Plantar fasciitis
This is one of the most frequent reasons for consultation. There is pain in the heel, where the plantar fascia attaches. But beware, there are many causes of heel pain. Often called Épine de Lenoir, this pain in the heel often appears with the first steps in the morning. It can be intense and rarely heals on its own.
Fasciite plantaire - Douleur au talon
Fasciite plantaire - Planche anatomique montrant le fascia
Radiographie colorée montrant une épine de Lenoir
Fasciite plantaire - Douleur au talon
Symptoms:
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Pain around specifics points of the foot
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Pain following compensation patterns
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Difficult first steps in the morning
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Feeling of burning, aching, pinching or stabbing
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A decrease in the symptoms with the use of certain shoes
Causes:
The causes are diverse and involve multiple factors. Here are a few examples:
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Flat feet
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Increased tension in the plantar fascia (weight gain, pregnancy, obesity, high-impact sports)
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Lack of flexibility in calf muscles
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Biomechanical problems (limb length discrepancy, asymmetry)
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Trauma
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Age
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Inadequate shoes
Home treatments:
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Ice
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Calf and arch stretches
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Wearing shoes at all times
Treatments by the podiatrist:
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Taping
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Custom plantar orthoses
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Cortisone infiltration (guided by ultrasound)
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Therapeutic laser