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Innovative Foot & Ankle

Footnotes / Blog

Sunday, November 26th, 2017 Elizabeth Anthony

What is a Plantar Fascia Rupture?

A “pop!” sensation at the bottom of your foot could indicate a sudden rupture of the plantar fascia, the thick band of tissue that runs along the bottom of the foot. This injury is often caused by dynamic activities such as jumping or sudden impact, and it can be extremely painful. Immediate diagnosis and treatment by a podiatrist are crucial for proper healing.

Symptoms of a Plantar Fascia Rupture

The main signs of a ruptured plantar fascia include:

  • Acute pain in the arch of the foot, particularly after dynamic activities such as landing from a jump.
  • Bruising in the arch area, often accompanied by pain.
  • A “pop” sound or sensation when walking, sometimes occurring after an injection is administered to the foot.

Diagnosis of Plantar Fascia Rupture

The diagnosis is typically made through a combination of physical exam and imaging studies:

  • Physical Exam: The podiatrist will assess the sole of the foot for acute tenderness and swelling. The area of the rupture will typically be sensitive to touch.
  • Imaging:
    • X-rays: Usually, these will be normal, but they are useful for ruling out fractures.
    • MRI: An MRI is more definitive and can reveal the rupture of the plantar fascia, which may be partial or complete. It will also show associated swelling (edema) and increased blood flow to the injured area.

Treatment for a Plantar Fascia Rupture

In most cases, non-operative treatment is successful, and surgical intervention is rarely needed. Here’s what you can expect in terms of treatment:

  1. Pain Management: Initial treatment focuses on pain control with ice, crutches, and limited activity to avoid further stress on the injury.
  2. Rest and Limited Activity: As pain subsides (typically 4-10 days after the injury), gradual weight-bearing is allowed, often with the use of stiff-soled shoes or a protective walker boot.
  3. Gentle Stretching: Once the pain decreases, gentle plantar stretching exercises can help improve flexibility and prevent future strain.
  4. NSAIDs: Non-steroidal anti-inflammatory drugs (such as ibuprofen) can help reduce pain and swelling during the recovery process.

Recovery Time

  • Short-term: Return to normal standing or walking usually happens within a few weeks.
  • Long-term: Full recovery for high-impact activities, including sports that require explosive power or sudden changes in direction, can take several months.

When to See a Podiatrist

If you suspect that you’ve ruptured your plantar fascia or are experiencing symptoms such as acute pain, bruising, or the sensation of a “pop,” it’s important to see a podiatrist promptly for an evaluation and treatment.

Visit Innovative Foot & Ankle for Expert Care

At Innovative Foot & Ankle, our experienced podiatrists can help diagnose and treat plantar fascia ruptures and other foot conditions. We are located in Little Ferry, Bayonne, Kenilworth, and Montclair, New Jersey.

For more information, visit Innovative Foot & Ankle or contact us to set up an appointment today.