There are multiple cause of bunions. Bunions tend to run in families and the most likely cause is the shape of the bones in your foot. For example, if your metatarsal head (the bone just behind the base of your big toe) is very rounded, it will make it easier for the joint to turn to the side when sideways pressure is applied. That sideways pressure usually comes from footwear. Though it is not a cause in itself, footwear will apply the force to make the bunion develop.
Plantar fasciitis is a common foot condition that causes pain in the heel, across the sole of the foot and sometimes into the arch area of the foot too. It is caused by inflammation of the ‘plantar fascia’ ligament. This is a very important ligament, connecting the heel to the ball of the foot and playing a vital role in supporting the arch of your foot – taking the strain when you stand, walk or run.
The main symptom of plantar fasciitis is pain in the heel, across the sole of the foot (the part that touches the ground) and sometimes it can spread into the arch area of the foot too. The pain can be described as sharp, burning and aching. Usually the pain comes on slowly – i.e. you think it will go away but it persists.
The pain is usually worst when you first place weight on your foot, for example, when you get up in the morning or after long periods of sitting.The pain can worsen as the day goes on and/or after long periods of weight bearing such as standing or walking for a long time. It can feel as though the more you do, the worse the pain gets.
Plantar fasciitis can affect anybody, but it is most common amongst people over the age of 40. There are many theories as to the development of the condition, these include: over using the ligament by doing to much standing/walking, excessive body weight and altered biomechanics e.g. people with flat feet or high arched feet or those with tight calves causing limited upward movement of the ankle).
Occupations that require extended periods of weight bearing i.e. those that work shifts of eight hours or more, are also linked with the development of plantar fasciitis.
In the first instance you should give these first line treatments six to 12 weeks to have an effect. If you are getting improvement, you should continue these treatments until the symptoms have resolved. If in the future the same symptoms return, then restart the first line treatments. Again, if the symptoms improve, continue until the symptoms resolve. If they do not improve then see your GP.