The plantar fascia is a strong band of tissue that runs from the heel to the toes, connecting the bones in the feet and forming the arch. Plantar fasciitis occurs when this tissue becomes overstretched, resulting in microscopic tears that cause pain and inflammation. This condition affects people of all ages but is especially prevalent in women going through menopause.
In this article, our expert podiatrists will cover the surprising link between estrogen, menopause, and plantar fasciitis.
Menopause and Estrogen Levels
Estrogen is a sex hormone that plays a key role in reproductive health. Although people assigned female at birth (AFAB) have the most estrogen, all genders make this hormone. Apart from its reproductive functions, estrogen also plays a crucial role in regulating essential processes in your skeletal, cardiovascular, and central nervous systems, contributing to overall health.
When estrogen levels drop during perimenopause and menopause, collagen production and bone density decrease along with it.
Loss of Collagen
Collagen is the body’s most abundant protein, accounting for one-third of the body’s protein. This is the primary building block for skin, muscles, bones, tendons, ligaments, and other connective tissues. Specifically, collagen:
- allows new skin cells to grow,
- creates a protective cover for organs,
- helps blood to clot, and
- replaces dead skin cells.
Reduced Bone Density
Menopause is the most common cause of osteoporosis, a disease that weakens bones and makes them more likely to break. Healthcare providers sometimes call it a silent disease, as you may not know you have osteoporosis until a bone breaks after a small fall or minor accident that wouldn’t usually hurt you.
Can Low Estrogen Cause Plantar Fasciitis?
Low estrogen levels can contribute to plantar fasciitis. When estrogen decreases during menopause, the body’s ability to produce collagen and maintain tissue elasticity diminishes, which can weaken the plantar fascia. Additionally, estrogen-related bone loss may place more strain on the feet, further increasing the risk of developing plantar fasciitis.
What Is the Treatment for Plantar Fasciitis?
Plantar fasciitis can usually be treated at home by:
- applying ice to the affected area for 15 minutes three or four times a day to help reduce inflammation and relieve pain.
- maintaining a healthy weight to prevent added stress on the plantar fascia.
- strengthening the muscles by regularly performing foot and ankle exercises.
- wearing supportive shoes that have good arch support and cushioning.
For women with severe menopause symptoms, hormone replacement therapy (HRT) may be considered. HRT is a treatment that helps people with symptoms of menopause. The two main types of HRT are estrogen therapy and combination therapy, which has estrogen and progesterone.
Your foot doctor may recommend custom orthotics. These shoe inserts, constructed to be durable, moldable, and lightweight, are specifically designed to treat medical conditions.
Extracorporeal Pulse Activation Therapy (EPAT) is another solution offered by podiatrists to treat plantar fasciitis. It uses shockwaves to increase metabolism and blood flow, stimulating or enhancing the healing process. Patients experience a quick and non-invasive procedure without the need for anesthesia. Due to its non-invasive nature, there is no risk of infection or need for stitches, scars, or sutures.
Speak With an Expert at The Foot & Ankle Center
Consult with a knowledgeable doctor at The Foot & Ankle Center for a personalized approach to managing plantar fasciitis. Our specialized professionals maintain the highest levels of accreditation and stay up-to-date on the latest trends in the medical field. We’ll see which treatments, from custom orthotics to EPAT therapy and more, are best for your podiatry health.
Give us a call at (314) 487-9300 or fill out our online contact form to schedule an appointment today!