What Is Plantar Fasciitis & Heel Spurs

The structural breakdown of the plantar fascia is believed to be the result of repeated small tears & examination often shows connective tissue calcium deposits, & disorganised collagen fibres

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The Anatomy of Plantar Fasciitis

The Anatomy of Plantar Fasciitis

The plantar fascia is a thick band of connective tissue that runs along the bottom of the largest of the 3 arches of the foot called the medial longitudinal arch. It begins at the heel (Calcaneus) and travels along the arch to the ball of the foot (metatarsals).

One of the main roles of the plantar fascia is to allow the bony arch of the foot to move up and down with weight bearing- much like a spring. When at its longest length it helps allow the foot to propel the foot forward- therefore giving us the ability to move. When this ‘spring’ gets overstretched it can cause tiny tears or bruising- inflammation and heel pain then occurs

Other causes of heel pain may also be associated with:

  • Achilles tendonitis
  • Heel pad bruising or splitting
  • Calcaneus (heel bone ) fractures or stress fractures

In the last 10 years studies have observed microscopic anatomical changes indicating that some plantar fasciitis may be due to a non-inflammatory structural collapse of the plantar fascia rather than an inflammatory process.

Some clinicians therefore may call the condition plantar fasciosis. The structural breakdown of the plantar fascia is believed to be the result of repeated small tears and examination often shows connective tissue calcium deposits, and disorganized collagen fibres.

Causes of Plantar Fasciitis

Causes of Plantar Fasciitis

There are many causes of Plantar Fasciitis and Achilles Tendonitis that are mainly due to biomechanical (alignment & quality of joint movements). Many people will develop heel pain in their life time and most will be caused by plantar Fasciitis.

Whenever weight is put through the foot, the plantar fascia1 is under tension and stretched. Repeated stretch of the fascia fatigues it and can causes tiny tears in the fascia. The body’s natural repair mechanism cannot keep up with the fatigue.

Causes of Plantar Fasciitis can be due to:

  • An increase in body weight
  • Increase in activity level, sports or standing
  • Age causing general wear and tear on joints and the Plantar Fascia
  • Ill-fitting shoes, or shoes with inadequate support/cushioning
  • Tight calf muscles / Achilles tendon. The Achilles tendon pulls on the calcaneus (heel bone), hence causing tension on the plantar fascia
  • Excess pronation (rolling in ankles) places more strain on the inside of the heel and plantar fascia
  • Flat Feet (the arch lowers, placing excess strain on the arch and subsequent inflammation of the plantar fascia

Foot Spurs & Calcaneal Spur – Expert Solutions

In some cases, plantar fasciitis is associated with a plantar calcaneal heel spur. This can sometimes be palpated (felt) underneath the heel. Many people have a heel spur without pain, though it is the size and position of the spur that are some of the factors that determine if it causes pain. Our experts can advise if an x-ray or ultrasound is required as part of your diagnosis to then form a treatment plan..

There are some foot spur and calcaneal spur treatments that do not require clinical intervention that you can try immediately. Many people try some type of self treatment for heel spurs and plantar fasciitis. Though may not know the best solution for their particular problem.

Some of these easy and cheap plantar fasciitis treatments are:


heel spur pads

H2- Heel Spur Pads

heel spur treatment in melbourne

H2- Heel Spur Footwear

plantar fasciitis foot orthotics

H2- Plantar Fasciitis Treatment Night Splint

Our clinical team provides a full diagnostic analysis and treatment advice in a friendly atmosphere. Your treatment evaluation may include the use of up-to-date equipment and techniques such as:

  • Digital Video treadmill analysis (Gait Analysis)
  • Plantar pressure force plate diagnosis
  • Joint Range of motion tests
  • Palpation of anatomical structures (feeling through the skin)
  • X-ray or ultrasound
  • Diagnostic taping or heel devices
  • Footwear sales & advice
  • Stretch & Strengthening programs