Can Physical Therapy Help Relieve Plantar Fasciitis Pain? - Rehabilitation

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Plantar fasciitis


My dad suffers from plantar fasciitis almost every morning when he gets up, which is very bothersome.
Can he go for physical therapy? Thank you!

Scoot, 20~29 year old female. Ask Date: 2008/07/20

Dr. Chen Xianchang reply Rehabilitation


Hello Sir: Thank you for your inquiry.
Here are my responses and recommendations: 1.
For plantar fasciitis, rehabilitation with ultrasound and electrical stimulation therapy has shown good results.
2.
It is important to perform calf stretching exercises and to avoid walking on sharp stones on health trails, as they can aggravate inflammation.
3.
Consider wearing soft shoes or cushioned footwear, and if necessary, use heel inserts to reduce pressure.
Finally, I wish you peace and happiness!

Reply Date: 2008/07/20

More Info


Plantar fasciitis is a common condition that causes heel pain, particularly in the morning or after prolonged periods of inactivity. It occurs when the plantar fascia, a thick band of tissue that runs across the bottom of the foot, becomes inflamed. This inflammation can lead to significant discomfort, making it difficult for individuals to engage in daily activities.

Physical therapy can indeed be an effective treatment option for relieving plantar fasciitis pain. A physical therapist can develop a personalized rehabilitation program that addresses the specific needs of your father. Here are several ways physical therapy can help:
1. Stretching Exercises: One of the primary goals of physical therapy for plantar fasciitis is to stretch the plantar fascia and the Achilles tendon. Tightness in these areas can contribute to the pain experienced. A physical therapist will guide your father through specific stretching exercises that can help alleviate tension and improve flexibility.

2. Strengthening Exercises: Strengthening the muscles of the foot and lower leg can provide better support to the arch and reduce strain on the plantar fascia. A therapist can introduce exercises that target these muscle groups, which may help in preventing future episodes of pain.

3. Manual Therapy: Physical therapists often use hands-on techniques to manipulate and mobilize the foot and ankle. This can help improve circulation, reduce pain, and enhance mobility. Techniques such as massage or joint mobilization may be beneficial.

4. Orthotic Recommendations: A physical therapist can assess your father’s foot mechanics and recommend custom orthotics or supportive footwear. Proper arch support can significantly reduce the strain on the plantar fascia, leading to pain relief.

5. Ice and Heat Therapy: Applying ice can help reduce inflammation, while heat can help relax tight muscles. A physical therapist can advise on the appropriate use of these modalities to manage pain effectively.

6. Education and Activity Modification: A therapist can educate your father on proper foot mechanics and recommend modifications to his daily activities to avoid exacerbating the condition. This may include advice on footwear, walking surfaces, and activity levels.

7. Gradual Return to Activity: If your father is an active individual, a physical therapist can help him develop a plan to gradually return to his usual activities without aggravating his plantar fasciitis.

In terms of duration, the effectiveness of physical therapy can vary from person to person. Many individuals begin to notice improvements within a few weeks of consistent therapy, but it may take longer for some. Regular attendance at therapy sessions, combined with adherence to a home exercise program, is crucial for achieving the best outcomes.

It’s important to note that while physical therapy can be highly effective, it may not be the only treatment needed. In some cases, additional interventions such as corticosteroid injections, anti-inflammatory medications, or even surgery may be considered if conservative measures fail. However, starting with physical therapy is a safe and often effective first step.

In conclusion, physical therapy can significantly help relieve plantar fasciitis pain through a combination of stretching, strengthening, manual therapy, and education. Encouraging your father to seek a physical therapist's guidance can lead to improved mobility and a better quality of life. If he has not yet consulted a physical therapist, it would be a wise decision to do so.

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