The plantar fascia is a band of connective tissue, fascia, which runs along the underside (plantar aspect) of the foot. It connects the base of the toes (heads of the metatarsals) to the heel bone (calcaneous). The arch of the foot is similar to a bow and the plantar fascia is similar to a bow string. The tension in plantar fascia helps to support the shape of the arch in the same way the bow string maintains the shape of a bow. Every time you walk or run you create addition tension to the plantar fascia. If it is suddenly stretched too hard or too often it can become irritated.
- Advice and education – helping you to understand the pathology, understand aims of treatment and give realistic guidance on time frames.
- Activity modification – to reduce the amount of load the plantar fascia takes throughout the day during the recovery period.
- Manual Therapy – to desensitise the area and maintain flexibility of any tissues/structures in the lower limb.
- Individually tailored exercise program – including exercises to assist in maintaining flexibility and specific strengthening exercises
- Heel cushion pads and/or orthotics for comfort and to assist in supporting the arch, therefore reducing the tensile forces the plantar fascia.
- Acupuncture – to desensitise the area.
- Taping – to help offload the area.