Plantar Fasciitis sidelines Giants quarterback Eli Manning

Oct. 7, 2009

Plantar fasciitis made the headlines this week when Eli Manning, Quarterback for the Giants needed to leave the game due to sharp heel pain from an inflamed plantar fascia. Plantar fasciitis is a painful condition that affects nearly 15 percent of the population. The plantar fascia is a thick, strong ligament located on the bottom of your foot and helps to hold up your arch. It stretches from your heel to the ball of your foot. Plantar fasciitis occurs when the ligament becomes aggravated. Conditions that may damage the plantar fascia include: flat feet, high arches, heavy weight lifting, standing on hard surfaces for long periods of time and improper shoes. When the plantar fascia is stressed over a long period of time, the heel bone reacts to protect itself and forms a spur.

The symptoms of plantar fasciitis and heel spur syndrome (when a spur is also present) are usually worse when you first get up in the morning, or when you first stand up after resting. Increased activity, and long periods of standing often make the next day miserable. The heel feels swollen and may cause you to limp. The pain is usually located right in the middle of the heel or just to the inside. These are classic symptoms and are the easiest to treat with proper shoes, ice, anti-inflamamtory drugs like Ibuprofen, and not going barefooted.

The diagnosis is usually made with a thorough exam. X-rays are often used to rule out fractures and spurs. Eli Manning had an MRI to rule out a more serious injury like a stress fracture that may have gone undetected on a standard X-ray. An MRI is usually required only when there is an unexpected amount of pain or if some other problem needs to be ruled out like a stress fracture or tumor. Diagnostic ultrasound is a cost effective, pain free, and very accurate screening tool that is performed in the office when there is a difficult case that requires additional testing to make an accurate diagnosis.

If symptoms don’t improve over a few weeks, if there is evidence of infection or there is a recent history of trauma we recommend that you seek professional advice ASAP. For patients that have recurrent problems or have intense symptoms, combination treatment may be in order. Things like custom arch supports (orthotics), physical therapy, stretching exercises; NSAIDs (nonsteroidal anti-inflammatory drugs like aspirin, Aleve and Motrin), night splints, cortisone injections, and even surgery all have a place in treating some types of heel pain.

Newer non invasive or minimally invasive treatments like ESWT (shock wave therapy), blood patch or prp injections (a growth factor injection using your own platelets), EPF (endoscopic plantar fascia release), and neurolysis can help reduce and eliminate symptoms. If you are suffering from heel pain we recommend that you contact one of our board certified physicians at 262 821-1588 or visit us on the web at: www.allcarefootandankle.com

About the author:

Dr Waldman is a board certified Podiatrist

Fellow of The American Board of Foot and Ankle Surgeons

Medical Director of The Allcare Foot and Ankle Group

Allcare Offices: New Berlin, Oak Creek, Fox Point, and Wauwatosa

Community Watch

» Initial Reaction Podcast: Menomonee Falls baseball virtuoso Ty Weber and Big Ten Media Day Updated:  12:45 PM

» Muskego gets a $500,000 state grant for Parkland Mall redevelopment Updated:  7/26

» New Berlin West baseball team exceeded expectations 7/25

» 2016 Waukesha County Fair coverage 7/22

» Social media story on the storms rolling through Milwaukee area 7/21

» Resources available to Waukesha County residents during extreme heat 7/21

» Muskego mixed-use project gets $500,000 state grant 7/20

» Initial Reaction Podcast: Wisconsin Badgers football, WIFCA All-Star game 7/20

» Time lapse: A tour of Big Muskego Lake shows hope, beauty reign in giant wetland 7/18

» #BestSummerEverNOW: Share your 2016 summer photos of you in the Milwaukee suburbs Updated:  7/18

» Live coverage: 2016 WIAA Summer Baseball Sectional Round Updated:  7/18

» NOW's user submitted stories, photos will be discontinued in early August 7/18

» New Berlin West baseball team drops heartbreaker to Greendale in regional final 7/17

» New Berlin Eisenhower baseball team falls to Cudahy in WIAA regional 7/17

» Muskego child enticement hearing for former West Bend official delayed Updated:  7/12

» Initial Reaction Podcast: WIAA state summer baseball tournament preview Updated:  7/12

» New Berlin bicyclist killed in collision with semitrailer truck in Pewaukee 7/12

» Questions must be answered before Muskego Youth Football can use park 7/11

» Muskego soccer parents, Kurth Park neighbors might be on same side 7/11

» Police ask charges against Muskego man suspected of embezzlement 7/11

» Dog park idea takes step backward in Muskego 7/11

» New Berlin Eisenhower baseball team wins twice in Woodland Conference tournament 7/10

» New Berlin West baseball wins Woodland Conference tournament 7/8

» Initial Reaction Podcast: JR talks Olympic Trials with two local track athletes 7/7

» Greenfield's Bella Matthias repeats as NOW Newspapers' 2016 All-Suburban Softball Player of the Year 7/6

View All Posts Got a tip? Welcome rss

Waukesha County Fair

 

The 2016 Waukesha County Fair saw rain, scorching temps and tropical humidity throughout its five-day run. Check out our stories, photos and video from the fair, including coverage of the new pig, duck and goat races, the 50th annual Fairest of the Fair contest, as well as a ranking of the top food items.

Best Summer Ever

 

We've made it easy for you to get out and go this summer. From hitting the trails for a bike ride or walk, to where to find beer gardens in the area, to the best places to swim in Waukesha County to the best summer drinks and summer reads, check out our 2016 summer guide.

Advertisement

Advertisement

CONNECT    

Advertisement