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Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
Plantar fasciitis is the inflammation of the plantar fascia, a broad band of ligament-like tissue that runs along the bottom of the foot, from the ball of the foot down to the heel.
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Plantar fasciitis is an often painful degenerative process of the plantar fascia. Calcaneal spur (heel spur) is a small calcified bone extension ( osteophyte ) located on the inferior aspect of the calcaneus or on the back of the heel at the insertion of the Achilles tendon.
The plantar fascia extends from the heel bone to the toes, and helps support the arch of the foot. [22] Plantar fasciitis is a common cause of heel pain and affects about two million people in the United States. Though once considered an inflammatory condition, plantar fasciitis is now characterized as a degenerative pathology.
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The plantar fascia helps stabilize the foot, but can become painful in people who stand for long periods “due to the foot not transmitting the weight on the foot properly,” Spencer says.
When stress is put on the plantar fascia ligament, it does not cause only plantar fasciitis, but causes a heel spur where the plantar fascia attaches to the heel bone. [5] The considerations that affect plantar heel pain are the alignment of the foot with lower leg, foot and ankle mobility, strength and endurance of muscle.
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