Introduction:
Plantar Fasciitis a common condition characterized by stabbing pain
in the heel and bottom of the foot, can be debilitating. This pain is
often the result of damage to the plantar fascia, a band of tissue that
connects the heel to the toes.
The American Academy of Family Physicians estimates that 10% of
the U.S. population will experience plantar fasciitis at some
point. Many of them opt for physical therapy as part of their plantar
fasciitis treatment.
Plantar fasciitis can lead to a person experiencing “decreased
strength and tolerance for weight-bearing movement due to weeks
or months of having to limit their activity,” “Working with a
physical therapist to help rebuild strength and activity tolerance in a
gradual, structured way can make a big difference.
In addition to connecting your heel to your toes, the plantar fascia
also supports the foot arch. Plantar fascia supports activities like
walking and running. However, excessive strain can cause small
tears that usually occur close to where the plantar fascia attaches to
the heel bone. These tears lead to inflammation and pain at the
bottom of the foot near the heel and cause discomfort that’s most
pronounced after a period of rest, such as after sitting for a
prolonged period of time.
Physical therapy is an effective treatment for many people with
plantar fasciitis. A physical therapist can suggest exercises to safely
stretch tight plantar fascia and calf muscles, which can be a risk
factor of developing plantar fasciitis. They can also provide
information about biomechanics, which refers to mechanical
principles applied to biological systems. An example of
biomechanics is the way in which body parts, such as bones,
ligaments and muscles, interact to achieve motion.
“Sometimes, dealing with pain for a long time can also change the
way you move, so assessing those movement patterns and coming
up with strategies to help restore normal movement is another big
part of physical Therapy.
Research supports the role of physical therapy in plantar fasciitis
management. A 2017 review in the Journal of Orthopaedic and
Sports Physical Therapy found that people diagnosed with
plantar fasciitis had a lower cost of care and faster recovery time
when physical therapy was part of their treatment.
stretching and strengthening exercises taught by a physical therapist
resulted in less pain and improved gait for participants with plantar
fasciitis. Gait improvements include reductions in limping and
optimizing factors such as speed and stride length.
Benefits Of Physical Therapy for Plantar Fasciitis
From here, the therapist can create a physical therapy program
uniquely designed for their patient to not only help [them]
with their symptoms but also achieve their functional goals.”
Physical Therapy Treatment Session Includes:
- → Stretching
- → Massage
- → Ultrasound
- → Strengthening exercises
- → Gait coaching
Home Exercises For Plantar Fasciitis:
- Rolling with a frozen water bottle: While standing or
- seated, roll a frozen water bottle back and forth under the
- arch of each foot for a few minutes once or twice per day.
- Calf and tibialis anterior massage: While seated,
- massage your calf from just below your knee down to
- your ankle for several minutes twice daily. Do the same
- for your anterior tibialis, the muscle next to your shin
- bone.
- Heel raises: Stand with your feet shoulder-width apart.
- Lift each heel off the ground while shifting your weight
- forward to the balls of your feet. Keep your feet straight
- and ensure they don’t turn in or out. Perform two sets of
- 10 repetitions twice daily.
- Arch stretches: While seated, assume a “figure four”
- position with your knee out to the side and ankle across
- your opposite thigh. Prevent your foot from turning in or
- out. Hold your big toe and pull it up toward the top of
- your foot so that you feel the stretch in your foot arch.
- Hold for 20 to 30 seconds on each foot twice a day.
- Calf stretches: Place both hands on a wall and one foot
- in front of the other with your front knee bent. Lean into
- the wall while keeping your back foot flat on the floor so
- you feel a stretch in your calf. Hold for 20 to 30 seconds
- on each foot twice a day.
- Towel crunches: While seated, place your bare feet on a
- flat towel and use your toes to scrunch and release the
- towel. Perform two sets of 10 repetitions twice daily.
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