LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone: 305.436.5030
Fax: 305.436.0086
E-mail Address: info {at] LEEDerGroup [dot] com

Plantar Fasciitis--What is it?





  • Note by LEEDer: The Night Splint that WORKS! PRO-Night Splint: a professional orthosis designed to help alleviate plantar fasciitis. This is an excellent article explaining Plantar Fasciitis, which is quite common and very treatable.
  • What is Plantar Fasciitis? Before we start talking about how to successfully treat plantar fasciitis (pronounced PLAN-tar fashee-EYE-tiss), it’s important to know what it is and where it’s located.
  • The Plantar Fascia is a broad, dense, virtually non-elastic tissue that runs the length of the arch along the bottom of your foot. It supports the arch of your foot, functioning somewhat like a bowstring. The plantar fascia is thickest at the heel where it attaches to the heel bone (calcaneus) and broadens out to attach to the base of each toe. There are 3 bands that form the plantar fascia: 1) the medial band 2) the central band and 3) the lateral band.

Watch Application Video of Night Splint that Works by Clicking Arrorw-Click it now

  • Fascia (IPA: fɑʃɪɑ) is specialized connective tissue layer which surrounds muscles, bones, and joints, providing support and protection and giving structure to the body. It consists of three layers: the superficial fascia, the deep fascia and the subserous fascia. The word rhymes with the name “Natasha?.
    Fascia is one of the 3 types of dense connective tissue (the other two being ligaments and tendons).
    The Superficial Fascia is located directly under the subcutis of the skin. Its functions include the storage of fat and water and it also provides passageways for nerves and blood vessels. In some areas of the body, it also houses a layer of skeletal muscle, allowing for movement of the skin.
    The Deep Fascia is beneath the superficial fascia. It aids muscle movements and, like the superficial fascia, provides passageways for nerves and blood vessels. In some areas of the body, it also provides an attachment site for muscles and acts as a cushioning layer between them.
    The Subserous Fascia is between the deep fascia and the membranes lining the cavities of the body. There is a potential space between it and the deep fascia which allows for flexibility and movement of the internal organs.
  • According to Terminologia Anatomica of the Federal Committee on Anatomical
    Terminology … fascia consists of sheaths, sheets or other dissectible connective tissue aggregations. Most form from condensations of mesenchyme … some are left behind as organs move … others are formed as serosal surfaces fuse …. Eventually the term fascia … includes not only the sheaths of muscles but also the investments of viscera and dissectible structures related to them..^
  • Signs and Symptoms
    Plantar Fasciitis is common among active individuals, especially athletes. So, how do you know if you have plantar fasciitis? Following are the signs and symptoms that can characterize this condition.
    Heel pain described as sharp, burning, dull aching or as a “pulling sensation.? The pain is usually worse with the first few steps out of bed, and then lessens in intensity. Low-grade pain is typically experienced. The pain may decrease during the day as you walk, until mid to late afternoon. At that point, the strain of the plantar fascia is cumulative and can cause severe pain, particularly as you walk on hard surfaces wearing non-supportive shoes.
    Tenderness along the inside of the heel pad or anywhere along the length of the plantar fascia.
    Localized swelling may be visible.
    Acute pain as you stand after sitting for 30–60 minutes.
    Plantar Fasciitis symptoms that persist for 3 months or longer are classified as chronic.
  • How Is It Injured?
    Plantar Fasciitis is defined as inflammation, usually the result of trauma or chronic repetitive strain involving the plantar fascia. The injury and inflammation occurs due to repetitive weight bearing stresses placed on the foot that overstretch the tissue where it attaches to the inside portion of the heel bone.
    Walking or running can increase stress on the foot. The forces passing through the foot while running, are about three times the body weight, and are traveling up the limb at more than 200 miles per hour. As the heel strikes the ground, the foot pronates, which allows the arch to flatten (or lower) to the ground. Pronation is a normal and necessary movement of the foot.
    This movement causes the plantar fascia to stretch. As you get older, your feet gradually become more mobile, which, when combined with prolonged, or increased activity, can result in small tears in the plantar fascia and associated muscles that attach to the heel bone.
    To summarize, injury occurs (and subsequent inflammation of the fascia) due to trauma or repetitive weight being placed on the foot that over stretch the tissue where it attaches to the inside portion of the heel bone (calcaneus).
  • Why Is Healing Difficult?
    When the foot excessively pronates, the plantar fascia can be overstretched, potentially causing microscopic tears every time you take a step. As your foot hits the ground, the pressure on the heel squeezes out the inflammatory fluid—which makes walking painful, but tolerable. As you sleep, the tissue begins to heal and the fluid generated by the inflammation settles around the injury site. Every morning, the first few steps out of bed cause sharp, knife-like pain due to the pressure of the fluid within the connective tissue overstretching and re-injury to the plantar fascia that was attempting to heal. This scenario is repeated daily, which is why the condition can persist for months and even years. An analogy can be made to a cut on your arm. If you irritate the cut every day, you will still have an unhealed, tender wound a month or two later. But left undisturbed, it will heal in about 2 weeks. The same is true with plantar fascia. You irritate the injury with every step you take. Did you know the average person takes about 10,000-15,000 steps a day? When you run one mile, the foot strikes the ground about 800-2000 times.
  • Understanding Treatment Options
    What does the Medical Literature Say?
    Medical literature offers conflicting theories about the causes of heel pain—which partially explains the variety of medical treatments offered.
  • Suspected Causes of Heel Pain
    The fat pad under the heel bone thins, resulting in a loss of shock absorbency with weight bearing. Thinning or atrophy of the fat pad usually occurs after age 40 as collagen, water and elastic tissues are lost. This results in compression of soft tissue as the heel strikes the ground.
    Compression of the medial calcaneal nerve (heel bone) with weight bearing stresses.
    The lateral plantar nerve is trapped between connective tissues under the heel.
    The plantar fascia is overstretched and becomes inflamed, which causes irritation of the calcaneal nerves.
    Increased motion and excessive (flattening) pronation of the foot tear the fibers of the plantar fascia and associated muscles that attach to the heel.
  • What Does the Research Say about Heel Spurs?
    Heel spurs develop in a longitudinal direction. It is uncommon that they develop as a sharp spike protruding toward the ground and protruding into the fat pad. The relationship between heel spurs and heel pain has not been definitively established.
    15% of normal, pain-free feet have heel bone spurs.
    39% of adults with heel pain have spurs.
    Heel spurs can develop due to the pull of the short toe flexors and the plantar fascia on the heel bone.
  • Literature Supported Treatment Options
    Research supports that 85-95% of patients with plantar fasciitis show significant improvement with a well-directed, non-operative treatment regimen.
    Note: For detailed exercise routines CLICK HERE; they will help keep this painful problem well under control. Do the exercises after you use the Night Splint and you will be able to do away with the Night Splint.
  • How can you reduce motion, alleviate the strain on the plantar fascia, and help your foot heal in a reasonable time?
    Control how much time you spend on your feet walking or running. Eliminate barefoot walking. Modify your activities by using pain as a guide. When you are on your feet, reduce the strain by first cushioning the heel and then controlling the movement of the heel and longitudinal arch with appropriate foot support. Foam Toe Wedge close up for Night Splint and Multi Use Boot
    For patients with chronic plantar fasciitis (pain for more than three months), use a Plantar Fascia Night Splint to control the position of the foot and the length of the plantar fascia while sleeping. For patients whose injury was not managed successfully in the early stages, the night splint combined with conservative treatment has been effective in resolving symptoms within four months for patients with an average of 17 months of heel pain.

The Night Splint that Works!
  • Research supports the use of a splint to wear at night on the involved lower leg. The splint should be completely adjustable with dorsiflexion straps to slowly return the foot to the neutral position.
    The splint allows the plantar fascia to heal in a more functional position and lessens the plantar fascia’s contractures and muscle tightening. This reduces the pain felt in the morning and reduces the likelihood of more injury to the healing tissue. Wear the splint every night until you can walk pain free. Gradually wean yourself from the night splint by wearing the splint:
    1. Every other night for 4 weeks.
    2. Every third night for 4 weeks.
    3. Every fourth night for 4 weeks.
    4. Continue the weaning process until the heel is not tender to the touch.
  • Research demonstrates good results within four months for chronic patients using the night splint. If symptoms resolve during the 3-6 week period, return to activity at a reduced level.