Plantar fasciitis, or more recently known as “Plantar Fasciopathy” is when the plantar fascia becomes inflamed, irritated or changes structurally.

Plantar fascia is connective tissue in the sole of the foot - plantar, meaning foot, and fascia, which is the type of tissue. Its function is to help support the arch, and it originates from the heel.

The main cause of plantar fasciopathy is overuse, which is always relative to the overall conditioning of the tissue and surrounding muscles.

If the tissue and muscles are stronger and more robust, they can tolerate more before they become inflamed or damaged, which causes pain. If the tissue is weak, it can become overused more readily.

This can mean that even simple tasks such as standing or walking for long periods of time can result in pain, but so can other more intense activities like high-impact running or jumping.

If you have plantar fasciopathy or fasciitis, you will feel pain in the sole of your foot or the underside of your heel. This will often be most noticeable after finishing an activity, as the pain usually has a delayed onset. In some cases, you may notice it during the activity too.

The best non-operative treatment for plantar fasciitis typically includes rest, optimal loading and strengthening exercise. Orthotics may help provide relief, as they will give the foot more support, but long term this may result in the muscles becoming weaker, as the arch doesn’t need to work as hard to support itself.

Most cases of plantar fasciitis resolve with conservative treatment such as rehabilitation or physiotherapy, but in more severe cases, surgery may be required.
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Treatment for plantar fasciopathy

Mr Bajaj has successfully treated plantar fascia conditions for a number of years. Treatment methods may include:
- Steroid injections
- Extra corporeal shock wave therapy
- Physiotherapy
- Insoles
- Surgery (as a last resort)
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‍What does surgery involve?

There are a variety of surgical solutions for plantar fascia pain, and it will depend of the mechanism of your injury, and the areas of the plantar fascia which are most affected.

A plantar fascia release involves making an incision to release tension and relieve pain.

Another surgical option is a gastrocnemius recession, which is where the calf muscle is lengthened, which can reduce tension on the plantar fascia.

If you have any questions about which surgical technique might be best for you, please do not hesitate to get in touch.

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If you are concerned about the pain in the sole of your foot and would like to consult Mr Bajaj to determine whether your condition is plantar fascia, or would like guidance on how to manage the condition, please do get in touch.

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