Plantar Fasciitis Treatment, Exercises and Stretches

Stride Strong PT’s Formula

• Delineate offending structure and determine whether pain is truly plantar fasciitis, or neurodynamic dysfunction originating from the spine.

• Manual therapy, stretching and ASTYM to improve soft tissue pliability and decrease pain.

• Strengthen gluteal muscles for better loading mechanics during weight-bearing to offset pressure into the foot.

• Taping, orthotics guidance with concurrent modalities to decrease further strain on the foot.

Stop that nagging pain in your foot!

Plantar Fasciits is the inflammation of a band of fibrous tissue at the bottom of your foot. Aching or sharp pain usually occurs in the inside arches of your foot, and/or sometimes is focused around the bottom aspect of the heel bone. Stretching pain is usually most prominent upon the first step in morning, and usually feels worse the day after bouts of increased walking, running or standing.

What causes it?

Excessive loading of the foot usually is the main cause of plantar fascia pain. This can be a result of an increase in walking or running mileage, increased jumping activities, or even weight gain.

Folks with both low and high arches can experience this, and is also usually associated with tight calves, and tight achilles tendons. Walking and running in unsupportive shoes may also be a contributing factor.

What you can do about it:

1) The easiest first-measure solution is to move into more supportive shoes. Look for shoes with inner arch support, or look for over-the-counter arch inserts like Superfeet. Be sure to try them out first in the store as there is sometimes an adjustment period before you feel completely comfortable with them. Some shoes have too much support so make sure you go to a reputable athletic shoe store like FitRight, or a family shoe store like Shoe Mill, so their associates can fit the best supportive shoe for you.

2) Manual therapy by our physical therapist can help with softening up fibrotic tissue and reduce inflammation of the fascia. ASTYM is a very popular approach with excellent results. It may be uncomfortable at first, but effects and relief are felt immediately. Stretches of calf structures, and self-massage exercises are usually prescribed to make sure the tightening pain is kept at bay. Gluteal/hip strengthening also helps tremendously in treating faulty biomechanics related to the strain of foot arches. Over-pronation is sometimes a culprit, which can be corrected by changing the landing angles of the foot and knee in walking and running. Physical Therapy for plantar fasciitis need not be a long stint of rehab – 4 weeks is the usual timeframe of PT needed for your feet to feel ay-OK again.

3) We can also help arm you with accessories and tools to help in your recovery – e.g. some patients report really good results from using night splints or boots. My personal favorite is The Strassburg Sock (sold online and at FitRight).

4) In some serious cases, a podiatrist’s intervention may be what you need. They will prescribe PT as the first conservative approach and may move into cortisone injections when warranted, or suggest surgery options.

Our Physical Therapy Portland Clinics are both well verse in treating Plantar Fasciitis patients.

By Alice Holland, DPT.
Alice’s Google + page.

Ana Lucia Pinheiro
Ana Lucia Pinheiro
02:18 20 Oct 17
This place is amazing. I am so happy I found Stride Strong PT. Alice pays attention to all of the details, she watches every single move I make, my posture, and the way I move through every exercise. She is very knowledgeable, she was able to pin-point the problems in my back and she has a plan to help me become stronger where I need. The place is brand new, huge, and has nice exercise machines. I tried a few physical therapists in the area, and Alice is TOP, second to none, and I feel super lucky to have found her. Highly recommended!!
Prashant Gupta
Prashant Gupta
01:00 02 Oct 17
Dr. Alice at Stride Strong is one of the best PTs I have come across. Her attention to detail and assessment of the root cause of injury is very good. She is excellent in evaluating pain patterns and giving a training schedule for a rehab & injury prevention, she is extremely knowledgeable. I would strongly recommend Stride Strong to anyone looking for PT. It is easily the best PT clinics in Hillsboro area.
steven zollin
steven zollin
20:57 14 Sep 17
Highly recommend Stride Strong Physical Therapy , Alice showed me proper form to assist in recovery with my shoulder and is very knowledgeable.
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