Conditions

Plantar Fasciitis

Plantar Fasciitis

Plantar fasciitis causes sharp pain at the heel, often most noticeable during the first steps in the morning or after periods of rest. Many patients describe a sensation of stepping on a stone or a bruised, tender heel. The pain can significantly affect daily life, particularly for those who spend long periods standing or walking.

Assessment at The London Ultrasound Clinic

Your appointment includes a hands-on assessment of foot mechanics, ankle movement, and calf flexibility. This allows us to understand why the plantar fascia has become overloaded. High-resolution ultrasound is then used to confirm the diagnosis, showing any thickening or inflammation of the fascia, and to rule out other potential causes such as nerve irritation or heel pad problems.

Conservative Management

Initial management often includes:

  • Stretching and strengthening exercises for the plantar fascia, calf, and surrounding muscles
  • Guidance on supportive footwear and orthotics where appropriate
  • Activity modification and pacing to reduce strain on the fascia
  • Education and reassurance about expected recovery and flare-ups

These strategies often reduce pain and improve function, supporting a gradual return to normal daily activities.

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Ultrasound-Guided Injection

For persistent or severe symptoms, an ultrasound-guided injection may be offered. Using local anaesthetic and steroid, the injection is delivered precisely around the inflamed area of the plantar fascia. This helps reduce pain, improve tolerance for rehabilitation exercises, and accelerate recovery. Ultrasound guidance ensures accurate placement for maximum effectiveness, comfort, and safety.

Recovery and Ongoing Care

Following assessment and any injection, a structured rehabilitation programme is provided. This includes guidance on exercises, load management, and progressive strengthening to support long-term foot health. Many patients notice gradual improvement in pain, walking comfort, and overall function, allowing a confident return to daily activities and exercise.

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