Cases of pf can linger for months at a time, with pain increasing and decreasing in an unpredictable pattern. Often, pf discomfort may nearly disappear for several weeks, only to re-emerge full-blown after a single workout. About 10 per cent of individuals who see a doctor for plantar fasciitis have the problem for more than a year. Plantar Fasciitis is common in people who are physically active or spend significant time on their feet. Runners and joggers are prone to plantar fasciitis , especially if they have recently increased their running mileage or intensity. It is very common for salesman and nurses who spend long hours walking on hard floors. Drugs such as ibuprofen or naproxen reduce pain and inflammation. Using the medication for more than 1 month should be reviewed with your primary care doctor. Plantar fasciitis is aggravated by tight muscles in your feet and calves. Stretching your calves and plantar fascia is the most effective way to relieve the pain that comes with this condition. Cortisone, a type of steroid, is a powerful anti-inflammatory medication. It can be injected into the plantar fascia to reduce inflammation and pain. Your doctor may limit your injections. Multiple steroid injections can cause the plantar fascia to rupture (tear), which can lead to a flat foot and chronic pain. The process is called Shock Wave Therapy. It is conducted usually by a chiropractor who has this equipment. The machine delivers shocks to the sore area which, to the patient, feel exactly like being whacked really hard by a hammer right at the excruciatingly sore area. The protocol is 2,000 whacks per treatment. The pain is horrid. I yelled throughout my treatments. The good news is that this process totally cured my Plantar Fasciitis in 5 treatments and it has not recurred. Usually the total cure is in 3 treatments, with huge relief after just one treatment. The pain becomes evident during day time. This is because the fascia or the tissue contracts overnight while you sleep. Although there may be times when you won't feel any pain, it is only a temporary thing. After standing up for long periods or getting up from a long time of sitting down, the agonising pain may strike once more. A recent Study in the Journal of Foot & Ankle Surgery compared ESWT versus a sham procedure in 172 patients. The researchers found a statistically significant benefit of ESWT over the sham treatment and the patients experienced no significant complications or side effects. Plantar fasciitis is a condition that may be caused by collagen degeneration at the point where your plantar fascia connects to your heel bone. Collagen is a type of connective tissue, and your plantar fasciae are thick bands of tissue located on the undersides of your feet. A heel spur, a bony growth at the front of your heel bone, may cause plantar pain. Other risk factors for this condition include leg length inequalities and misalignment of the tibia, or shin bone, notes the American Academy of Family Physicians. You Might Also Like Calcium Information I also think that being in zero drop shoes almost full time prevented progression of my pain into something more severe. Pain occurred for me immediately after any time I relaxed my calves for an extended period of time – at night while sleeping, in the evening on the couch, etc. Wearing flat shoes all day helped to keep my calves fully lengthened while standing and walking, whereas a heel lift would have shortened their working range during the day. I had no idea what it was. Of course, I didn't realize that jumping up and down doing high impact exercises on my concrete basement floor created my problem. Duh! Plantar fasciitis comes about when the plantar fascia is extended due to increased or excessive activity, deficient foot biomechanics or in combined with the typical aging process. The purpose of the plantar fascia is to act as a shock absorber and hold the arch of the foot. The plantar fascia is typically overstretched time and again before any pain is noticible. The pain comes from recurring very very small tears occurring in the plantar fascia, normally at the point where it attaches to the heel bone. Plantar fasciitis is a serious condition. At its most extreme, serious cases of plantar fasciitis can cause ruptures in the ligament.