Plantar Fasciitis and Achilles Tendonopathy

May 20, 2024

The reason you get and have plantar fasciitis is due to over use of some or part of your lower body system. This over time stresses the fascia so it starts to tear and cause pain. In the majority of cases this is painful initially but gets progressively worse if no changes are made. Everything in the body is connected so if you have tight hamstrings, and most of us do, it means that our calf muscles and achilles have to do more to help with movement. This then magnifies on to the bottom of the foot and the supporting fascia thus causing plantar fasciitis!

The trigger for plantar fasciitis can be something sudden like a trip or fall, and most commonly a significant change in movement or exercise. This causes a chain reaction and all of the supporting muscles try to compensate for the change.

An excellent example of this is going out for a long walk in the nice weather. Lets assume your usual distance walking is around a mile and you can do this in 20 minutes. So you decide to do a circular walk which is around 5 miles. Normal speed would mean you could do this in 1 hour 40 mins. Lets assume that you walk a little slower at 2.5 miles an hour and it takes 2 hours.

Now here is the thing in time it sounds entirely feasible but its roughly 250% in time activity alone even taking the speed reduction it will stress the body more than normal in many ways. Now if you have tight hamstrings this will mean that when you walk it will lead to a mid to toe strike. This will put more pressure on the achilles tendon and calf muscles and potential pain on the ankle or stress the tendon causing achilles tendonopathy. The increase in steps in number and speed will put additional pressure on the plantar fascia where the achilles connects to putting pressure on the connection leading to the development of plantar fasciitis.

Now if you have a good walking technique and initial heel strike, followed by a balanced transition to drive phase and correct muscle sequence the increase in magnitude can be accommodated easily! Or if you have poor technique but average fitness and are a regular walker it can also be accommodated.

The issue is the big change.

In working with countless plantar fasciitis clients I also work on their achilles tendon to reduce or stop achilles tendonopathy. I work on the calf muscles and hamstrings along with walking technique to develop a long term healing effect.

I have treated lots of complex cases of plantar fasciitis and achilles tendonopathy and if you are suffering now and live close to Stratford upon Avon I can definitely help you!

 Will you book a conversation with me below to find out more!

About the author

Stephen Grinnell MSc Health and Rehabilitation
Pain and Physical Rehabilitation Specialist
Stephen has had his own Pain and Rehabilitation Clinic for over 11 years where he has treated well over 2500 people with lots of different pain and injury issues. Stephen’s personal physical rehabilitation journey started with a serious injury while on active service with the Royal Marines 25 years ago. This injury resulted in a long journey of complementary rehabilitation and two replacement hips. Stephen has developed his own bespoke treatment protocols using a variety of medical devices to help pain and inflammation resulting in accelerated recovery. Expert areas of focus are Plantar Fasciitis Treatment, Back pain issues particularly Lower Back and Sciatica and hip and knee replacement rehabilitation. Stephen previously had a successful academic career lecturing at a variety of Colleges and Universities in the Sports Science, Rehabilitation and Training areas. Stephen has also worked in The Queen Elizabeth Hospital Physiotherapy department during the Covid 19 Pandemic helping the recovery of COVID patients. In 2022 Stephen has been extensively researching and trialling protocols to treat plantar fasciitis. His Expertise has resulted in the successful treatment of 103 people and counting with a current success rate of 93%

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