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Dr. Matthew Richardson, DC, MSACN

Plantar Fasciitis have you walking on eggshells?

Updated: Nov 13, 2023


Introduction: Not to sound like Sting, but every move you make, every step you take is important. We are meant to be on the move, but what happens when even a simple walk becomes excruciatingly painful? Plantar fasciitis, a common foot condition, can turn the simple act of walking into a painful ordeal. In this blog post, we'll delve into the details of plantar fasciitis, exploring its causes, symptoms, treatments, and prevention methods, so you can put your best foot forward, pain-free.

1. Understanding Plantar Fasciitis: Each one of our feet actually has 3 different arches to support; the plantar fascia is one of the major supporters of these arches. When the plantar fascia becomes strained and inflamed, small tears can occur, leading to pain and swelling.

2. Causes and Risk Factors: Several factors can contribute to the development of plantar fasciitis, including improper gait, high arches, obesity, improper footwear, or engaging in activities that stress the feet in the same, continuous pattern over and over again. Age and certain medical conditions, like arthritis, can also increase the risk.

3. Symptoms: The hallmark symptom of plantar fasciitis is heel pain, especially with the first steps in the morning or after prolonged periods of rest. The pain may subside as you move around but can worsen after standing for extended periods or intense physical activity. Those people who spend a great deal of time on their knees as required in masonry and flooring, have a higher occurrence of plantar fasciitis.

4a. In-office Treatment and Management: Ankle/foot Adjustments: If the ankles or the feet are not moving properly, that puts excess strain on the plantar fascia. Gait assessment: The manner in which you walk greatly influences the development of plantar fasciitis. Your walking patterns should and need to be addressed if you have or are concerned with developing plantar fasciitis. Myofascial release: Scar tissue can begin to build in and around the plantar fascia, ultimately leading to plantar fasciitis. This technique can be applied using the hands as well as through small, handheld tools.

4b. At-home Treatment and Management: Purposeful rest: It’s not often that I recommend rest as a means to overcome injuries. I prefer to modify people’s movements so they can continue the activity they wish. However the plantar fascia is under extreme amounts of stress with each step and so purposeful rest can be beneficial. Appropriate exercises: Contrary to what is often touted, I do not recommend plantar fasciitis sufferers stretch out their plantar fascia. It actually makes little sense to do so as it can further irritate things and the repeated stretching of the plantar fascia is how they got into the boat in the first place. Footwear: Wearing the appropriate footwear is important, however people should not simply default to a highly supportive, overly comfortable shoe. Shoes that are too supportive don’t allow the foot to move through it’s normal course of movement which can further irritate the plantar fascia.

Conclusion: Plantar fasciitis might be a common foot ailment, but it doesn't have to control your life. By understanding its causes, symptoms, and adopting appropriate preventive measures, you can take proactive steps to alleviate pain and promote healing. If you're experiencing persistent foot pain, it's essential to consult a healthcare professional or a podiatrist for proper diagnosis and personalized treatment. Remember, with the right care and attention, you can stride confidently, leaving plantar fasciitis in the dust, and walk pain-free toward a healthier, happier future.


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