Plantar Fasciitis

plantar-fascitis

Overview

Acute strains of the plantar fascia on the sole of the foot by its attachment at the under surface of the ankle bone. The plantar fascia is a thick band of tissue that runs along the sole of the foot. Examination reveals well localised and tender pain over the planter fascia and that is aggravated by repetitive loading on the fascia in activities such as walking, running and jumping.

Symptoms

Plantar fasciitis occurs with a gradual onset of pain by the medial heel. Initially the symptoms appear worst in the morning or after bearing no weight for prolonged periods of time. The pain symptoms typically reduce through duration of exercise/activity. Many people experience exacerbated symptoms post extended durations of exercise. With chronic plantar fasciitis pain may occur through all weight bearing activities and may even worsen throughout the course of exercising.

Risks
  • Poor footwear
  • Poor gait/walking biomechanics
  • Low or high arch of the foot
  • Being overweight
  • Restricted flexion of the foot
  • Shortened Achilles’ tendon
Treatment
  • Ultrasound and/or electrical stimulation
  • Therapeutic soft tissue techniques
  • Therapeutic strapping and bracing
  • Therapeutic exercises (strengthening, stretching, balance and proprioception)
  • Custom footwear
  • Joint mobilisation
  • Gait re-education