Plantar Fasciitis

Foot pain is one of the most tedious types of pains, because how are you expected to do anything during the day if every time you stand or walk the bottom of your feet ache! But the light at the end of the tunnel is that there is a lot of ways to treat it.

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Symptoms

Plantar Fasciitis is one of the more common types of foot pain and it generally affect people after an increase in activity or changes in foot wear. It is basically an irritation of the connective tissue on the bottom of the foot. How do you know if your foot pain is plantar fasciitis or any other type of pain?

  • Pain on the bottom of the foot in the morning when you wake up
  • Localized pain at the heel
  • Stiffness and pain after walking, running or any type of activity
  • Sometimes you might see some swelling or redness on the bottom of the foot

generally you can expect inflammatory pain to decrease and subside within 5-7 days. However, if you're not seeing any improvements or the pain is worsening or coming on with shorter bursts of exercises that is your call to seek some physiotherapy advice.

How we treat it

With plantar fasciitis, as with many other conditions that ends with "iitis", needs to be treated by a de-loading phase. Which means decreasing the pressure on the area to allow for the body regular healing process to take place. This de-loading comes in many forms, however the most important part of it is strengthening the correct muscles so they can take the load off the foot. While strengthening we also help manage the pain and the symptoms with hands on manual therapy or taping. There is some evidence around that would suggest that adjunct treatments like shock wave therapy, laser therapy and ultrasound therapy can help increase the speed of the healing. However, the golden standard to the rehabilitation is the strengthening exercises.

How physiotherapy works

What to expect

The first part of any successful physiotherapy sessions is taking a full proper patient history; Understanding the triggers for the pain, what brings it on and whether its been improving or not since it first started. this is the part in which the therapist tries to distinguish between multiple different diagnosis to determine what else could be going on if its not plantar fasciitis. One of the most important thing we will need to know is what your goals are and what you would like to take away from physio.

Following the thorough history the therapist will need to look at how you walk, generally this is done with shoes on then shoes off. After that you will be asked to take your socks off for a more thorough assessment of the foot and its movements. Once the therapist has an idea of what is happening they will discuss with you treatment options and working together with you to find the best way for treatment. Lastly you should always expect to leave the physio clinic with exercises and stretches to do till your next follow up.

Frequently asked questions

How can I cure plantar fasciitis in one week?

Plantar Fasciitis is an inflammation of part of the sole of the foot. Thus in mild cases general de-loading the sole of the foot by wearing more supportive shoes and decreasing agitating activities can help "cure" it within the week. However, recurrent plantar fasciitis or severe pain that is not subsiding will need more time to heal and improve and there are no real shortcuts with it.

How to relieve pain on bottom of foot?

This generally comes down to the cause of the pain. If this is general pain in the sole of the foot due to changes in shoe or increase in activity, wearing a more supportive shoe, self massaging the sore areas or rolling your foot as you sit on a tennis ball or equivalent can help relieve the pain. If the pain is due to inflammation of the plantar fascia then rest and de-loading can help. However if the pain is due to changes in walking biomechanics that would require a more thorough walking assessment.

What causes plantar fasciitis?

The cause of plantar fasciitis is increased load through the foot. This could be due to multiple things, however the most common causes are a sudden increase in activity eg, traveling to a new city and hitting 30,000 steps a day. Another popular cause is changes in footwear which also increases the load through the foot.

When should I worry about heel pain?

The red flags of heel pain are pain that doesn't change with de-loading or rest, its pain that's constantly there and un-related to activity levels, shoes or palpation. Also, pain that come with changes in overall energy levels, weight or night sweats. If you're having any symptoms of that sort consult your GP and get medical advice.

Related reading

Plantar Fasciitis? Get it assessed properly

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