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Plantar Fasciitis

Reviewed by Andrew Macdonald, Senior PhysiotherapistAHPRA registered, APA member

Physiotherapy treatment for plantar fasciitis at Physio Melbourne

What is Plantar Fasciitis?

Plantar fasciitis is inflammation and irritation of the plantar fascia — the thick band of tissue running along the sole of the foot from the heel to the toes. It’s one of the most common causes of heel pain, often linked to overuse, tight calf muscles, inappropriate footwear, or a sudden increase in walking or running load.

Symptoms

The hallmark symptom is sharp, stabbing heel pain that’s typically worst with the first few steps in the morning or after sitting for a while, easing somewhat with movement but often returning after long periods of standing or activity.

Treatment

Treatment combines hands-on soft tissue and trigger point release through the calf and plantar fascia, dry needling, and taping or strapping to offload the area while it settles. Shockwave therapy is particularly effective for plantar fasciitis that’s become chronic. Andrew will also prescribe a calf and foot stretching and strengthening programme, and can advise on supportive footwear if biomechanics are contributing to the problem.

Frequently asked questions

What is the fastest way to cure plantar fasciitis?

There's no instant cure, since it involves irritated tissue that needs time and the right load to settle. Andrew's treatment combines hands-on soft tissue work, dry needling and taping to ease pain early, with a calf and foot stretching and strengthening programme that addresses the underlying cause.

Is walking bad for plantar fasciitis?

It depends on how irritated the tissue currently is — some walking is usually fine and even helpful, but prolonged standing or walking on hard surfaces can aggravate symptoms in the early, more painful stage. Andrew can advise on the right level of activity for where you're at.

What shoes are best for plantar fasciitis?

Supportive, cushioned footwear that doesn't force the foot into an unnatural position generally helps reduce strain on the plantar fascia. Andrew can advise on footwear as part of your treatment if biomechanics are contributing to your symptoms.

How long does plantar fasciitis take to go away?

Many cases improve significantly within 6 to 12 weeks of appropriate treatment, though more chronic or longstanding cases can take longer. Shockwave therapy is often added for plantar fasciitis that hasn't responded to the initial hands-on treatment and exercise programme.

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