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Trigger Point Therapy - Treating Plantar Fasciitis

Posted by Team NAT on

 Simeon Asher - Treating Plantar Fasciitis


See also - Taping for Plantar Fasciitis 


Around 10% of people experience Plantar Fasciitis at some point in their lives.

One of the common misconceptions about trigger point therapy is that it is effective for short term pain relief only.

This plainly isn't true and Plantar Fasciitis (a nasty condition as anyone who has had it will tell you) is one of those conditions where we repeatedly find that we are able to provide both temporary and long term relief.



Plantar Fasciitis Treatment Trigger Points

 Gastrocnemius - Common Trigger Point Sites


Plantar Fasciitis is a common disorder, which can develop in one or both feet, and causes heel pain (usually acute). 

It is the most frequent injury of the Plantar Fascia and refers to an inflammation of a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes. 

The plantar fascia supports the arch of the foot and if strained, becomes weak, swollen and inflamed.

Repeated strain can bring about small tears in the ligament causing pain and swelling, and your clients will report pain when they stand or walk.

This is one of those conditions where the client will usually have visited a family doctor; been left feeling dissatisfied; and researched on the internet, or heard from a friend that manual therapy could probably help.

Due to the high levels of pain and discomfort experienced by the majority of sufferers, clients tend to be highly motivated to seek treatment. Thankfully, in most cases there's a lot that we can do!

What are the Symptoms of Plantar Fasciitis?

Clients will generally report feeling a sharp pain that usually occurs with their very first steps in the morning.

Once the foot limbers up, the pain of Plantar Fasciitis is known to decrease, but has been noted to reappear after long periods of standing or after getting up from a seated position. 

Sudden stretching of the sole of the foot may increase the pain. It's worth noting that in extreme cases, symptoms include numbness, tingling and swelling.


Soleus Trigger Points

Soleus - Common Trigger Point Sites and Referred Pain Patterns


Who is Prone to Plantar Fasciitis?

Whilst Plantar Fasciitis most commonly arises in older people, it may also occur in younger individuals who are on their feet for many hours of the day. 

It is particularly common for runners to experience Plantar Fasciitis. These cases often occur where the client has started running on a different surface to the one they're used to, or a switch to a different style of footwear. 

In addition to age, poor footwear, obesity, and lack of physical exercise, Plantar Fasciitisa is known to affect individuals with extreme inward rolling of the foot, which is connected with flat feet.

Differential Diagnosis - What else could it be?

Here’s a list of other conditions which can present with similar symptoms:

Bone Issues:-

• (Avulsion) fracture
• Stress fractures
• Tarsal tunnel syndrome
• Bone spurs (heel)
• Broken ankle/broken foot
• Referred pain from the low back (S1 radiculopathy) 

• Severs disease (Children/youth)


• Gout
• Osteomyelitis
• Pseudogout
• TB
• Pagets disease of the bone
• Osteoarthritis
• Reactive arthritis
• Psoriatic arthropathy (from psoriasis) 
• Subcalcaneal bursitis Functional
• Achilles tendonitis or rupture
• Achilles bursa pathology
• Mortons Neuroma
Simple self-help techniques can be very effective


Treatment - Trigger Point Therapy

Plantar Fasciitis is typically associated with trigger points in the Gastrocnemius, Soleus, Plantaris, and Quadratus Plantae muscles.

Theses trigger points are all pretty accessible and clients should be encouraged to work on them at home between treatments as part of a comprehensive treatment program.

This should usually include stretching, strengthening exercises, and often simple lifestyle changes.



Find a Trigger Point Professional in your area

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More Articles About Plantar Fasciitis

Dry Needling for Trigger Points

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Certify as a Trigger Point Therapist

Trigger Point Workbooks 


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Established in the United Kingdom in 1999, we provide course and distance learning material for therapists and other healthcare professionals in over 40 countries.

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We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.

Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.

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Niel Asher Healthcare course instructors have won a host of prestigious awards including 2 lifetime achievement honorees - Stuart Hinds, Lifetime Achievement Honoree, AAMT, 2015, and Dr. Jonathan Kuttner, MD, Lifetime Achievement Honoree, NAMTPT, 2014.

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There are currently 3 levels of NAT certification. Certifying NAT is a valuable way to show your clients that you take continued education seriously, and to promote your skills and qualifications.

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NAT courses are accredited for continuing education by over 30 professional associations in North America, United Kingdom, Australia, and European Union countries. These include The National Academy of Sports Medicine, Physical Therapy Board of California, AAFA, National Certification Board for Manual Therapists and Bodyworkers, Sports Therapy Institute, and Myotherapy Australia.

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Since 1999 the Niel Asher Technique for treating trigger points has been adopted by over 100,000 therapists worldwide, and has been applied to the treatment of a number of common musculoskeletal injuries.

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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell. 




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  • I don’t know location of pain but it in my left foot and the upper arch is
    swollen and very painful. Cannot use any pressure or walk. The pain
    is unbearable so I don’t know if where it is, it could be the bottom of my

    Isabel Mc Mahon on
  • Thank you so much! I often gets clients who has been to physiotherapy and diagnosed with heel spur. But treatment has been without result. When I treat like you show. Even working around the hip flexors too. Then most of them get some kind of result after just one treatment. Watching your video made me happy!

    Cathrine Larsen on

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