Can Physical Therapy Help Treat Plantar Fasciitis from Prolonged Standing?

Plantar fasciitis

Hello Dr.
Chen! I have been suffering from plantar fasciitis due to prolonged standing at work.
Can the rehabilitation department provide treatment for this? Thank you!

Hoodia, 30~39 year old female. Ask Date: 2006/11/25

Dr. Chen Xianchang reply Rehabilitation

1.
You can start by using appropriate insoles and soft shoes, and reduce activities such as hiking or intense exercise.

2.
Electrical stimulation and ultrasound therapy can be performed.

3.
Engage in appropriate stretching exercises for the calf muscles.

4.
Soaking in warm water at home is also beneficial.

Reply Date: 2006/11/25

More Info

Plantar fasciitis is a common condition that results from inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes. It is often characterized by heel pain, especially with the first steps in the morning or after prolonged periods of sitting. Given your situation of prolonged standing due to work, it is understandable that you are experiencing discomfort.

Physical therapy can indeed be an effective treatment for plantar fasciitis. A physical therapist can design a personalized rehabilitation program that addresses your specific needs and symptoms. Here are several ways physical therapy can help:
1. Stretching Exercises: A physical therapist will guide you through specific stretching exercises aimed at the plantar fascia, Achilles tendon, and calf muscles. These stretches can help relieve tension and improve flexibility, which is crucial for reducing pain.

2. Strengthening Exercises: Strengthening the muscles of your foot and lower leg can provide better support to the plantar fascia. A therapist can introduce exercises that target these muscles, helping to stabilize your foot and reduce the risk of future injuries.

3. Manual Therapy: Techniques such as massage or mobilization can be employed to relieve pain and improve the range of motion in your foot and ankle. This hands-on approach can help reduce inflammation and promote healing.

4. Orthotic Recommendations: A physical therapist may assess your foot mechanics and recommend custom orthotics or supportive footwear. Proper arch support can alleviate pressure on the plantar fascia and distribute weight more evenly across your foot.

5. Activity Modification: Your therapist can provide guidance on modifying your activities to reduce strain on your feet. This may include advice on proper footwear, changes in your work environment, or alternative exercises that are less impactful on your feet.

6. Education: Understanding the condition is vital. A physical therapist can educate you about plantar fasciitis, its causes, and preventive measures to avoid recurrence. This knowledge empowers you to take an active role in your recovery.

7. Pain Management Techniques: Physical therapists can also employ modalities such as ultrasound, ice therapy, or electrical stimulation to help manage pain and inflammation.

In addition to physical therapy, it’s essential to consider other supportive measures. These may include:
- Rest: Allowing your feet to rest and recover is crucial. If possible, try to alternate between standing and sitting during your work hours.

- Ice Therapy: Applying ice to the affected area can help reduce inflammation and pain, especially after prolonged standing.

- Footwear: Invest in shoes that provide good arch support and cushioning. Avoid flat shoes or those with inadequate support.

- Weight Management: If applicable, maintaining a healthy weight can reduce the stress on your feet.

In conclusion, physical therapy is a highly beneficial treatment option for plantar fasciitis, especially for individuals like yourself who experience symptoms due to prolonged standing. It is advisable to consult with a physical therapist who can create a tailored program to address your specific needs and help you return to your daily activities with less pain and improved function. Always remember to follow your therapist's recommendations and be patient with the recovery process, as healing can take time.

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