What is Plantar Fasciitis? Understanding the Condition

Plantar fasciitis involves inflammation of the plantar fascia, the ligament that connects your heel to your toes. This inflammation typically results from repetitive stress or improper foot mechanics, causing heel pain that is often most severe in the morning or after long periods of standing. If left untreated, plantar fasciitis can lead to long-term pain and limited mobility.

Key Facts about Plantar Fasciitis:

  • Affects the bottom of the heel.
  • Common in runners, people with flat feet, and those who stand for long hours.
  • Can lead to heel spurs if left untreated.

 Causes of Plantar Fasciitis: What You Need to Know

Several factors contribute to the development of plantar fasciitis. These causes involve a combination of biomechanical issues and lifestyle factors. Understanding the underlying causes is crucial for effective treatment and prevention.

1. Overuse and Repetitive Strain

Plantar fasciitis often results from overuse, especially in individuals who participate in high-impact activities such as running, jumping, or long-distance walking. These activities place repetitive strain on the plantar fascia, leading to inflammation and pain.

2. Poor Footwear and Improper Foot Mechanics

Wearing shoes with inadequate arch support or those lacking cushioning can exacerbate plantar fasciitis. Additionally, foot conditions like flat feet or high arches may increase stress on the plantar fascia.

3. Obesity and Excess Weight

Excess weight can put added pressure on the feet, increasing the likelihood of developing plantar fasciitis. Maintaining a healthy weight can reduce stress on the feet and prevent injury.

4. Tight Muscles and Tendons

Tightness in the calf muscles or Achilles tendon can affect the alignment of the foot, contributing to plantar fasciitis. Tight muscles reduce the foot's ability to absorb shock, placing more strain on the plantar fascia.


 Symptoms of Plantar Fasciitis: How to Identify the Condition

The most common symptom of plantar fasciitis is heel pain, particularly at the bottom of the foot. However, other symptoms may also indicate the condition.

1. Sharp Heel Pain

The hallmark symptom of plantar fasciitis is sharp, stabbing heel pain, especially with the first steps in the morning or after long periods of rest. The pain usually eases after a few steps but may return after prolonged activity.

2. Pain After Activity

Although the pain may subside with movement, it often worsens after physical activity, especially after standing for long periods or engaging in high-impact activities.

3. Stiffness and Swelling

Some individuals with plantar fasciitis experience stiffness in the foot, especially in the morning. Swelling may also occur around the heel and arch, making it difficult to walk comfortably.

4. Tenderness in the Foot

The bottom of the foot, particularly near the heel, may be tender to the touch. This tenderness can make walking and standing uncomfortable.


 How Chiropractic Care Can Help Treat Plantar Fasciitis

Chiropractic care in combination with fisiotherapy modalities offer holistic, non-invasive treatment options for plantar fasciitis. Together, these therapies address the root causes of the condition, reduce pain, improve foot function, and promote long-term healing.

1. Spinal and Postural Adjustments

Misalignments in the spine and pelvis can affect foot mechanics, leading to plantar fasciitis. Chiropractors use spinal adjustments to improve alignment and alleviate pressure on the lower extremities. This realignment reduces strain on the feet and enhances overall biomechanics.

2. Foot and Ankle Adjustments

Chiropractors perform foot and ankle adjustments to correct misalignments in the joints of the feet, reducing pressure on the plantar fascia. These adjustments improve joint mobility, reduce pain, and promote healing.

3. Shockwave Therapy for Plantar Fasciitis

Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), is a non-invasive treatment that uses high-energy sound waves to stimulate healing in damaged tissues. Shockwave therapy is effective in treating plantar fasciitis by:

  • Increasing blood flow to the affected area, promoting healing.
  • Breaking down scar tissue and calcifications (heel spurs) that may be contributing to pain.
  • Reducing inflammation in the plantar fascia.

This treatment is typically performed in multiple sessions, and patients often report a reduction in pain and improvement in mobility after just a few treatments.

4. Soft Tissue Therapy and Myofascial Release

Chiropractors utilize soft tissue therapies such as myofascial release and trigger point therapy to relieve tension in the plantar fascia and surrounding muscles. These techniques help improve blood circulation, reduce inflammation, and promote healing by targeting tight muscles and fascia.

5. Stretching and Strengthening Exercises

Targeted stretching and strengthening exercises are essential for treating plantar fasciitis. Chiropractors recommend exercises that stretch the calf muscles, Achilles tendon, and plantar fascia, while strengthening the muscles of the foot and lower leg. These exercises help improve flexibility, reduce strain on the plantar fascia, and prevent future injury.

6. Personalized Footwear and Ergonomic Recommendations

Chiropractors assess your footwear and offer recommendations for custom orthotics or insoles to provide arch support and cushioning. Additionally, chiropractors give ergonomic recommendations to improve posture and walking mechanics, which helps reduce strain on the feet.


Chiropractic Care & Shockwave Therapy for Plantar Fasciitis Relief

Plantar fasciitis is a painful condition that can severely limit mobility and quality of life. However, chiropractic care combined with shockwave therapy offers a holistic, drug-free solution for relieving pain and promoting healing. With the right treatment plan, including spinal adjustments, foot adjustments, shockwave therapy, and soft tissue therapy, you can restore proper foot function, reduce inflammation, and prevent future flare-ups of plantar fasciitis.

If you're experiencing heel pain or symptoms of plantar fasciitis, don’t wait for the pain to worsen. At Aligned Spine Clinic, we offer personalized treatments including chiropractic adjustments, shockwave therapy, and soft tissue therapy to help you find relief from plantar fasciitis.

For more information, you can refer to the following articles available on PubMed.

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Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning, and patient values
Published in: British Journal of Pain, .
Authors: (2021).
Myofascial points treatment with focused extracorporeal shock wave therapy (f-ESWT) for plantar fasciitis: an open label randomized clinical trial
Published in: Journal of Pain Research, .
Authors: (2021).
Manual therapy interventions in the treatment of plantar fasciitis: A comparison of three approaches
Published in: Journal of Manual & Manipulative Therapy, .
Authors: (2019).