Usually when you have an injury in the plantar fascia, the scar tissue is laid down in un-uniform patterns. The scar tissue looks like mixed up spaghetti with fibers going in every direction. This is great for short term healing, but it is a weak structure. When you cause "good inflammation", the scar tissue is forced to be laid in the "direction of force" (which is parallel and uniform with the other fibers around the scar tissue). This makes it possible for the scar tissue to be laid down in a parallel pattern, which is much stronger. PF translates to “an inflammation of the connective tissue on the bottom of the foot”. Commonly, the term is used when referring to inflammation in the specific area where the Flexor Digitorum Brevis (FDB) muscle connects to the calcaneus or heel bone. This is the region on the bottom of the foot, just in front of the round callus of the heel. Inflammation Substitution – The flexor digitorum longus overlaps in function to some degree with the flexor digitorum brevis that is involved with PF. If the longus muscle is weak, it will shift extra work onto the much smaller brevis muscle, exceeding its’ capacity and causing damage. Orthotics can be obtained from a foot specialist (podiatrist). These are called custom orthotics and they usually quite hard. Nowadays there are softer orthotics on the market, which are made of EVA and which mold themselves to the wearer's foot shape because of body heat and body weight. These softer orthotics are pre-made and can be very effective in the treatment of Plantar Fasciitis. They are available without a prescription from pharmacies and specialty websites. Coblation surgery (aka Topaz procedure) has been used successfully in the treatment of recalcitrant plantar fasciitis. This procedure utilizes radiofrequency ablation and is a minimally invasive procedure. Over-pronation of the feet is very common, at least half of the population has this problem, but most people don't realise they have this condition! Over-pronation simply means that the feet and ankles roll inwards too much during walking and that the arches collapse. With age, most people tend to over-pronate. However, this condition is not uncommon in children and teenagers, as well as athletes. You can find the complete Plantar Fasciitis stretching exercise program here. Or talk to your physiotherapist or podiatrist about specific exercises. Sometimes practitioners will prescribe a night splint, designed to gently stretch the fascia during the night. About 5 years ago, my feet started giving me trouble. They hurt, and I mean really hurt. When my feet hit the floor in the morning, they felt like they were on fire. I could hardly stand up. I'd hobble down the stairs and by the time I got to the kitchen, the pain would have lessened somewhat. One morning, after I put on my socks, I wrapped a piece of duct tape around my foot , not so tight as to cut off circulation, just tight enough to hold my arch up so it couldn't sag. Plantar fasciitis is a painful foot condition caused by a multitude of factors. However, there is little scientific evidence suggesting that diet can directly cause this ailment. The only link between plantar fasciitis and diet is that obesity can result from the condition, so food in the diet could be considered an indirect contributor. Plantar Fasciitis The Journal of American Podiatric Medicine May 1999, Sobel E, Levity S T, Caselli MA Division of Orthopaedic Sciences, New York College of Podiatric Medicine. Vol. 94 Number 6542-549 2004 Journal of American Podiatric Medicine" The Conservative Management of Plantar Fasciitis" - Pfeffer GB, University of California, San Francisco, CA. Plantar fasciitis usually causes a sharp, stabbing pain on the inside of the bottom of the heel that can feel like an ice pick jabbing into your heel. Pain from plantar fasciitis is usually most severe when you first stand on your feet in the morning. Many people complain that the first step out of bed is the worst. Many also have pain as they get up and start to walk after sitting for a period of time while working at a desk or computer. This heel pain will usually subside as you walk, but can return with prolonged standing, walking or running.