Plantar Fasciitis in Happy Valley
Common Strategies Utilized At Ascent Physical Therapy:
- Thorough evaluation to confirm diagnosis and identify contributing factors.
- Manual therapy, targeted stretching, tool assisted tissue mobilization to unload strain.
- Prescriptive strengthening activities up the chain into the thigh and hips to support the foot.
- Bracing, taping, orthotics, and/or night splints to provide additional stress relief to the injured tissues and encourage a faster healing response.
Your plantar fascia is comprised of firm connective tissue that spans from the front of your heel to the balls of your toes. If it becomes inflamed, you may feel a pulling, aching, or sharp sensation in the bottom of your foot. Symptoms are traditionally the worst in the morning during the first few steps and then may feel better after a ‘warm-up’.
Why did it become inflamed?
Typically, plantar fasciitis onset is from one of the following or a mixture:
- Increases in exercise intensity/volume, such as, running distance or jumping.
- Weight gain.
- Weakness in hips.
- Improper footwear.
- Stiffness of calf muscles.
What should I do?
1) First, check your shoes. Do they have good support? Are the getting old and worn down? Are they the right type of shoe for the activities I do in them? You can always look for a supportive insert since most stock insoles are quite flimsy and usually not supportive. Our patients usually prefer SuperFeet but there’s a wide variety available.
2) Manual therapy to release tight and stiff tissue can reduce strain quickly and jump start the healing process. As part of a home program, prescribed stretches and strengthening activities will assist you retain your new mobility. Addressing mechanical contributions from your hips is also crucial to correct any movement dysfunctions. This combination has been shown to consistently have remarkable success.
3) Equipping you with corrective braces and gear is also a great way to accelerate the healing process and prevent future problems. Our personal favorite is use of a night splint to allow proper tissue healing lengths. The reason your first few steps in the morning are the most painful, is because your plantar fascia has been trying to heal all night but in a shortened position. When you stand up it forcibly lengthens the stiff tissue causing more microdamage and slowing down the healing process.
If plantar fasciitis has been interfering with your life, call us today to get started on a plan of care that works for you. Ascent Physical Therapy is conveniently located off Sunnyside Road in Happy Valley. We also love treating our neighboring communities of Damascus, Gresham, Clackamas, and Sandy at our top rated physical therapy clinic!