I have plantar fasciitis, and now what?

If you suffer pain in the sole of the foot, particularly, in the area where the arch of the foot ends and the heel (bone known as calcaneus) begins, it is probably plantar fasciitis. Plantar fasciitis is one of the most common causes of heel pain. It involves pain and inflammation of a thick band of tissue, called the plantar fascia that runs along the sole of your foot and connects your heel with your toes.

Currently at a scientific level, the term fasciitis is used to describe inflammation of the fascia and fasciosis when there is tissue degeneration, but colloquially, for now, we will simplify with the term fasciitis. Of course, automatically thinking all pain in that area is fasciitis is a gross oversimplification and appropriate professional medical and/or physiotherapy differential diagnosis is necessary. Correct diagnosis is essential because the treatment will vary depending on this.

Plantar fasciitis usually causes stabbing pain the first steps when getting up out of bed in the morning. After the first steps, the pain usually decreases, but may reappear after spending long periods standing or getting up after sitting.

Plantar fasciitis is very common in runners, but can occur in any type of person, especially if they are overweight or wear inappropriate footwear. Other risk factors are: age between 40 and 60, flat feet, high-arched feet, abnormal gait biomechanics and jobs that require long periods of standing.

There are several available treatment modalities such as; anti-inflammatory medication (ibuprofen or naproxen), night splints, corrective insoles, cryotherapy, bandages, infiltrations, therapeutic exercise, massage, dry needling and manual therapy. Usually, with conservative physiotherapy treatment the pathology improves within days or a few weeks.

Here we show you another option that both your physical therapist can apply in the practice and yourself at home once you have an initial diagnosis and receive appropriate indications regarding the use of 3TOOL.

The following videos show specific exercises and massages to alleviate, relax and promote healing of the affected tissue.

Professional use Zone 2:

Domestic use Zone 2:

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