Dynamic Motion Wales | Crossroads Clinic
82 High Street, Gorseinon, Swansea, SA4 4BL
01792 447622 / 07855885651

Plantar fasciitis / fasciopathy is a very common condition of pain described directly underneath the inside of the heel bone. It is more recently now referred to as a degenerative condition (wear and tear) rather than inflammation where the tissue originates at the heel.

The plantar fascia is a dense connective tissue which spans from the heel to the base of the foot. This band of tissue is very sensitive to local changes around it such as increases in activity levels—frequency, intensity and duration.


Symptoms usually present upon waking with first few steps in the morning. This can also be aggravated after periods of rest or increased levels of activity through the foot.

Pain description can vary from sharp, stabbing to a dull ache sensation.

The condition has been linked with various risk factors (this list is not exhaustive):

  • Increased weight
  • Long periods of standing
  • Increased age (>50)
  • Decreased movement in ankle and big toe.
  • High arch foot or very low arch foot.
  • Weak muscles of foot/ankle.
  • Footwear

Treatment Options

  • Activity modification
  • Arch stretching/massage.
  • Ankle stretch
  • Taping – kinesiology
  • Ultrasound
  • Warm/cool bottle rolling
  • Foot strengthening
  • Footwear advice
  • Avoid barefoot walking
  • Possible use of insoles/arch supports

Note:  Not all treatment options are suitable for all individuals and therefore not all have been indicated. Such as:

  • Pain medication
  • Corticosteroid injection
  • Dry needling
  • Extracorporeal shockwave therapy
  • Surgery

If symptoms are non-resolving to initial treatments then re-assessment by your podiatrist is best recommendation for further treatment advice.