Why is Plantar Fasciitis so painful? And feet so complex?

August 8, 2022

Plantar Fasciitis

As previously stated Plantar Fasciitis is the most common cause of chronic heel pain in people both young active people and older less active individuals. The most common thoughts on why it occurs are linked to repetitive strain on the heel and tightness of the calf muscle particularly the gastrocnemius muscle.

Diagnosis is made with Step 1 of my process which is a detailed face to face consultation and physical examination. This type of condition is usually self-diagnosed from previous episodes of pain or from an internet search.

The question I get asked a lot is why now? I am seeing an increasing number of people who with no history of foot problems suddenly getting issues. This can be due to a change in activity, like training or exercise, commonly it’s a change of job role with more movement. This crucially alters how we use our feet which are extremely complex and they have to adapt quickly or strain occurs on the plantar fascia.

The plantar fascia is essentially the base of your foot and what is in contact with the ground, the rest of the foot is made up of a complex bone and muscle structure shown in the 4 layers below.

The foot has to do several functions at once hence the complexity and layers of muscle fibres. The foot acts a shock absorber when walking or running. Stability and balance in normal and sporting movements, along with power for movement.

This means some of the muscles in the diagrams above for Stability, balance, power and as a shock absorber all at the same time and when repositioned different muscles are doing different roles. Research on type of muscle fibres has been inconclusive with people having either speed or endurance fibres in different percentages with activity status playing a large role in focus.

People tend to have more slow twitch or endurance fibres as the foot has to work hard for balance and coordination when walking or moving. Changes in activity or a new sport or pastime can lead to the muscles working harder and so stressing the Plantar Fascia. Stronger muscles can lead to less plantar fascia issues, BUT!

Other significant variables need to be considered like footwear, foot structure, high or low arch, strength, activity been done previous injury. This is just the start but as the structure is complex and a vast number of reasons for why the plantar fascia is painful arise.

I treat every person as a individual so have a high success rate as not reliant on one method or system to help. Step 5 of my 5 step process is review and as much as possible I work to allow you to live as normal a life while recovering rapidly.

I have started a Facebook Group Pain Relief Rehabilitation 

CLICK ON IMAGE TO JOIN


  • I am currently combining what I have learnt over the last few months with previous 8 years experience to pull together an extensive treatment plan for faster results.
  • With this in mind I am looking to work with people in September with Plantar Fasciitis for accelerated recovery. You must be able to commit to treatment in September to be part of the programme.

If you are interested in this call me on 01789 228123 or DM via Facebook. email info@interxpainclinic.com

More Information To heal Plantar Fasciitis You need help from the rest of the foot https://interxpainclinic.com/to-heal-plantar-fasciitis-you-need-help-from-the-rest-of-the-foot/

#plantarfasciitis #interxpainclinic #stratforduponavon

About the author

Stephen Grinnell MSc Health and Rehabilitation
Pain and Physical Rehabilitation Specialist
Stephen has had his own Pain and Rehabilitation Clinic for 9 years where he has treated well over 1000 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. Specialist areas of focus are back pain issues 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 patients.

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