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Plantar Fasciitis

Plantar Fasciitis — Vivacare Advanced Physiotherapy

Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia).

Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. As you get up and move, the pain normally decreases, but it might return after long periods of standing or when you stand up after sitting.

You’re at greater risk of plantar fasciitis if you:

  • Are female
  • Are 40 to 60 years old
  • Are obese
  • Have flat feet or high arches
  • Have tight Achilles tendons, or “heel cords”
  • Have an unusual walk or foot position
  • Often wear high-heeled shoes
  • Spend many hours standing each day
  • Wear worn-out shoes with thin soles

Ignoring plantar fasciitis may result in chronic heel pain that hinders your regular activities. Changing the way you walk as a way to relieve this pain might lead to foot, knee, hip or back problems.

At Vivacare Advanced Physiotherapy and Pain Clinic, our physiotherapists will assess the cause of your condition and advise you with an individualized treatment plan. The clinic provides the following therapies to bring you quick and long term relief:

  • Matrix Rhythm Therapy
  • Manual Therapy
  • IFT
  • TENS
  • Ultrasonic Therapy
  • Kinesiology Taping
  • Heat and Cold Therapy
  • Theraband Stretches
  • Posture Therapy
  • PEMF (Pulsed Electromagnetic Field Therapy)

Our therapists will guide you with exercises that can stretch your fascia and Achilles tendon and strengthen your leg muscles, which will make your ankle and heel more stable and prevent the recurrence of the pain.

When to See a Physiotherapist

If heel pain persists beyond two to three weeks despite rest and supportive footwear, or is affecting your daily walking, it’s time for a proper assessment and structured stretching/strengthening plan.

Prevention & Self-Care Tips

  • Avoid walking barefoot on hard surfaces for extended periods.
  • Replace worn-out shoes and choose footwear with good arch support and cushioning.
  • Stretch your calf muscles and plantar fascia regularly, especially first thing in the morning.
  • Manage body weight, as excess load significantly increases strain on the plantar fascia.

Frequently Asked Questions

Why is the pain worst with my first steps in the morning?

Overnight, the plantar fascia tightens in a shortened position; the first steps stretch it suddenly, causing that classic sharp morning pain — it typically eases somewhat as you move, though it isn’t fully resolved.

Do I need custom orthotics?

Not always — many cases improve with stretching, night splints and appropriate footwear alone. Custom orthotics can help selectively, and we’ll advise if your case needs them.

Can plantar fasciitis affect both feet?

It can, though it’s more common in one foot at a time; if both feet are affected, your therapist may also check for broader contributing factors.

Are night splints actually effective?

Many patients find them helpful, since they keep the fascia gently stretched overnight, reducing that sharp first-step pain in the morning — though they work best combined with daytime stretching.

Is it okay to keep exercising with plantar fasciitis?

Low-impact activity like swimming or cycling is usually fine, while running or prolonged standing may need to be temporarily modified — your therapist will advise based on your severity.

Ready to start feeling better?

Book a consultation with Dr. Monika Chopra and get an individualized treatment plan.

Request Appointment