Plantar fasciitis is a condition characterized by inflammation of the plantar fascia, the dense band of tissue running along the bottom of your foot that connects your heel bone to your toes. The plantar fascia supports the arch of your foot, and when overstressed, it can become inflamed, leading to acute pain, particularly upon waking or after prolonged inactivity.

• Sharp, stabbing pain in the heel, most notable in the morning or after resting.
• Pain easing with movement but potentially returning after extended activity.
• Pain localized at the base of the heel, near the plantar fascia’s attachment point.
• Mild swelling or tenderness in the arch area.

Plantar fasciitis often results from repetitive stress or strain that leads to small tears and inflammation. Contributing factors can include:

• Overuse from activities like running, walking, or standing for long periods.
• Wearing unsupportive footwear, particularly on hard surfaces.
• Having flat feet or high arches, which places extra strain on the plantar fascia.
• Being overweight, increasing pressure on your feet.
• Tight Achilles tendons or calf muscles, limiting foot flexibility.

Plantar fasciosis is a degenerative condition of the plantar fascia, often mistaken for plantar fasciitis. Unlike the inflammatory nature of plantar fasciitis, fasciosis involves chronic degeneration of the fascia due to overuse and insufficient healing. This lack of inflammation means traditional anti-inflammatory treatments might not be effective.

• Persistent heel pain, similar to plantar fasciitis but typically more chronic.
• A dull ache that can become sharper with prolonged activity.
• Stiffness in the heel and arch, especially after periods of rest.
• Lack of visible inflammation compared to plantar fasciitis.

Plantar fasciosis arises from ongoing stress and micro-tears in the plantar fascia without adequate recovery time. Factors include:

• Prolonged strain from repetitive activities.
• Inadequate recovery or rest from stress-inducing activities.
• Age-related changes in the tissue structure.
• Poor circulation impacting healing processes.

While plantar fasciitis and plantar fasciosis share similar pain points, they differ significantly in their root causes and treatment approaches:

Diagnosis typically involves a physical exam and possibly imaging tests:

• Physical Exam: A healthcare provider will press different areas of the heel to identify pain location. Fasciitis pain usually occurs at the base of the heel, whereas fasciosis might show more generalized pain.
• Imaging Tests: X-rays are not typically used to diagnose fasciitis or fasciosis, but an ultrasound may assess soft tissue changes indicative of fasciosis.

Both conditions can often be managed with conservative treatments:

• Rest and Ice: Reducing activity and applying ice can decrease pain.
• Supportive Footwear and Orthotics: Shoes with proper support and cushioning help alleviate stress on the foot.
• Stretching and Strengthening Exercises: Flexibility and strength exercises for the foot and calf muscles can offer relief.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Useful for fasciitis, less effective for fasciosis.
• Laser Therapy and PRP (Platelet Rich Plasma) Therapy: Promote healing and reduce pain in chronic cases of fasciosis.

If your heel pain persists for more than a few weeks or worsens, consider consulting a podiatrist. They can provide a tailored treatment plan based on your specific condition.

Understanding the differences between plantar fasciitis and plantar fasciosis is vital for seeking appropriate treatment. While both conditions can be painful, effective management can help you return to your daily activities comfortably. For more detailed information or to schedule a consultation, reach out to one of our healthcare providers specializing in foot care at our Liberty Township or Mt Healthy locations.

By addressing heel pain with the right knowledge and resources, you can step back into your daily routine with confidence and comfort.