The best physiotherapy for plantar fasciitis

The best physiotherapy to cure plantar fasciitis and foot pain, in general, is that one targets not only the symptoms but also the underlying causes of plantar fasciitis and/or foot pain.

Generally, the best physiotherapy protocol for any type of sports injury and/or muscle injury is that one combines different physio techniques and equipment to treat both symptoms and causes of the injury.

What should physiotherapy for foot pain target?

The most common mistake of sports physiotherapists is to focus the physiotherapy session on the foot and not on the lower leg where the most important muscle of the foot biomechanics are located.

Another common mistake is to focus the physiotherapy on the calf muscle which is the biggest and strongest muscle but not the most important for the foot’s biomechanics.

So the best physiotherapy for plantar fasciitis and foot pain should follow two principles:

  1. Target the underlying causes of the issue.
  2. Multidisciplinary approach using different physiotherapy techniques to treat both symptoms and causes.

The most common causes of foot pain and plantar fasciitis come from the muscles related to the foot and ankle biomechanics. So the physiotherapy sessions should focus on these musculoskeletal parts:

  1. Lower leg muscles: Flexor Digitorum Brevis Muscle, Flexor Digitorum Longus Muscle, Flexor Allucis Brevis Muscle, and the Flexor Allucis Longus Muscle, calf muscle, soleus muscle.
  2. Plantar Fascia

Different types of physiotherapy for plantar fasciitis and foot pain

the best approach to cure foot pain and plantar fasciitis is to use different physiotherapy techniques to treat both the symptoms and causes of.

Generally, the first step is to reduce the inflammation, pain, and eventually swelling with physiotherapy machines such as:

  1. Ultrasound Therapy.
  2. Laser Therapy.
  3. Shock Wave Therapy.
  4. Thermal Shock Therapy

The second step is to perform hands-on physiotherapy that will help to reduce swelling, muscle stiffness, and adhesions such as:

  1. IASTM ( Instrument Assisted Soft Tissue Mobilization )
  2. Diacutaneous Fribrolysis.
  3. Instrument Assisted Sports Massage.

The third step is to set up a physiotherapy exercise plan with specific goals based on the causes of the plantar fasciitis such as:

  1. Strengthening exercise ( if the main cause was weakness ).
  2. Flexibility exercises ( if the main cause was muscle stiffness ).
  3. Ankle mobility exercises ( if there was a reduced range of motion of the ankle ).

Postural physiotherapy to cure plantar fasciitis

When the main cause of plantar fasciitis or foot pain comes from body posture issues the best therapy plan is to focus on postural physiotherapy.

The most common postural causes of plantar fasciitis are:

  1. Flat foot.
  2. High Arch.
  3. Foot Load Imbalance.

The best way to assess these kinds of foot postural issues is through a high-tech Gait Analysis or 3D Foot Pressure Scan which can analyze and assess the foot’s biomechanics.

With this kind of assessment, the physiotherapist will have dozens of analytical data to work on to set up the perfect exercise plan to correct these postural imbalances.

In our sports injury clinic and gait lab we have designed an innovative postural physiotherapy session that, thanks to our gait analysis system we can analyze and correct in real-time feet and body posture imbalances.

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