Symptoms, Causes, and Physical Therapy
Plantar fasciitis often presents as pain in the heel or arch of the foot.
- Pain on the bottom of the foot, often in the heel region and particularly at the front of the heel.
- Pain with standing, particularly with the first steps in the morning.
- Pain aggravated by stretching the tissue on the bottom side of the foot and toes
- Muscular restrictions in the calf.
- Obesity with increased forces placed on the foot.
- Trigger points in muscles which refer pain to the heel and foot.
- Increased activity level that the body is not yet used to.
- Atrophy of the fat pad on the heel.
- Overtraining or overuse.
There are a plethora of treatments available for plantar fasciitis. Physical therapy treatments include:
- Manual therapy, such as dry needling, aimed at restoring mobility and motion to the foot and ankle.
- Prescriptive exercise to address mobility, strength and/or balance deficits.
- Guidance on use of proper footwear, orthotics, or night splints as needed.