Foot Plantar Fasciitis Management
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Transcript of Foot Plantar Fasciitis Management
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7/28/2019 Foot Plantar Fasciitis Management
1/2
T.(02) 4954 5330 | F.(02) 4954 5380 | [email protected] | W.www.advancedphysio.com.au
335 Hillsborough Rd, Warners Bay NSW 2282
The plantar fascia is a type of connective tissue
that provides an arch support for the feet.
Plantar fasciitis is the common term given to
pain arising from this structure from its
attachment to the heel bone or calcaneus.
It is thought that the main cause is excessive
load which results in small micro-tears throughthe tissue. Pain occurs in the area when the
bodys healing response cant keep up with the
degeneration in the tissue. There is sometimes
a bony heel spur that is present on x-ray but this
is not the source of the pain. These bony spurs
occur as a result of the traction of the soft tissue
at its attachment to the heel bone and are
common in people without symptoms. The
reaction of the body to the stress is to lay down
new bone.
Patient Information Sheet
Pain and Symptoms
Risk factors
Diagnosis
There is pain under the heel which is often worse
after walking or running which is typically worse
with the first few steps taken in the morning.
The diagnosis is usually made from the history
and from clinical testing. Further investigations
such as x-ray, MRI and ultrasound can be
undertaken to confirm the diagnosis and to
assess other structures.
Low arches or flat feet. Feet which are
hypermobile.
High arches or rigid feet.
Excessive exercise
Sudden increases in exercise amount
High body weight
3D anatomy images copyright of Primal Pictures Ltd www.primalpictures.com
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7/28/2019 Foot Plantar Fasciitis Management
2/2
T.(02) 4954 5330 | F.(02) 4954 5380 | [email protected] | W.www.advancedphysio.com.au
335 Hillsborough Rd, Warners Bay NSW 2282
Patient Information Sheet
This condition can often take up to 6 months to
fully resolve but will often improve quickly with
treatment.
Treatment Options Include:
Time frame for Recovery:
Orthotics - The aim of the orthotic is to help
maintain the arch height and in so doing
reduce traction on the attachment site of
the plantar fascia and limit how much
tractional force is being transmitted into the
attachment site.
Foot-Wear - The shoe needs to be bothsupportive and provide cushioning, particularly
at the heel. This will also help increase the
effectiveness of the orthotic.
Stretching - This includes both stretching of the
plantar fascia itself and also stretching of any
tight lower limb muscles.
Taping - Taping of the foot will provide short
term relief and will mimic the action of an
orthotic by providing arch support.
Night Splints - In severe cases the use of a night
splint can help. The splint helps maintain the
plantar fascia in a lengthened position and
stops it from contracting over-night. This
overnight contracture is one of the reasons
why this condition is very painful when firstwalking on your feet in the morning.