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Plantar fasciitis is a reason of pain under the heel. It normally goes in time. An inflammation and pain of your plantar fascia are known as plantar fasciitis. A strong, thick band tissue or ligament which stretches from your calcaneum (heel) to your middle foot bones is your plantar fascia which also supports your foot arch. It also acts as a shock absorber in your foot. These pain in plantar fascia is most common in runners.

Plantar fasciitis is included as one of the very common reasons for heel pain. It mainly causes stabbing pain which normally occurs in the morning with your first step. The pain of plantar fasciitis normally decreases, once your foot limbers up. The chances of return in pain increases after standing for a long time or after standing up from a seated position

heel pain

If foot pain occurs during nights, there are the possibility of different problems like arthritis, or nerve problems such as tarsal tunnel syndrome.

Plantar fasciitis is more often at risk for active people between the ages of 40 and 70. Also, it is little bit much more experience by women than men.

planter fasciitis

Due to injuries that have happened over time, plantar fasciitis may often occur. One can feel less pain within a few weeks, after having a treatment from your physiotherapist. But it may take some months to cure completely.


The following are the symptoms of plantar fasciitis observed inpatient-

  • When plantar fasciitis occurs, sharp and unilateral pain occurs in your foot.
  • Foot Pain occurs in the morning during the first step after getting up from the bed.
  • Pain occurs after being seated for a long time in place and position.
  • Pain and stiffness occur in morning increases as the day progresses.
  • Pain occurs when you stand on your toes or climb stairs.
  • Pain occurs after standing for a long time.
  • In the starting of exercise, pain decreases or may get completely heal as the exercise goes on, but it may come back after the completion of the exercise.
  • The presence of numbness, swelling, radiating pain and a tingling sensation.


There are some of the reasons responsible for the plantar fasciitis-

  • Plantar fasciitis may due to standing for a long time or if one does lots of walking, running, etc.
  • If someone has started exercise recently on a hard surface.
  • There are chances of plantar fasciitis if you are overweight or obese, as theses increase pressure on your plantar fascia ligaments.

causes of planter fasciitis

  • Women during pregnancy experience plantar fasciitis, especially during late pregnancy.
  • Plantar fascia problems are likely happening in long-distance runners.
  • People such as factory server, waiters having an active job that includes being on feet often are at the risk.
  • People having very high arches or very flat feet, may often develop plantar fasciitis.
  • Tight Achilles tendons may also result in plantar fascia pain.
  • It may occur due to wearing shoes with soft soles and poor arch support.


The following are the ways to diagnose plantar fasciitis and the following tests are to be taken for the same:-


As the diagnosis is based on the history related to the injury. So your physiotherapist will often take a sight at your walk and will check if you can stand on your tiptoe or not.

Thompson Test

  • With the help of the calf squeeze test or Thompson’s test method, your physiotherapist will check your tendon.


  • MRI Scans:- The magnetic resonance imaging gives the better images of the body’s soft tissues, like muscles, disks, nerves, and the spinal cord. MRI determines the damage to soft tissues.Ruptured Planter Fascia
  • X-Ray:– An X-ray is a kind of electromagnetic radiation that can penetrate most solid objects to create pictures of an object’s interior. Calcaneous spur is the most common causes of Planter fasciitis, which are easily shown in X-ray finding.Calcaneous Spur
  • Ultrasound:- An ultrasound can assist in difficult diagnosis. These tests can also assist in determining which treatment will be much beneficial depending on the degree of injury.USG Planter Fasciitis


The following home treatment can be done by the patient at home to prevent the plantar fasciitis become worst:-

  • The patient should protect the injury by having rest and should avoid lifting heavy weight.
  • Using ice packs can reduce pain and swelling can be very effective. The patient should apply it regularly.
  • One should use a pillow under your leg while sleeping and sitting. It will provide rest to the calf.
  • The patient can also apply pain relief spray suggested by the physiotherapist.
  • Under the guidance of a physiotherapist, if the pain exceeds and becomes unbearable patient can also have anti-inflammatory painkillers such as naproxen, ibuprofen.


The treatment from a physiotherapist is must to be taken if the home treatment proves to be ineffective to the pain. So the following physiotherapy treatment can be provided by your physiotherapist to cure the injury:-

                      EXERCISES AND STRETCHES:-

  1. Towel stretch

    Towel stretch

    Towel stretch

2.) Standing calf stretch /  Eccentric calf strengthening

ecentric stretch calf

3.) Standing soleus stretch


4.) Step-up / Sitting-toe raise

siting toes

5.) Balancing exercise


6.) Bottle/Ball roll exercise

rockers bottom

7.) ULTRASOUND HEAT THERAPY:- The injury can be cured by improving blood circulation. Ultrasound heat therapy will improve circulation which provides relief to the pain and injury.ultra SOUND PHYSIOPOINT

8.) ESW:- Extracorporeal shock wave therapy can be given by passing special sound waves through your skin to your Achilles tendon. As there are chances of having some side effects of these treatments so it would be advisable to apply these treatments from a physiotherapist.




There are some of the things which one can do to try to prevent plantar fasciitis if one has had an experience of the same:-

  • One should wear shoes with good cushioning in the heels and with good arch support.
  • One should change training shoes regularly used for walking, jogging or running.
  • People who are overweighted should reduce weight.
  • One exercise on a smooth surface.
  • Before starting exercise one should regularly stretch the plantar fascia and Achilles tendon.


Dr Sunil Tank

Physiopoint-Physiotherapy & Sports Injury Clinic

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