The bigger picture

Plantar fasciitis is most common in people aged 40-60 years, and accounts for some 80 per cent of heel pain cases. Other causes can include tendonitis, fractures, infection, arthritis, nerve damage and bursitis (painful joint swelling), so anyone reporting numbness, tingling, fever, stiffness or swelling should be referred appropriately.

If self care measures are ineffective, referral to a podiatrist or physiotherapist should be considered for further advice, checking of stretching technique and bespoke orthotics. Individuals who suffer severe or persistent symptoms may gain short-term relief by having a corticosteroid injection into the plantar fascia. These injections can be very painful, with the pain lasting several days and symptoms often returning within a month. In certain cases, surgery may be performed if pain persists following treatment by a podiatrist or physiotherapist.