Plantar Fasciitis and medial calcaneal neuritis are multifaceted in their presentation and etiology. Pregnant patients with pes cavus (high arched) and pes planovalgus (flat foot) are predisposed to acquiring this condition. The increase in progesterone and estrogen during pregnancy may result in increased ligamentous laxity, causing a widening and stretching of the upper extremity, abdominal area and lower extremity. This along with the pregnant women’s increase in weight often led to the etiology of plantar fasciitis. The timing of symptom onset usually occurs in mid to late pregnancy where it is expected that biomechanical factors, unsteady gait and increase foot width, rather than hormonal influences are the cause.
Treatment protocols addressing edema and biomechanical changes are the most reliable. Educating patients on the importance of elevating the lower extremities and providing compression , dispensing appropriate non-custom or custom orthotics, advising the need for formal physical therapy, dispensing posterior night splints and shoe recommendations are the cornerstones of mitigating symptoms.
If you require assistance with your foot pain associated with your pregnancy call for an appointment with the experienced doctors at Austin Foot and Ankle Specialists at 512-328-8900.