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An inflammation of the tough broad band of connective tissue (called fascia) on the underside of the foot is called plantar fasciitis. This fascia provides passive structural support of the long arch of the foot, found between its origin on the bottom of the calcaneous (heel bone) running up to the toes. www.nlm.nih.gov
Various short and long muscles of the foot and ankle provide dynamic support of the longitudinal arch. When these muscles are fatigued by excess standing/walking or
over-taxed by excess body weight, the fascia then takes more of the weight than it should. With prolonged or repeated strain the fascia can become inflamed.
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Pain is usually felt on the bottom of the foot, closer to the heel. Deep palpation of this area can elicit the pain. (See clip Pf 2) If strain on the fascia continues it may pull the fascia away from the bone slightly. This is called periosteal lifting; and it produces deep pain at the origin of the fascia. Over time the body continues responding by filling in this gap with bone. This bone becomes a heel spur. (See Pf 1) Inflammation needs to be addressed early, to avoid progression of the process leading to spur development and chronic pain. If spurs exist preventative measures can be taken to avoid injury or re-inflammation of the area.
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