Plantar Fasciitis
The plantar fascia is a thick, broad, inelastic band of fibrous tissue that courses along the bottom
of the foot.  It is attached to the heel bone and fans out to attach to the bottom of the metatarsal
bones in the region of the ball of the foot.  Because the normal foot has an arch, this tight band
of tissue is at the base of the arch.  In this position, the plantar fascia acts like a bowstring to
maintain the arch of the foot.

Plantar Fasciitis refers to an inflammation of the plantar fascia. The inflammation in the tissue is
the result of some type of injury to the plantar fascia.  Typically, Plantar Fasciitis results from
repeated trauma to the tissue where it attachés to the calcareous.

If there is significant injury to the plantar fascia, the inflammatory reaction of the heel bone may
produce spike-like projections of new bone called heel spurs.  The spurs are not the cause of
the initial pain of Plantar Fasciitis, they are the result of the problem.  Most heel spurs are
painless.  Occasionally, they are associated with pain and discomfort and require medical
treatment or even surgical removal.

Plantar Fasciitis is a common problem among people active in sports, especially runners.  It
typically starts as a dull, intermittent pain in the heel and may progress to sharp, constant pain.  
Often, it is usually worse in the morning or after sitting, and then decreases as the patient begins
to walk around.  In addition, the pain usually increases after standing or walking for long periods
of time, and at the beginning of a sporting activity.

Dr. Snyder is successful treating Plantar Fasciitis by having the patient perform various stretches
to lengthen the fascia.  Also, Dr. Synder might suggest massage therapy and ultrasound.