A very common cause of heel pain is a condition called Plantar Fasciitis. This is an inflammatory condition of the thick connective tissues of the heel and sole of the foot.

The sensation is usually described as a sharp, stabbing feeling directly under the heel. Its generally most painful first thing in the morning, or after resting for some time. Depending on the severity, this can last anywhere from a few moments, to being felt constantly throughout the day.

It can be caused by an acute injury or strain to the plantar fascia, and can also develop over time. People who are on their feet for long hours can develop this foot pain, especially if they don't have good supportive footwear.

Our bodies are pretty good at finding work arounds to keep us moving, so if you're experiencing plantar fasciitis, you may notice some compensation patterns like limping, reduced ankle mobility, taking smaller steps, or toe walking to avoid pressure to your heel. Short term, these compensation patterns are fine, but if the heel pain becomes chronic then these altered movement patterns can lead to other pains further up the body.

What can be done about Plantar Fasciitis?

• Treatment - Our team treats plantar fasciitis by working not only on your heel and arch, but also the surrounding and compensating muscle groups. We'll often work on your whole leg, as well as your hip and lower back. Massage and Myofascial Release to your feet and calves can be very helpful. There are Trigger Points within the lower leg muscles that can also refer pain into the heel. Muscle Energy Techniques (MET) can be used to relieve tension and pressure transferring to your heels by helping you activate and release muscles. Some people respond well to using techniques like cupping or dry needling. Taping the foot can provide a lot of support and pain relief.
• Bracing and support - In addition to taping as part of a treatment, there are support braces that can be used overnight or orthotics can be used in your shoes. These can be good options for people who have skin sensitivities to tape.
• Stretching and strengthening - A routine of stretches and strengthening exercises can be helpful. Our team can teach you how to stretch your calves and arches, as well as show you how to use some self care tools like massage balls and foam rollers to aid your recovery.
• Reducing inflammation - There are lots of drug-free ways to help reduce inflammation for plantar fasciitis. Tools like the MyoBall for icing your foot can be great, but a cheap and effective alternative is to freeze a water bottle and use that to roll your heel and arch. Increasing naturally anti-inflammatory foods in your diet can help - our friend and expert Nutritionist, Sam Gemmell, has written this blog about some easy anti-inflammatory food choices. We know that most of our patients chose not to take medications, however in cases where inflammation persists for a long time, a short course of anti-inflammatory medication can help to break the inflammation cycle - speak to your GP or pharmacist to get a recommendation.
  
• Footwear - Your choice of footwear can help your heel recover. Check the soles of your shoes for uneven wear - it might just be time for a new pair of shoes. Slip on shoes like thongs can force your feet to work harder, which might not be a problem most of the time, but can cause extra discomfort if your plantar fascia is already irritated. Our patients have had great relief from the Frankie 4 footwear brand.

Do you need help with heel pain?
Book in with our team so we can help you with a treatment plan.

Plantar Fasciitis is a very painful condition that affects your heel and the sole of your foot. Often the mornings are the worst pain, people often explain they feel like they have to hobble about for the first few minutes of their day.

Usually it affects one foot or the other - some very unfortunate people can get both feet affected at the same time.

Symptoms include heel pain; arch pain; altered walking patterns; cramps or spasms in the sole of the foot. Usually the pain reduces after getting moving, but those first few steps can be uncomfortable through to excruciatingly painful.

What kinds of treatments work best for Plantar Fasciitis?
The techniques I've found that work the best for people with Plantar Fasciitis are:

• Myofascial Release of the lower leg muscles that lead into the plantar fascia
• Cupping for the heel and soles of the feet
• Muscle Energy Technique stretching for the sole of the foot and the back of the calf
• Taping the sole of the foot and the lower leg
• Dry needling the calf

The hands on treatment sessions are only part of the recovery plan though. Like with most pains or injuries, looking at the way you move and stretch outside of your time in the clinic is important to helping you feel better, quicker. Our therapists will show you some simple but effective movements that help you to stretch your foot and leg to reduce the pain. We can also offer you some temporary pain relief suggestions like ice bottle rolling and using spiky physio balls.

Ready to look at a plan for kicking Plantar Fasciitis?
Book a 60 Minute Initial Consultation with us. We'll assess your movement and muscle balance, give you a feel-good hands on treatment, and walk you step by step through your treatment plan.

You might be familiar with that sharp, shooting pain sensation in your lower back, hip and leg. It can also be felt as numbness, pins and needles, tingling or burning type of sensations. Whatever way the pain or symptoms present, it runs along the Sciatic nerve - which is why this is referred to as Sciatica.

But did you know theres more than one potential cause behind this pain?

Often this pain can be linked to muscle tension in the glutes and hips. The Sciatic nerve runs underneath the muscles of your glutes, and when it gets compressed there it can be a real pain in the bum - literally!
Because this nerve runs all the way down to your feet, the jolts of nerve pain can sometimes be felt anywhere from just localised in your buttocks and hip, to the back of your thigh, behind the knee, straight down your lower leg and even into the base of your foot.

The Sciatic nerve can be impacted at the root of the nerve near the spine, however this doesn't always mean there will be pain. Often this is called a Bulging Disc or Herniated Disc, but you might be surprised to learn that even though "Bulging Disc" sounds pretty awful, studies have shown that more than 50% of people over 40 with no pain symptoms at all can have a disc bulge show on scans.

Irritation or compression of the Sciatic nerve can be common after serious trauma to your leg or lower back. Things like car accidents, falls, and horse riding accidents are all common high impact incidents that can aggravate the nerve. If you've had an injury like this, its wise to seek treatment for it.

Do you have Sciatic nerve pain or nerve symptoms of numbness, tingling and pins and needles? Book an appointment with us to have an assessment and treatment. If we can resolve the issue, we'll create you a treatment plan that includes manual therapies and a take home exercise program. 

More serious causes do exist, so if treatment of the muscles and joints is not relieving your pain, we'll refer you to see your GP to rule out any serious structural or pathological conditions.