With Plantar Fasciitis, the fscia on the inferior surface of the foot becomes inflammed. A bone spur can also form at the attachment of the plantar fascia to the inferior surface of the calcaneus. People come to me all the time to help in the recovery from plantar fasciitis. It is dreadfully painful and takes some time to heal, a cortisone shot is what an MD would initially do to help with the pain caused by the inflammation. I have never received a cortisone shot but from what I hear they are extremely painful themselves.

Walking, running, jumping are all common causes since these put repeat stress on the plantar fascia. High arches will also predispose the plantar fascia to overstretching.

Your client will experience significant pain along the plantar surface of the foot, especially at the heel, when putting weight on the foot. The pain goes away when the weight is taken off and it is aggravated by dorsiflexion, which stretches the fascia. You can sometimes see the inflammation in the injured area. Ice therapy is always welcome in reducing the inflammation and pain that comes along with plantar fasciitis.

In an acute stage, ice and keeping weight off of the foot are important to reduce inflammation and avoid reinjuring the fascia. Once the inflammation has decieased, cross-fiber friction of the plantar surface of the heel can help reduce the possibility of adhesion formation. As long as it causes no significant pain and the acute inflammation is resolved, passive movement of the foot will have a similar effect and can help increase range of motion. If you find swelling due to inactivity due some lymph drainage techniques. Any muscular spasms and myofascial trigger points will benefit from deep effleurage, petrissage and static compression in the muscles. These may especially be found in the tibialis anterior and posterior and peroneus longus muscles, all of which insert onto the plantar surface of the foot. Monement therapy, especially passive stretching and isometric exercise, can help these muscles retain their normal tone during the period of rest required in the treatment of plantar fasciitis.

Please also check out posts about chronic tendinitis when dealing with plantar fasciitis.

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