#WorldPhysiotherapyDay: Physiotherapy treatment for heel pain

Heel pain can be caused by stress placed on the plantar fascia ligament when it is stretched irregularly, which causes small tears and inflammation. Stretching and strengthening exercises can help the ligament become more flexible and can strengthen muscles that support the arch, in turn reducing stress on the ligament

heel-pain-physiotherapy

Heel pain (Plantar fascitis) is very common nowadays

Following are the causes for heel pain: 

  • Lack of exercise
  • Wrong footwear
  • Excess weight
  • Calcaneal spur
  • Tightness in plantar fascia
  • Deficiency of calcium/vitamin D/vitamin B12
  • Bad posture

Symptoms

  • Usually it pains more in the early morning after getting out of bed
  • After long walks it starts hurting.
  • Sometimes for no reason it gives throbbing pain.
  • After wearing heels/stilettoes pain aggravates.

Physiotherapy treatment

  • Exercises for intrinsic foot muscles
  • Stretching exercises (tendoachillis tendon stretch)
  • Manipulations
  • Plantar fascia tendon stretches and relaxation exercises to reduce tightness
  • Myofacial release (MFR)
  • Ankle manipulations
  • Intermetatarsal glides
  • Gathering of cloth with feet
  • Rolling feet on wooden roller
  • Ultrasound or laser therapy or long wave therapy /IFT/TNS for pain relief
  • Paraffin wax bath
  • Insoles worn in the shoes or sandals helps in pain relief
  • When there is acute heel pain, following treatment is recommended.
  • Gentle manipulations relieve the tension and relaxes the tightness of plantar fascia.
  • Ultrasound therapy heel n plantar fascia can be given.
  • IFT to reduce spasm n pain
  • Relaxation exercises for foot muscles
  • Exercises with soft ball

After 4 /5 sessions, when intensity of pain will be reduced then strengthening exercises and stretching exercises can be started.

In general, it takes 10/15 physiotherapy treatment sessions to recover from heel pain.