Understanding and Managing Plantar Fasciitis with Physiotherapy

Plantar fasciitis is a common condition causing pain in the heel and bottom of the foot. It’s particularly prevalent among runners but can affect anyone who puts significant stress on their feet. Physiotherapy is essential for assessing and managing plantar fasciitis, helping to alleviate pain and improve mobility.

Physiotherapy Assessment

A thorough physiotherapy assessment is the first step in managing plantar fasciitis. This typically includes:

• • Past Medical History: Understanding the patient’s medical background and any previous foot issues.

• • Physical Examination: Checking for tenderness in the heel and along the plantar fascia, assessing foot alignment, and evaluating gait. Assessing the flexibility and strength of the calf muscles and Achilles tendon.

Physiotherapy and Self-Management

The gold-standard management for plantar fasciitis involves a combination of treatments designed to reduce pain and inflammation, improve strength and flexibility, and prevent recurrence.

1. Pain Relief and Inflammation Reduction

• • Ice: Applying ice to the affected area to reduce inflammation.

• • Anti-Inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended.

2. Stretching and Strengthening Exercises

• • Calf Stretching: Stretching the calf muscles to relieve tension in the plantar fascia.

• • Plantar Fascia Stretching: Specific stretches targeting the plantar fascia to improve flexibility.

3. Footwear and Orthotics

• • Supportive Shoes: Wearing shoes with good arch support and cushioning.

• • Orthotic Inserts: Custom orthotics to support the arch and reduce strain on the plantar fascia.

4. Manual Therapy

• • Massage: Techniques to loosen tight muscles and improve blood flow.

• • Mobilisations: Manual adjustments to improve foot and ankle alignment.

• • Dry Needling

5. Taping

• • Taping: Applying tape (low-dye) to support the arch and relieve pressure on the plantar fascia. Taping can provide immediate pain relief and support during activities.

Effective Exercises for Plantar Fasciitis

Certain exercises are particularly effective in managing plantar fasciitis:

• • Calf Raises: Strengthen the calf muscles, which support the plantar fascia.

• • Towel Stretch: Stretch the plantar fascia and Achilles tendon.

• • Toe Curls: Strengthen the intrinsic muscles of the foot.

Plantar fasciitis can be a painful and debilitating condition, but with proper physiotherapy assessment and management, relief is possible. Combining pain relief strategies, stretching, strengthening exercises, taping, and appropriate footwear can significantly improve symptoms and prevent recurrence. If you’re struggling with heel pain, please contact us to book an appointment with one of our physiotherapists!