Plantar Fasciitis is inflammation of the plantar fascia thought to be due to repeated small injuries or over strains. Plantar fasciitis frequently occurs in association with calf muscle tightness, inappropriate footwear, or biomechanical abnormalities, such as over pronation.
The pain is normally located near to the heel bone, which can be tender to touch. Pain is often worse in the morning with the first few steps or when walking up stairs or running.
Most patients with this condition heal well with appropriate physiotherapy. In patients who have had their condition for a long period of time, recovery can be a lengthy process and may take a number of months. Early physiotherapy treatment is therefore vital to hasten recovery. The use of a cortisone injection is required in some cases.
Treatment for Plantar Fasciitis
Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence. Treatment may comprise:
- Deep tissue massage/myofascial release
- Orthotic/Insole advise
- Dry needling /acupuncture
- Biomechanical Assessment
- Activity modification advice
- Exercise programs to stretch, self treat and improve proprioception, balance and strength
- Brace/Splinting advise
- Ice or heat treatment
- Joint mobilisation
- Joint manipulation
- Injection advise
- The use of heel padding, a heel wedge or a heel cup
- The occassional use of crutches
- The use of a night splint (in some cases)