Plantar fasciitis is one of the most common cause of heel and foot pain we see in the clinic. It occurs when the plantar fascia, a thick band of tissue that runs from your heel to the front of your foot, becomes inflamed or irritated.
Overuse or repetitive stress from activities like running or standing for long periods
Foot mechanics, such as flat feet or high arches
Obesity, which increases stress on the plantar fascia
Other factors which can contribute to plantar fasciitis include, underlying medical
conditions such as arthritis, unsupportive footwear, tight calves, muscle weakness and abnormal gait (walking) which can force excessive stress on plantar fascia.
Taping is extremely beneficial in reducing forces through the plantar fascia particularly in early stages of plantar fasciitis, for both temporary symptomatic relief and diagnostic purposes.
These may be included in the treatment plan to speed up the healing process by physically releasing tight and affected muscle groups. Manual therapies may include massage, dry needling and joint mobilisation.
Orthotics are used to alter forces during standing and the walking cycle. They can address biomechanical abnormalities and reduce the plantar fascia’s exposure to forces. They can be used both as treatment and prevention measure.
Shockwave can be used as both a stand alone or adjunct therapy to help enhance the healing process. It is a non-invasive treatment meaning you are able to continue on with your normal day following treatment. If you have suffered with plantar fasciitis for a long period and want to get back to sport as soon as possible then this is a perfect treatment method to consider.
This is imperative in any treatment plan as it creates a strong and flexible foot that is capable of absorbing and redistributing the force that our feet experience daily. Our podiatrists tailor programmes to suit each patients’ needs.
Shoes should provide support and protect the foot while allowing it to function efficiently. Features of the shoe to look for include effective shock absorption, firm heel and arch support and a secure lacing system.
Healing can vary from a few weeks to several months, depending on the severity of the condition and adherence to treatment. The plantar fascia receives little blood flow compared to other types of tissue such as muscle and can take extra time to heal. If only a mild case, symptoms can start to decrease within weeks with complete resolution of pain in 6-10 weeks. For more severe cases complete recovery may take longer however in 90% of cases symptoms improve dramatically within 2-3 months. If left untreated this can become a chronic condition resulting in compensation in other areas including the hip, knee, ankle and back.
Low-impact activities like swimming or cycling may be better tolerated. It’s best to avoid high-impact activities that worsen the pain.
Yes, it can recur, especially if underlying factors like foot mechanics or activity levels are not addressed.
