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What Happens If Plantar Fasciitis Goes Untreated?

Plantar fasciitis, a leading cause of heel pain, often starts as a minor inconvenience. Many people ignore the early signs, hoping the pain will disappear on its own. While this may happen for some, untreated plantar fasciitis can worsen over time, leading to chronic pain and other complications that significantly impact daily life.

This article explores what can happen if plantar fasciitis is left untreated, why early treatment is essential, and the options available to prevent long-term problems.


How Plantar Fasciitis Develops

Plantar fasciitis occurs when the plantar fascia—a thick band of tissue connecting the heel bone to the toes—becomes inflamed due to excessive stress or strain. This inflammation causes a sharp, stabbing pain in the heel, which is the hallmark symptom of plantar fasciitis.

In the early stages, the pain is typically worse in the morning or after prolonged rest, improving slightly as you move around. However, without proper care, the condition can escalate, causing more severe pain and complications.


The Risks of Ignoring Plantar Fasciitis

Untreated plantar fasciitis can lead to several issues, including:

1. Chronic Pain

What begins as mild discomfort can turn into chronic, debilitating pain. As the inflammation in the plantar fascia persists, everyday activities like walking, standing, or exercising become increasingly difficult. Chronic pain can also affect your mental health, contributing to stress, frustration, and a reduced quality of life.

2. Compensation Injuries

People with plantar fasciitis often change how they walk to avoid pain, distributing weight unevenly across their feet. This altered gait can lead to compensation injuries in other parts of the body, such as:

  • Ankles
  • Knees
  • Hips
  • Lower back

These secondary problems can create a cycle of pain that complicates treatment and recovery.

3. Heel Spurs

Chronic stress on the plantar fascia can lead to the formation of heel spurs, which are bony growths on the heel bone. While not always painful, heel spurs can exacerbate plantar fasciitis symptoms, making walking more uncomfortable.

4. Plantar Fascia Tears

Without proper treatment, the plantar fascia can weaken over time, increasing the risk of small tears. Severe tears can cause significant pain and may require surgical intervention to heal.

5. Reduced Mobility

Untreated plantar fasciitis can make walking or standing unbearable, reducing mobility. This, in turn, can result in weight gain, muscle weakness, and a decline in overall physical fitness.


Why Early Treatment Is Essential

The earlier you treat plantar fasciitis, the easier it is to manage. Early intervention helps prevent chronic pain and complications, allowing you to maintain mobility and quality of life. Simple, conservative treatments are highly effective when started early and often reduce the need for more invasive procedures later.


Treatment Options for Plantar Fasciitis

If you’re experiencing heel pain, don’t wait for it to worsen. Several treatments can help manage plantar fasciitis and prevent long-term damage.

1. Rest and Activity Modification

Avoid activities that strain your feet, such as running or prolonged standing, and focus on low-impact exercises like swimming or cycling.

2. Stretching and Strengthening Exercises

Stretching the calf muscles and plantar fascia can reduce tension and improve flexibility. Physiotherapists often recommend specific exercises to strengthen the foot and ankle muscles, supporting the arch.

3. Proper Footwear and Orthotics

Wearing supportive shoes with good arch support and cushioning is essential. Custom orthotics, prescribed by a podiatrist, can provide additional relief by redistributing pressure across your foot.

4. Pain Relief

Over-the-counter pain medications, such as ibuprofen, can help reduce inflammation and alleviate discomfort. Ice therapy is another effective way to manage pain and swelling.

5. Corticosteroid Injections

Corticosteroid injections can provide significant pain relief for severe or persistent plantar fasciitis. These injections reduce inflammation in the plantar fascia, offering temporary but effective relief.

At Mentone General Practice, located in the Bayside area of Melbourne, Dr. Martin Hassabi specializes in administering corticosteroid injections for plantar fasciitis. Using advanced techniques, Dr Hassabi ensures that the injections are safe and effective for patients with chronic heel pain.

6. Physical Therapy

Physiotherapists can help with manual therapy, stretches, and strengthening exercises to address the root causes of plantar fasciitis and prevent recurrence.

7. Surgery (in Rare Cases)

Surgery is typically a last resort and is only considered for severe cases that do not respond to conservative treatments. Surgical options may include releasing the plantar fascia or removing a heel spur.


Preventing Plantar Fasciitis

To avoid the complications of untreated plantar fasciitis, focus on prevention:

  • Wear supportive footwear: Avoid flat or unsupportive shoes like flip-flops.
  • Maintain a healthy weight: Extra weight puts additional stress on your feet.
  • Stretch regularly: Stretch your calves and plantar fascia daily to improve flexibility.
  • Listen to your body: If you notice heel pain, immediately prevent it from worsening.

Take home message

Plantar fasciitis may start as mild heel pain, but if left untreated, it can lead to chronic discomfort, reduced mobility, and secondary injuries. Early intervention is key to avoiding these complications. Rest, stretching, orthotics, and corticosteroid injections can relieve and prevent the condition from worsening.

If you’re experiencing persistent heel pain, seek professional advice. For patients in Melbourne, Mentone General Practice offers expert care for plantar fasciitis, including specialized corticosteroid injections by Dr. Martin Hassabi. Don’t wait—address your heel pain today to prevent long-term problems.

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