Plantar Fasciitis is the inflammation of the plantar fascia on the sole of your feet.
The plantar fascia is a double layered fibrous tissue on the plantar (sole) side of your foot. It attaches to the calcaneus, the heel bone, and then fans forward to attach to the base of all the toes. This attachment means that the plantar fascia helps to maintain the integrity of the arch of the feet, and also functions to transmit force from the ground, as we walk, stand, or play, to the bones muscles and ligaments of the foot, ankle, lower leg, knee etc (the foot bone is connected to the shin bone after all!). And, what goes up, must come down as well, so as force is transmitted from the surfaces we walk/run/play on up the body, so too, what happens from above, affects the tissues below. As such, the causes of plantar fasciitis can be many and varied and may include knee, ankle and hip injuries or compensations above, muscle hypertonia (tight calves and hamstrings for example), as well as direct trauma (compression or over-stretching) of the plantar fascia itself – including poorly fitted shoes or repetitive injuries.
The other factor which really comes in to play with foot problems, and plantar fasciitis is included under this umbrella, is the modern ailment of jamming our very sensory feet in to sense dulling shoes. There are 26 bones in each foot, and more than 100 muscles, tendons and ligaments, and this structure of the foot is really for informing us, our body/brain, about the terrain that it is covering. Tight and immobile feet and toes contribute greatly to increased load on the plantar fascia, which in turn increases the likelihood if irritation and inflammation.
You firstly want to identify any causative factors, which could be any of the following:
Effective treatment of plantar fasciitis should take all these factors in to account, but primarily, non-surgical treatment of the plantar fascia should include stretching of the calves, hamstrings and plantar fascia, the use of ice when acute, say a frozen water bottle rolled in the arch of the foot, working on balance and proprioception of the foot and ankle (try brushing your teeth while standing on one leg!) as well as massage of the plantar fascia with a massage ball/tennis ball/ golf ball and articulation of the bones of the feet and toes.
Treatment options include:
What are some exercises tennis players and golfers can do to prevent plantar fasciitis?
Exercises with a particular focus on stretching the calf and icing the plantar fascia/arch post exercise, and in between bouts of exercise rolling the arch with the frozen lime (or water bottle).
By osteopaths Claire Craig and Chris Reeves