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Plantar Fasciitis

When you want to stand and get moving, plantar fasciitis will stop you in your tracks. That localized pain is often the most noticeable with the first steps out of bed. The plantar fascia runs along the bottom or arch of your foot, with most pain often localized around the heel. Often prolonged cases of plantar fasciitis can lead to a bony growth in the heel, known as a heel spur.
Woman sitting holding her feet

Common causes of plantar fasciitis:

  • Loss of movement in the heel bone or ankle joint (a chronic ankle sprain left untreated, can result in loss of movement)
  • Arthritis in the “big” or great toe
  • Loss of full straightening or extension of the knee (a chronic knee injury)
  • Poor footwear or wearing unsupportive/old running shoes
  • Sudden change of footwear, “aka” Flip Flop Season
  • A new activity like running, increased walking, change of terrain (beach walking)

Treatment of plantar fasciitis:

  • Manual therapy or mobilisation of any joints where movement is not full (ankle, heel bone, big toe, knee)
  • Soft tissue manual techniques to lengthen plantar fascia
  • Education and Active stretching, particularly first thing in the morning
  • Active exercises that focus on calf and particularly eccentric strengthening
  • Modalities such as: ultrasound, acupuncture and shockwave
  • Short term taping to offload the plantar fascia with possible orthotic consultation
Shockwave treatment on foot