This condition typically presents with heel pain that is worst with the first few steps in the morning or after prolonged sitting. This is a very common condition, particularly with people who are on their feet all day.
The Plantar Fascia is a tough layer of connective tissue that runs along the bottom of the foot from the heel to the toes. This fascia helps to support the foot and stabilize the joints of the foot as the foot pushes-off the ground. Any dysfunction of the muscles or joints of the foot will interfere with the normal function and biomechanics of the foot and place excessive strain on the plantar fascia. As this happens the fascia will pull away from its attachment at the bottom of the heel, leading to pain and inflammation at this area. With this type of soft tissue injury the body will deposit scar tissue adhesions in and around the injured area in an attempt to heal and stabilize the area. Over time this scar tissue can build-up and further interfere with the normal function of the muscles. This scar tissue accumulation is an important factor that must be addressed for relief and resolution of this condition.
We make use of Myofascial Release Technique (MRT) protocols to reduce tension and adhesions in both the plantar fascia and the underlying intrinsic foot muscles.It is essential that these adhesions be addressed for full resolution of plantar fasciitis. ART can be quite an effective treatment for plantar fasciitis. Additionally, if structural foot abnormalities exist that are placing excessive strain on the fascia, a custom foot orthotic will need to be used to correct the foot function. Often there is joint dysfunction of the foot as well which needs to be addressed through joint manipulation.