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Traditionally treatment has included ice massage, orthotics, calf Urgent Fungus Destroyer stretches and sometimes Cortisone injections. Whilst these treatments may still have a place in treating heel pain, excluding ice massage, a new treatment approach has emerged that has the ability to yield faster more long term resolution of symptoms. More recent treatments are aimed at improving the function of the supportive muscles of the foot so that the ligament is better protected and has more chance of repairing.

This is important as, although the plantar fascia is one of the main supportive structures in maintaining the upright posture of the foot, there are at least 2 other muscles in the foot that have a similar role. Therefore if the plantar fascia is injured, the other structures will have to overwork and compensate resulting in over-sensitive muscles that fatigue early and develop knots (known as trigger points) further stressing the injured plantar fascia. If ignored, the cycle will continue.

A relatively new treatment that addresses this muscle dysfunction is Dry Needling (Not traditional Eastern Acupuncture) whereby a very fine acupuncture needle is inserted into the skin and muscle directly at a trigger point. The aim is essentially to reprogram the muscle, break up the knots and improve function. This is often done in conjunction with other therapies such as heat massage, joint mobilisation/manipulation and orthotics, to address the underlying cause of plantar fascia injury and subsequent trigger points.


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