Capital Orthopaedics, founded by a renowned orthopaedic surgeon, Simon Moyes, offers expert diagnosis and treatment for plantar fasciitis and other foot injuries and conditions.
Plantar fasciitis is a foot condition that can cause debilitating heel pain – preventing you from doing sports, exercise or even walking around.
In many cases, plantar fasciitis can be successfully treated using non-surgical techniques including physical therapy and injections. Sometimes, minimally invasive surgery is the best way to resolve this condition.
Our highly experienced surgeons, radiologists, physiotherapists and sports medicine professionals will diagnose and treat your condition, to get you back on your feet and back to your sports in the quickest time possible.
If you have any ongoing foot pain or suspect that you have plantar fasciitis, contact Capital Orthopaedics.
Underneath your foot is layer of fibrous connective tissue that runs from your heel to the ball of your foot (the plantar fascia). This ligament is stretched like a bowstring under the arch of your foot, providing shock absorption as you take a step. The fascia can get thickened and inflamed, causing heel pain and impacting on other structures in your foot.
The increased tension on the fascia can cause a bone spur to form where it attaches to the heel bone.
There are two types of plantar fasciitis: acute and chronic.
Repeated tension and stress on the fascia under your foot can lead to tiny tears, along with inflammation and irritation at the point where it connects to your heel.
Plantar fasciitis can be caused by activities that put a lot of stress through your foot – eg ballet dancing, running on hard surfaces and sports with a lot of jumping (eg basketball). It can also be caused by landing heavily on your feet in a fall.
It can also be caused by diseases such as certain types of inflammatory arthritis.
Chronic plantar fasciitis may have no obvious cause, but risk factors include obesity, flat feet, high arches and jobs that involve standing for long periods of time.
At Capital Orthopaedics, we focus on providing minimally invasive solutions to treat plantar fasciitis.
Using a thorough patient examination and state of the art diagnostics equipment, our consultants will assess the extent of damage and any related conditions such as arthritis or bone spurs.
Our physiotherapists will give you specific exercises aimed at stretching out the tightened ligament and supporting structures around your heel. Arch-supporting shoe inserts (orthotics) may be provided, particularly if your foot structure (flat feet or high arches) is causing the problem.
If obesity is a trigger, we will advise you on improving your lifestyle and diet to reduce the pressure on your feet.
Steroid injections can help to reduce inflammation, although they only provide short-term relief.
Using electrical waves to reduce inflammation in the ligament and around the heel.
If symptoms persist after several months, or if plantar fasciitis is seriously affecting your lifestyle or sport, you may require surgery. This is carried out using minimally invasive techniques and involves cutting part of the ligament to release the tension and reduce swelling.
If you have heel pain or any other problems in your feet, contact the Capital Orthopaedics team here to make an appointment. Our team works out of three central London locations, including top international private hospital, The Cromwell Hospital.
Bunions – these bony lumps form at the base of your big toe, often due to wearing tight shoes or high heels. They can be treated with orthotics, physiotherapy, injections or surgery.
Morton’s Neuroma – this nerve damage causes sharp pain under the ball of your foot, like standing on a ballbearing. Treatment includes physiotherapy, shoe inserts to relieve pressure, steroid injections or surgery to release the trapped nerve.
Lesser Toe Deformity – changes to the anatomy of your toes can result in pain, difficulty walking and other conditions such as arthritis. It can be treated with orthotics, choosing footwear to reduce pressure or surgery to realign the joints.
Metatarsal Fractures – the bones of your foot can be broken as a result of impact or overuse (stress fractures). Treatment options include wearing a rigid shoe while the bone heals, while displaced bones may require surgery.
Sesamoiditis – this inflammation of tendons in the foot can be treated with anti-inflammatories, orthotics and steroid injections. Surgery to remove the sesamoid bones is sometimes necessary.
Hallux Rigidus – pain and stiffness in your big toe can be caused by arthritis in the joint at the base of the toe. It can be treated with steroid injections, special shoe inserts and ultrasound therapy. It can also be treated with surgery to help restore mobility.
If you have ongoing pain in your heel or underside of your foot after home treatments including RICE, anti-inflammatory medication, you should consult a doctor. There may be a number of other conditions with similar symptoms, so it is important that you get a specialist diagnosis to ensure the correct treatment.
Ensuring that you maintain a healthy weight and regular exercise can reduce the risk of plantar fasciitis. Stretching your calf muscles and ankles before and after exercise can help prevent tension in the ligament under your foot. It may help to change your activity to a lower-impact sport, for example, cycling or swimming instead of running on hard surfaces.
Plantar fasciitis may heal fairly quickly after a few weeks of rest, ice, compression and elevation, followed by conservative measures such as orthotics and stretching exercises.
Full recovery from surgery can take 6-10 weeks.
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