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plantar fasciitis

Plantar Fasciitis – “The Life and Insole” of the Foot

By Sumaiya Farheen and Andrew Siyabalawatte, Oct 2023.

What is Plantar Fasciitis?

Illustration depicting the anatomy of Plantar Fasciitis.

Plantar fasciitis is common, causing pain and inflammation in the thick tissue band along the foot’s underside. It mainly affects those who stand and walk for long periods and those who do high-impact activities.

When you’re unable to walk due to severe plantar fasciitis pain, it’s essential to seek medical help from a healthcare professional. Furthermore, we can accurately diagnose the condition and work with you to develop a treatment plan tailored to your specific situation.

Illustration showcasing the effects of severe Plantar Fasciitis pain, making walking difficult.

How To Cure Plantar Fasciitis in One Week

Our Physio Sheela explaining how to do the tennis ball roll technique to ease plantar fasciitis

Rest – Avoid activities that aggravate the pain and prioritise rest.

Cold – Put an ice pack (or bag of frozen peas) in a towel on the painful area for up to 20 minutes every 2 to 3 hours

Compression – Utilize compression bandages or sleeves to reduce swelling and provide foot support.

Stretching – The Towel Stretch targets the plantar fascia with precision. It is a personal favorite (see image below). Hold towel, with your hands above your knees. Pull back with the towel so that your foot stretches toward you. Hold the position for at least 15 to 30 seconds. Repeat 2 to 4 times a session, up to 5 sessions a day.

Insoles – support the middle arch with insoles to reduce loading through plantar fascia.

The towel stretch for plantar fasciitis

Avoid Changing Footwear – Refrain from changing different shoes/trainers regularly as this can stress the plantar fascia due to different demands, thus slowing down the recovery process.

Loose Footwear – Do not wear flip-flops or backless slippers, these lack support and can overly stress the plantar fascia with each step.

Overactivity – do not walk or stand for long periods, as the increased activity will increase inflammation and most likely cause more pain.

Insoles For Plantar Fasciitis

Arch support insoles can not only provide the support required to maintain a normal arch, but they may even prevent plantar fasciitis from occurring. A good Osteopath or Chiropractor, would consider a potential leg length discrepancy (shorter leg) as a possible cause of flat feet which, may even prompt the recommendation of a heel lift to add to the arch support on the affected side.

Our Personal Recommendation : ICB Insole With Arch Support 

dual density insoles with arch support

I have personally used and recommended these cost-effective insoles from ICB Medical to hundreds of my clients over the years. They are highly durable and provide good shock absorption and support in maintaining a good foot position, all while providing comfort when wearing them in most shoes. They do all this without breaking the bank. 

3 Signs That Plantar Fasciitis Is Healing

  • Less to no pain upon getting out of bed in the morning, or standing after sitting for some time.
  • Less to no swelling around the foot and reduced tightness in the plantar fascia.
  • Range of motion and flexibility in the foot and toes begins to return.
An osteopath providing care for Plantar Fasciitis.

How Can We Help?

Joint Mobilisations – Our practitioners use gentle manipulation of foot joints to enhance range of motion and reduce stiffness, which can alleviate pressure off the plantar fascia.

Immediate Pain Relief – Our Massage Therapists can help to relieve pain and discomfort in the foot by reducing tension in the leg muscles and fascia with techniques such as trigger point therapy, and deep frictions to break down scar tissue which grows during the inflammatory stage.

A massage therapist offering relief for Plantar Fasciitis symptoms.

Shockwave Therapy Non-invasive treatment to expedite healing, alleviate pain, and reduce inflammation in the affected area.

Visualization of shockwave therapy for Plantar Fasciitis treatment.

Laser Therapy – Laser therapy is able to provide early relief from plantar fasciitis pain, by reducing inflammation.

Policeman’s Heel

Police heel or policeman’s heel, is the same as plantar fasciitis. It is one of the most common causes of heel pain. It occurs when the thick band of tissue, known as fascia (connective tissue) that runs from the heel bone to the toes becomes inflamed.

The pain that is associated with this condition is felt in the heel, and can become unbearable while walking or standing. The pain may be most intense upon waking in the morning. This is because of poor blood supply to the heel and foot area when you’re at rest.

Those that stand all day or those that run, are more at risk of developing policeman’s heel as the fat pad (cushion for the heel bone) beneath the heel bone is subject to sustained pressure over time, causing it to flatten and thus increase the load through the heel bone. This extra weight can  which can may increase in patients who are overweight, or in people who frequently run.

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