Got Foot Pain?

Got Foot Pain

It’s early in the morning.. you get up out of bed and step on to the floor. Ouch.... what is that searing pain in my foot you think? You take a few more steps.... WOW... this really hurts.. did I pull it?? You cannot remember doing so.. You shower, and then the pain seems to diminish... until the next day. Day two.. same thing, morning pain with walking.. almost excruciating at times... what can it be? That pain is called Plantar Fasciitis (PF) and this pain my friends will not go away on its own and will require some attention. If this sounds like you please read on as you have developed PF.

The diagnosis of plantar fasciitis is usually made by clinical examination alone. Patients will often present with tenderness in the arch of the foot on palpation as well as having abnormal loading characteristics during walking. Further evaluation can be made with diagnostic imaging such as X-ray or Ultrasound which can reveal a heel spur which is a result of constant traction of the tight PF.

Do you need treatment you ask?? What can I do?? Below is a list of the symptoms of plantar fasciitis as well as possible treatment options.


  • morning pain when stepping out of bed in the arch of foot
  • pain in arch of foot when walking bare foot
  • pain in arch with activity
  • visible swelling in arch of foot
  • can lead to knee and back pain as well (more common in runners)


  • foot abnormalities (changes mechanical stresses on feet)
  • overuse (through exercise and excessive weight bearing)
  • improper footwear (non-supportive footwear, sandals, flip flops)
  • excessive tightness in calf and foot muscles
  • increased weight and or obesity (increases loading and stretching of ligaments)

If you have many of the above symptoms and have had these for more than 1 week or so, you will need to have this addressed by your local physiotherapist as well as your family doctor. Generally, if the pain does not resolve within 1 week’s time, it will require treatment and often the pain will return if there isn’t any intervention. Research has shown that Physiotherapy interventions such as ultrasound, soft tissue release (to break down scar tissue i.e. GRASTON), acupuncture, custom foot orthotics (to correct foot structure and loading issues) as well as a targeted specific exercise program are all important to help alleviate the condition of plantar fasciitis. With the right combination of the above, this condition will typically resolve within 2 months’ time depending upon the severity.

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