Plantar Fasciitis

Contributed by Laura Comtois - Fit For Life Physical Therapy

Plantar Fasciitis, one of the most common injuries for runners, is the inflammation of the plantar fascia, the thick tendon on the underside of the foot. This tendon attaches at the bottom of the heel (calcaneus) and runs to the base of the toes.

Pain from plantar fasciitis may begin in the arch of the foot and may progress toward the heel. The inflammation is commonly at the medial (inside) of the calcaneus where the medial portion of the fascia attaches to the bone. 

What are your risk factors for getting plantar fasciitis?

  • Decreased Mobility: 
    • Decreased great toe (the big one) extension…or its ability to bend backwards, such as during push-off from the toes when running 
    • Decreased flexibility of both calf muscles (gastrocnemius and soleus) 
    • Decreased flexibility of hamstrings 
    • Too much mobility - Over pronation: some pronation is normal, but too much can strain this tendon/fascia 

What can I do to prevent or treat the beginning signs of plantar fasciitis?

  • Stretch o Calf stretches 
    • Hamstring stretches 
    • Foot or big toe stretches 
  • Support - For over-pronation, get fit with a proper running shoe, or with an over the counter insole such as Superfeet Insoles 
  • Strengthen - Given good mobility, strengthening of lower extremity muscles helps reduce impact through your leg and foot 
    • This includes buttock, hip, quads, hamstrings and calf muscles  
    • Maintaining muscle strength & flexibility balance is key. Your Fit For Life Physical Therapists can help you with this balance.

 

These recommendations reflect some of the basics about this injury. As always, seek medical advice should you be experiencing painful symptoms.

Feel free to email us at: Info@FitForLifePhysicalTherapy.com or call 614-981-2065 with questions or comments.

Keep moving!

Laura Comtois, PT, DPT Physical Therapist, Fit For Life Physical Therapy

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