Foot Health Center - Dr. Thomas H. Walter, D.P.M

Plantar fasciitis

Plantar fasciitis is a painful inflammatory condition of the foot caused by excessive wear to the plantar fascia or plantar aponeurosis that supports the arches of the foot or by biomechanical faults that cause abnormal pronation. The pain usually is felt on the underside of the heel, and is often most intense with the first steps of the day. It is commonly associated with long periods of weight bearing or sudden changes in weight bearing or activity. Jobs that require a lot of walking on hard surfaces, shoes with little or no arch support, a sudden increase in weight and over activity are also associated with the condition.

Sometimes known as “flip-flop disease” among US podiatrists, the condition often results in a heel spur on the calcaneus, in which case it is the underlying condition, and not the spur itself, which produces the pain.


In the last ten years, the FDA has approved of (ESWT) Extracorporeal Shockwave Therapy for the treatment of plantar fasciiitis. Sound waves are applied to the painful area of the heel using an orthopaedic shockwave device and this leads to increased blood flow to the area that triggers the body’s repair abilitio create tendon hearing. The sound waves over stimulatties the nerves to reduce the sensitivity and pain. An important thing to keep in mind that it is delivered from outside the body, so the risks associated with surgery are eliminated.

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