The arch of the foot is resting on the two main weight bearing structures of the body: the heel (calcaneus) and the forefoot (metatarsal heads). They are comparable to bridgeheads of a suspension bridge. Along with strong ligaments and muscles, the foot arch is responsible not only for weight bearing, but for stability as well. The tough plantar fascia that spans the arch, is providing added stability and support.

Excessive weight bearing, strain, or weakening of the ligaments and muscles may result in a break down of the arch support system. Foot deformities (pronation, flattening of the arch) destabilize the arch, causing abnormal weight distribution and strain. For a while the plantar fascia may compensate for and supports the weakened foot.

Further strain of the foot and thereby the plantar fascia however causes painful inflammation (of the fascia) interfering with weight bearing, standing and walking. If due to neglect the plantar fasciitis persists, it may progress to heel spur, a defense mechanism, which is a preventable condition. Treatment is conservative, consisting of physical therapy, correction of body mechanics and judicious exercises.

For more information or for an evaluation please call New York Midtown Orthopedics at 212-758-4688.

Remember: timely diagnosis and treatment may prevent chronic pain, surgery and permanent disability.