Plantar Fasciitis

The plantar fascia is a band of thick connective tissue that runs longitudinally in the sole, connecting the calcaneus to other more anterior structures of the foot. The plantar fascia plays a crucial role in the biomechanics of the foot by acting as a shock absorber, transferring the load between structures and adapting the foot structure to different terrains and demands. Plantar fasciitis is classified as an overuse injury, and despite its aetiology being multifactorial, repetitive strains to the bottom of the foot (e.g.: walking, running, etc.) are commonly reported. Risk factors for the development of this condition include flat/arched foot, reduced ankle mobility (especially dorsiflexion), weak foot intrinsic muscles, poor foot control (with excessive pronation), and exposure to high-intensity or prolonged impactful activities (jumping, running, walking, etc.). Patients with this condition typically report localised pain in one or more specific points of the foot, usually around the heel area. Pain is described as sharp and tends to be worse when loading the foot after an extended period of rest (e.g.: mornings, after prolonged sitting periods, etc.).

Management

The first-line treatment for plantar fasciitis is non-surgical, with a mix of different interventions that can be implemented to support the resolution of the symptoms. Surgical intervention is rare, and it is typically reserved for patients who have severe chronic pain and functional restrictions, despite having been treated for a 6-12 months period of conservative management. Education of the patient about the activities that can increase or calm down the symptoms is necessary. In Isokinetic, after being thoroughly visited by one of our specialised doctors, you will be provided with your diagnosis and a series of potential behavioural/activity recommendations that you can start implementing immediately after the consultation to alleviate your symptoms. Additionally, a rehabilitation plan tailored to your condition will be prescribed to maximise your recovery and allow you to return to the activity of your daily living and sports. Your rehabilitation plan will be structured in different stages depending on your condition, and it will take place in different environments such as the pool, gym, movement analysis and retraining room, and the pitch. Throughout the rehabilitation plan, one of our main goals will be to address all the elements that have contributed to the development of the condition by increasing your mobility, maximising your strength, optimising your movement quality and enhancing your plantar fascia tolerance to the load.

Plantar Fasciitis

Plantar fasciitis

Management

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