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Plantar Fasciitis

Plantar fasciopathy, commonly known as plantar fasciitis, is a condition that results from inflammation or degeneration of the plantar fascia, a thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. It’s a prevalent cause of heel pain, particularly among runners, overweight individuals, and those whose activities place a lot of stress on the heel and attached tissue. Here’s an overview of plantar fasciopathy, the symptoms it may cause, and how physiotherapy can assist in managing and treating the condition.

About this condition

Plantar fasciopathy involves pain and inflammation of the plantar fascia, typically at the point where it inserts into the heel bone. It can be due to acute injury or more often, due to repetitive stress leading to micro-tears in the tissue.

What you may be feeling

Sharp pain in the bottom of the heel, especially with the first steps in the morning or after periods of rest.
Pain that might decrease after a few minutes of walking but can return after long periods of standing or when standing up after sitting.
Tenderness on the bottom of the foot.
Swelling or redness in the heel area.

How we can help you

Stretching Exercises

Stretching the plantar fascia and Achilles tendon can help alleviate pain and improve flexibility. Calf stretches are also commonly recommended.

Strengthening Exercises

Strengthening the muscles of the foot and ankle can improve foot mechanics and reduce stress on the plantar fascia.

Manual Therapy

Techniques such as massage and mobilisation can help loosen tight tissues and improve circulation to the affected area.

Treatment Aids

Custom or off-the-shelf orthotic devices can provide support to the arch of the foot and reduce pressure on the plantar fascia. For more severe cases, wearing a night splint can help maintain an extended stretch of the plantar fascia during sleep.

Education

Advising on proper footwear, activity modification, and strategies to reduce strain on the foot during daily activities.

Pain Management Techniques

Modalities such as ice massage or taping might be used to reduce pain and inflammation.

So, what next?

A key component of physiotherapy for plantar fasciopathy is addressing any biomechanical issues that may contribute to the condition, such as overpronation or tight calf muscles. A tailored, progressive treatment plan that includes a combination of therapeutic exercises and manual therapy, along with patient education on self-management techniques, can significantly improve outcomes for individuals with plantar fasciopathy. Consistency in following the prescribed rehabilitation program is crucial for effective recovery.

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