Advice to improve your movement, fitness, and overall health from the world's #1 in orthopedics.
One of the most common foot conditions is plantar fasciitis. It happens when the plantar fascia, a band of tissue that extends along the bottom of the foot, becomes inflamed. As a result, people experience pain in the heel that is usually worst in the morning, after they wake up.
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Being overweight, having flatfeet or high arches, and wearing improper footwear are risk factors for plantar fasciitis. People who play sports that have regular start and stop movements, like tennis, football, and soccer, are especially susceptible to it. But Anil Nandkumar, PT, DPT, CSCS, SFMA, a physical therapist at HSS Long Island, says he sees it in all types of athletes.
“It’s such a sensitive injury that can happen to anyone,” he says.
The plantar fascia has a lot of important jobs, such as absorbing shock, providing arch support, and strengthening the lower legs, to name a few. Keeping it loose and wearing proper footwear help it perform at its best.
Because the plantar fascia runs all the way from the ball to the heel of the foot, leaving plantar fasciitis untreated can lead to all sorts of problems from the ground up. Thankfully, though, it’s easy to fix with activity modification, calf and foot stretches, massage, and the right shoes.
“From a physical therapy perspective, it is a very straightforward treatment,” Nandkumar says.
Here are Nandkumar’s favorite stretches and exercises for treating plantar fasciitis. You should notice quick improvement and then start feeling much better after four to six weeks of steady treatment. Try to do each move three times each morning.
TIP: You can challenge yourself once this becomes easy by putting a weight on the edge of the towel.
TIP: The movement is very subtle and you may not see your arch move when you are looking down at your feet. Think about pressing your big toe flat on the floor as you are doing this.
It’s important to make sure that your quadriceps are also strong and fully engaged throughout the recovery process to better handle force with each step during walking.
Raises are a great way to strengthen the calves, which are among the most important muscle groups supporting the planta fascia. If you’re concerned about balance, use the back of a sturdy chair or a table for support.