Physical Therapy Nest

Plantar fasciitis is usually diagnosed through:

• Medical history review (footwear habits, activity level, job demands).

• Physical exam checking for heel tenderness, especially with the first steps in the morning.

• Movement tests like dorsiflexion (lifting the toes upward) to reproduce symptoms.

• Imaging:

  • X-rays may rule out heel spurs or fractures.

  • Ultrasound or MRI can show plantar fascia inflammation in severe cases.

Physical therapy is one of the most effective treatments for plantar fasciitis. Therapy may include:

• Manual therapy to relieve tension in the plantar fascia and calf muscles

• Stretching routines for the calves, Achilles tendon, and plantar fascia

• Strengthening exercises for foot and ankle muscles to support the arch

• Taping techniques or orthotics to reduce strain on the plantar fascia

• Pain management with ice, ultrasound, or electrical stimulation

• Education on footwear, lifestyle changes, and activity modifications
  Most cases resolve with conservative care, but chronic cases may require injections or surgery, with physical therapy critical to recovery.

The hallmark signs of plantar fasciitis include:

• Sharp, stabbing heel pain — worst with the first steps after waking up or long periods of rest

• Pain that improves with activity but worsens after prolonged standing or exercise

• Tenderness along the bottom of the heel and arch of the foot

• Stiffness in the heel and foot after inactivity

• Swelling in some cases

To reduce the risk of plantar fasciitis or recurrence:

• Wear supportive shoes with proper cushioning and arch support

• Replace worn-out footwear regularly

• Stretch calves and plantar fascia daily

• Avoid sudden increases in running or walking mileage

• Maintain a healthy weight to reduce pressure on the feet

• Strengthen lower leg and foot muscles for better support