Plantar Fasciitis

What is Plantar Fasciitis?

Plantar fasciitis is an irritation of the thick band of tissue (plantar fascia) that runs along the bottom of the foot, connecting the heel to the toes. It’s a leading cause of heel pain.

Common Symptoms

• Sharp heel pain with the first steps in the morning

• Pain after prolonged standing or activity

• Tenderness at the base of the heel

• Stiffness in the foot or arch

Physical Therapist Diagnosis

A PT assesses tenderness at the heel, foot mechanics, calf flexibility, and gait.

Why it Happens

Overuse, tight calves, flat feet or high arches, and poor footwear contribute. Runners and people who spend long hours on their feet are at higher risk.

Why it Doesn’t Always Heal on Its Own

Rest helps temporarily, but without addressing biomechanics and mobility, pain often returns.

Ideal Physical Therapy Treatment

Treatment relieves pain, restores foot mechanics, and improves strength. Dry needling is often helpful for calf and foot muscle tightness.

Key strategies include:

• Manual therapy for ankle and foot mobility

• Dry needling for calf and foot muscles

• Stretching of calves and plantar fascia

• Strengthening of foot intrinsic muscles

• Taping or orthotic support for short-term relief

Expected Outcomes

Most cases improve within weeks to months with therapy, though chronic cases may take longer.

Key Takeaway

Plantar fasciitis requires more than rest — restoring mobility and foot strength is key for lasting relief.