plan, including proper footwear, stretching, and possibly physical therapy. If symptoms persist or worsen, consider consulting a specialist for further evaluation and management options. Remember, with patience and the right approach, many people successfully manage their plantar fasciitis and return to their favorite activities.

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