Plantar fasciitis, reportedly the most common cause of pain in the inferior heel, is estimated to account for 11 to 15 percent of all foot symptoms requiring professional care among adults. Plantar fasciitis has been reported to account for about 10 percent of injuries that occur in connection with running and is common among military personnel. The incidence reportedly peaks in people between the ages of 40 and 60 years in the general population and in younger people among runners. The condition is bilateral in up to a third of cases.
RISK FACTORS
The cause of plantar fasciitis is poorly understood and is probably multifactorial.Risk factors include obesity,

Because of its high incidence among runners, plantar fasciitis is assumed to be caused by repetitive microtrauma. Proposed risk factors include running excessively or suddenly increasing the distance run, wearing faulty running shoes, running on unyielding surfaces and having a cavus (high-arched) foot or a shortened Achilles tendon, but evidence for most of these factors is limited or absent.

CLINICAL COURSE
The clinical course for most patients with plantar fasciitis is favorable, with resolution of symptoms in more than 80 percent of patients within 12 months.

CLINICAL FEATURES
Patients typically report a gradual onset of pain in the inferior heel that is usually worse with their first steps in the morning or after a period of inactivity. Patients may describe limping with the heel off the ground.

The pain tends to lessen with gradually increased activity but worsens toward the end of the day with increased duration of weight-bearing activity. Patients may report that before the onset of their symptoms, they increased the amount or intensity of their regular walking or running regimen, changed footwear, or exercised on a different surface. There is often a localized area of maximal tenderness over the anteromedial aspect of the inferior heel.
Limitation of ankle dorsiflexion due to tightness of the achilles tendon may be present.

PROCEDURES WE OFFER FORPLANTAR FASCIITIS