Text Box: Why Does It Happen? Text Box: Plantar faciitis is classified as an overuse injury. Its onset most often coincides with an increase in stress to the tissue involved. Some examples of increased stress might include: sudden gain in weight ( i.e. pregnancy) change in occupational habits ( i.e. changing from 8 hour to 12 hour shifts ) injury or trauma commencement of an exercise regime increased running mileage change in footwear Generally, onset of plantar fasciitis can be attributed to the onset of one or more of the above-mentioned incidents. Plantar Faciitis is as common in people with high arches as in people with flat feet. High-arched feet tend to be more rigid, less flexible and lack shock absorbency. Low-arched feet are usually more flexible and tend to roll inward or pronate. In either case the injury occurs most often between heel off and toe off in the gait cycle. ABNORMAL FOOT MECHANICS ABNORMAL PRONATION: Feet excessively turn in when walking. This motion increases strain on the plantar fascia. ABNORMAL SUPINATION: Feet excessively turn out when walking. Text Box: Orthotic management Text Box: Plantar Fasciitis can be effectively treated with foot orthotic devices. The most important aspect of orthotic management is a detailed assessment of the condition. This includes: patient history information relating to onset helpful and aggravating conditions previous treatments range of motion and biomechanical assessment pressure mapping of the foot This information determines the exact manufacturing specifications. Through the right combination of support and cushioning, stress to the inflamed area can be significantly reduced. This in its turn reduces pain and enables return to normal routines with less pain. Given proper orthotic management, noticeable improvement should take place within 6 weeks. If treatment has been significantly delayed this may take longer.

VER 11/03/06