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How to treat plantar fasciitis?

Accueil » Foot pain » How to treat plantar fasciitis?

  • 10/01/2022

Definition

The plantar fascia is a thick band of tissue that forms the base of the foot (the plantar arch). It begins at the heel and attaches to each toe. The fascia becomes strained when standing up or on your toes. Plantar fasciitis is an inflammation or fibrosis of this fascia that occurs as a result of trauma or repeated stress on this fascia.

Causes

The causes of plantar fasciitis can vary:

  • Decreased mobility of the ankle
  • Flat feet or hyper pronation of the foot
  • Extended walk or run
  • Inadequate shoes
  • Foot or ankle trauma
  • Alteration of the walking pattern

Symptoms

Plantar fasciitis usually produces pain in the heel area. The pain is often worse in the morning or after a period of rest and subsides during the day. The bottom of the foot can also be sensitive to touch, especially if the toes are placed upwards. The pain increases with walking as the fascia is put under tension. A mild limp or difficulty walking may be observed in irritable cases.

Preventive tips

Plantar fasciitis can be prevented in several ways. The purchase of well-fitting shoes that support the plantar arch greatly reduces the likelihood of developing fasciitis. For athletes, it is recommended to choose a shoe specific to the sport you practice and to stretch the calf and plantar fascia regularly following physical activity (especially for runners). This helps to maintain flexibility and reduce tension in the fascia.

Healing and treatment in physiotherapy

Plantar fasciitis can last for a few months, but usually resolves in less than 6 months with a conservative approach of stretching and strengthening. To optimize healing, you may be advised to reduce the intensity of your activities. Physiotherapy treatments will begin with anti-inflammatory modalities such as ultrasound, iontophoresis and ice application. Calf and plantar fascia stretching may then be undertaken. Final treatments will focus on strengthening the muscles of the foot and leg. Your physiotherapist will use different techniques such as manual therapy to increase mobility of stiffened joints and taping to loosen the muscles and support the arch. In some cases, you will be referred to consult an orthotist to assess the shape of the arch and verify if plantar orthotics are needed.

So, do not hesitate to consult your physiotherapist if you feel pain under your foot. He or she will provide you with advice on which exercises to start if you have this condition and will help you recover quickly to return to your activities.

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