Understanding Plantar Fasciitis: How Physical Therapy Can Help

Plantar Fasciitis is the most common cause of most heel pain, with about 10% of people experiencing this type of pain during their lifetime.

What is Plantar Fasciitis?

The foot has a long ligament, called the plantar fascia, that runs along the sole of the foot and connects the heel bone to the base of the toes. The plantar fascia helps provide support to the arch of the foot and helps absorb the shock of walking or running.

Different types of stress or tension can aggravate the plantar fascia, leading to inflammation or even tears in the tissue that can cause pain.

Causes of Plantar Fasciitis

While plantar fasciitis may be most commonly known as a foot disorder affecting runners, it also affects people of all types, including non-athletes. There are a number of causes for plantar fasciitis, including:

• Age – Plantar fasciitis is most common in people over 40
• Biometrics – Tight achilles tendons and calf muscles, inward pronation (ankles turn inward when walking), or having a high arch
• Footwear – Thin soles, poor arch support, or high heels
• Obesity – Can put added stress on plantar fascia
• Overuse – Repetitive movements like those in ballet, running, jumping and aerobics, or long periods of standing, especially on hard surfaces

Symptoms of Plantar Fasciitis

Most people who develop plantar fasciitis first notice a stabbing pain on the bottom of their heel, and they also may notice swelling of the heel.

Pain may also occur in the arch of the foot, and often pain is worse in the morning or when you begin walking after a period of rest. Many people with plantar fasciitis also report tightness in the achilles tendon.

When symptoms first appear, it’s best to try ice for 15-20 minutes at a time, and rest to see if symptoms subside. If symptoms persist, a custom exercise, stretching and strengthening plan may help relieve pain and prevents symptoms from returning.

How Physical Therapy Can Help

Physical therapists are experienced at relieving symptoms by addressing and correcting the source of the pain. Your PT may use the following methods to help relieve your plantar fasciitis:

• Gait assessment to identify any problematic patterns while walking
• Stretching program to improve flexibility and relieve tension
• Strengthening exercises to help strengthen important supporting muscles
• Orthotic recommendations and taping when appropriate
• Night splints to help the foot properly rest
• Education to help with continued recovery and prevention after discharge from treatment

Plantar Fasciitis can be painful, but there is a path to relief. Request a free screening at a Renue Physical Therapy clinic near you today.