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Plantar Fasciitis

Plantar Fasciitis

WHO?

  • Active/ sporty people; in particular running sports
  • Overweight/ Pregnant
  • Flat footed (over-pronated feet) or excessively high arches

 

WHAT?

Plantar Faciitis is an inflammatory condition that is a common cause of pain at the heel of the foot. The plantar fascia is a connective tissue that helps to support the arch of your foot. It runs along the sole your foot from the bottom of your heel bone up to your toes, and is made up of thick collagen fibres.

 

WHEN?

Inflammation of the plantar fascia can occur from numerous causes, the more common being from overuse and/or poor foot biomechanics.  Overuse typically occurs when a person increases there activity levels suddenly, such as suddenly increasing a running program, which can place increase stress on the fibres making up the plantar fascia. Similarly, when a person has poor foot biomechanics or is overweight/ pregnant, the foot can cave inwards resulting on the plantar fascia being overly stretched.

 

HOW?

Overuse and poor biomechanics overtime leads to small micro tears occurring along the fibres that make up the plantar fascia. This produces an inflammatory effect resulting in the painful symptoms at the heel and/or underneath the sole of the foot. If the fascia is not allowed to heal, persistent inflammation can result in the formation of heel spurs, which is the development of calcium (bone) within the plantar fascia and on top of the heel bone

 

MANAGEMENT?

Treatment and management of plantar fasciitis is normally quite straightforward. Your physiotherapist at our Move Forward Kinross Physiotherapy clinic will assess the whole lower limb, as well as the hip and low back in order to determine the exact cause of the condition. Once assessed, they will provide you with an individualized treatment management plan to assist in your recovery. Your treatment will include a combination of the following;
• Rest
• Ice/ Heat
• Brace/ off-load taping
• Soft tissue massage
• Mobilizations
• Dry needling
• Stretching & strengthening exercises, which can be performed within the gym located at Move Forward Hillarys Physiotherapy
• Activity and exercise modifications to improve lower limb mechanics and posture, which can be performed within our pilates studio at Move Forward Quinns Physiotherapy or Jindalee Physiotherapy

 

 

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Plantar Fasciitis – The Painful foot!

Plantar Fasciitis – The Painful foot!

Plantar Fasciitis

Who

  • Runners
  • Jobs which are on your feet all day
  • Middle – older aged when the arch gets weaker
  • Pregnant women
  • Diabetics

What

Your plantar fascia is a thick band of tissue that supports your foot, running from the heel to the toes. The role of the Plantar Fascia is simply to prevent the arch from collapsing. Plantar fasciitis is the fancy term given to inflammation of the arch in your foot.

When

People who experience plantar fasciitis will generally first notice pain under their heel or in their arch of the foot in the morning or after a period of inactivity/rest. Most people who suffer plantar fasciitis will have pain for the first few steps and once the tissue is warmed up the pain will ease. However, if this is left untreated the duration of pain can be longer lasting, even to the point where pain occurs 24/7 due to the inflammation in the foot.

How

The most common cause of plantar fasciitis is in individuals with poor foot and lower limb biomechanics. The poor biomechanics are generally associated with weakness in the hips, knee or foot arch muscles and it is likely that there will be restrictions in multiple areas. It has been known for plantar fasciitis to develop from traumatic events that lead to bruising of the heel or arch of the foot, however this is less common than the overuse type plantar fasciitis.

The management

Your local Move Forward physiotherapist will assess your lower quadrant in detail to determine the exact contributing factors for your presentation. From here they will advise you of the best path forward and prescribe you with an individualised treatment management plan in order to provide the most efficient and effective rehabilitation for you. It may include the following:

  • Massage
  • Dry needling
  • Manipulation
  • Mobilisations
  • Stretches
  • Hydrotherapy
  • Heat / Ice packs
  • Orthotics
  • Taping
  • Strengthening exercises
  • Pilates or 1:1 exercise rehabilitation at Hocking Physiotherapy or Quinns Physiotherapy

In the meantime, why don’t you have a look at our video titled foam roller exercises in the education section of our fantastic website and get rolling on the calves and arch of your foot!

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