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Plantar Fasciitis or Heel Pain

Plantar fasciitis or Heel pain



Plantar fasciitis is a very common problem. So common in fact that many patient come in saying they know one or more people who have the same problem!

Many patients decide to self-treat for six months to a year sometimes before seeking professional help. These self-treatments are often very poor and often do not lead to resolution of symptoms.

What is Heel Pain  – in actual fact!

First things first, when having heel pain, plantar fasciitis is just one of many causes of heel pain. The many structures in and around the heel can be the cause of the heel pain. There is also a condition called radiculopathy where there is referred pain from nerves in the lower back. Having said that, the most common cause of heel pain is plantar fasciitis. The plantar fascia is a band of connective tissue that starts at the heel bone and attaches into the toes via the plantar plates:

Plantar fascia

Heel Pain is most commonly plantar fasciitis

When the plantar fascia gets overstrained microtears and inflammation will form you may get pain where the circle is shown. You can also get pain along the mid-substance of the fascia – more towards the arch of the foot.


The cause of your heel pain


Causes of plantar fasciitis can be your foot type, low or high arch profile, overtraining, putting on weight, prolonged standing, poor foot wear or foot wear not suitable for you and injuries of the foot and ankle.


What else can your heel pain be?

Some other problems that could be your heel pain are Achilles tendinopathy, subcutaneous bursitis, heel bone fracture, peroneal tendinopathy, tarsal tunnel syndrome (nerve entrapment), posterior tibial tendinopathy, heel pad bruising and tumours to mention a few.


For plantar fasciitis home treatments can include taping the foot and stretching exercises. You can take NSAIDS for short term pain relief. See below:


Standing Calf Stretch

Stretching Calf Musculature for Plantar Fasciitis

Stand placing hands on wall for support. Place your feet pointing straight ahead, with the involved foot in back of the other. The back leg should have a straight knee and front leg a bent knee.



Toe Extension and Arch Massage

Vigorous Massage can Help Sit with involved leg crossed over uninvolved leg. Grasp toes with one hand and bend the toes and ankle upwards as far as possible to stretch the arch and calf

See us at the clinic and we can offer you a definitive diagnosis

We can offer

  • Insoles or orthotics. These are arch supports especially made for you (we also do ready made devices)
  • Exercise prescription tailored for you
  • Steroid injections for quick pain relief
  • Shockwave treatment. You can read about this here: Heel pain treatment


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