Man hands giving foot massage to yourself after a long walk, suffering from pain
Foot pain, man suffering from feet ache

Plantar fasciitis is a common, painful foot condition that can affect people of all ages and activity levels.

Plantar fasciitis refers to the syndrome of inflammation and degeneration of the band of tissue that runs from the heel bone along the arch of the foot. The most common area of inflammation is at the insertion of the plantar fascia on the bottom of the heel bone.

Plantar fasciitis is most often seen in middle aged men and women but can be present in all age groups. It is the most common form of heel pain presentations. It is diagnosed with the classic symptoms of pain localised to the heel area of the bottom of the foot.

Often the pain from plantar fasciitis is most severe when you first stand on your feet in the morning. At that time, the arch of the foot is tight and simple movements stretch the contracted tissue. As you begin to loosen the foot, the pain usually subsides, but often returns with prolonged standing or walking.

When a patient has plantar fasciitis, the connective tissue that forms the arch of the foot becomes inflamed (tendonitis) and degenerative (tendinosis) – these abnormalities cause plantar fasciitis and can make normal activities quite painful.

Causes & Risk Factors of Plantar Fasciitis

The causes of plantar fasciitis are often unclear and multifactorial. The most common factor involved is repetitive microtrauma either through activity or occupation.

There are several risk factors that can be identified which can contribute to plantar fasciitis. They can be classed as extrinsic (factors outside of the body) and intrinsic (factors to do with the body’s structure and mechanics).

Extrinsic Factors:

  • Increased activity levels
  • Exercise intensity and frequency
  • Type of surface (hard vs soft)
  • Type of footwear
  • Occupation


Intrinsic Factors:

  • Body weight (increased risk with obesity)
  • Low and high foot arches
  • Tight calves (gastrocnemius and soleus) and hamstrings
  • Leg length discrepancy
  • Over pronation of feet
  • Reduced ankle mobility

Chiropractic Treatment

Treatment for plantar fasciitis first addresses pain relief. Then the treatment focuses on addressing the underlying causative factors leading to the injury in the first place. Treatment of plantar fasciitis can be at times a difficult process due to continual loading of the foot in day to day life.

At Impulse Chiropractic treatment for plantar fasciitis may include:

  • Massage and myofascial release techniques (myofascial scrapping)
  • Ankle and foot joint mobilisations and manipulation
  • Dry needling
  • Cupping therapy
  • Taping
  • Stretching techniques
  • Exercise rehabilitation and programming
  • Clinical Pilates

Prevention & Management

  • Exercise programming to improve appropriate mobility and strength deficiencies in the lower limb
  • Wearing appropriate footwear
  • Reducing mechanical loading from relevant exercises and daily activities
  • Gait retraining
  • Referral to podiatrist for orthotics, shoe inserts or further biomechanical assessment

Other Treatment Options

  • Platelet-Rich Plasma (PRP) injections
  • Extracorporeal Shockwave Therapy (ESWT)
  • Cortisone injections
  • Non-steroidal anti-inflammatories (NSAID’s)
  • Orthotics
  • Surgery (fasciotomy)


About 80% of plantar fasciitis cases resolve spontaneously in 12 months. 5% of patients may undergo surgery to have the fascia released because all other conservation measures have failed. Patients should not expect overnight results when it comes to plantar fasciitis. It takes time, patience and dedication to resolve and move on from the condition. Patients should expect to see a reduction of their symptoms with conservative therapy.

Plantar fasciitis can be a frustrating and restricting injury. It is important that the right treatment protocol is administered early to reduce the length of the injury.

Chiropractic care can help you find the right solutions when treating your plantar fasciitis and get you back on your feet quickly!

If you think you may be experiencing plantar fasciitis, contact Impulse Chiropractic for a thorough assessment and treatment plan. We also assist with jaw pain treatment, neck pain, sports, and pregnancy chiropractic needs. Book online with Impulse Chiropractic today!

Common Conditions We Treat


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Neck pain is becoming an increasingly common issue throughout the world, with around two thirds of people experiencing neck pain at some point in their life.

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The temporomandibular joint (jaw joint) or TMJ is one of the most heavily used joints in the body. It therefore can be a common source of pain and dysfunction.

Plantar Fasciitis

Plantar fasciitis is a common, painful foot condition that can affect people of all ages and activity levels.

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Our chiropractors are well trained in the specific mechanisms involved in sports injuries as well as having backgrounds participating in high level sports themselves.


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