Plantar fasciitis (PF) is the most commonly reported cause of inferior heel pain, and is thought to be due to poor tissue tolerance, resulting in biomechanical overload, microtears and ultimately irritation of the fascia, its insertion and the associated muscles.
The term fasciitis, commonly used in the literature, is likely a misnomer, as studies have introduced evidence showcasing a degenerative disease process without evidence for inflammation, suggesting that fasciosis or fasciopathy might be more appropriate terms.
Regardless of the name load management is at the core of treatment, with further education around reducing compression and irritation. This means no massage, no rolling of frozen bottle of water and no aggressive stretching. Isometric loading in the initial phases followed by high load strength training has shown promise in the treatment of plantar fasciopathy. Further exercises that incorporate jumping and hopping also need to to be performed to ensure full rehabilitation of the tissue.
Toby is an evidence based physio, chiropractor and accredited exercise physiologist in Penrith and uses best current research to support treatment of plantar fasciitis (fasciopathy). This includes techniques to settle the tissue down and then build it back up with specific muscle contractions and movements.
At Sydney Muscle & Joint Clinic our approach is consistent, high quality and based on the best scientific knowledge. We deliver evidence-based physiotherapy, exercise physiology and chiropractic for a range of musculoskeletal conditions, which means you get an approach that is effective, safe, and efficient. Contact your local Penrith physio today.
Caratun R, et al. Stubborn heel pain: Treatment of plantar fasciitis using high-load strength training. Canadian Family Physician 2018; 64
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