The Truth about Plantar Fasciitis

Per Dr. Bryan Matthisen, D.C.

Ever feel a sharp pain in the bottom of your heal in the morning from waking up after a long day of working on your foot? This could be an indication of plantar fasciitis.



Plantar fasciitis is irritation to the plantar fascia after repetitive overstretching resulting in microscopic tears near the origin site near your heel. This overstretching occurs when forces absorbed through movement of the foot and ankle, such as walking or running, are transmitted through the plantar fascia. Painful symptoms can last as long as 12 months but usually resolve within that time frame and over 95% percent of cases respond to conservative care interventions.  Here’s a list of those interventions:

Orthotic support for Pronation and Supination:

• Improper biomechanical motion of the foot such as too much pronation and supination can put abnormal stress on structures in your foot including the plantar fascia. Obtaining a proper foot examination to determine if you have this issue is key step to getting the proper foot orthotic for you

Taping for Support:

• Low-dye taping strategy is the most common tape job for this condition. This will give added support for the plantar fascia and arch of the foot

Myofascial Release:

• One of the most effective ways is rolling on a lacrosse or golf ball along the affected plantar fascia. This will help break up the adhesions that form, especially in the mornings when the plantar fascia tightens when you sleep.

Modalities:

• Low level laser therapy and shockwave therapy can help treat the pain and inflammation that comes with plantar fasciitis as well as facilitate the healing process so you can recover faster.