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October 20

📚 Plantar fasciopathy (PF) is one of the most common causes of heel pain and can affect both sedentary and active individuals. The pain is typically felt near the front of the heel, where the plantar fascia attaches to the calcaneus (heel bone).

🧠 Symptoms often include sharp or aching heel pain with the first few steps in the morning or after sitting for a while. Pain may ease as you get moving but return with prolonged standing, walking, running, or other weight-bearing activities.

🔎 PF can develop when the demands placed on the foot exceed its current capacity to tolerate them. Running volume, prolonged weight-bearing, body mass, and individual differences in foot and ankle function may all play a role. However, there is no single foot type or biomechanical characteristic that explains every case.

🔎 Here are three foot-focused drills that may help manage symptoms and rebuild your tolerance to loading.

1️⃣ Soft Tissue Mobilization: Using a ball, as demonstrated in the first video, may temporarily reduce pain or sensitivity in the bottom of the foot. Roll gently back and forth for 30–60 seconds. This is an optional symptom-management strategy, not a requirement for recovery.

2️⃣ Plantar Fascia and Calf Stretching: Extending the toes while gently stretching the ankle and calf places tension on the plantar fascia and surrounding tissues. Hold for 20–30 seconds and repeat as tolerated. You can also perform a plantar fascia-specific stretch by pulling the toes back toward the shin while supporting the heel.

3️⃣ Progressive Plantar Fascia Loading: This is an important part of rebuilding the foot’s capacity to tolerate everyday activities and higher-demand tasks like running. Placing a towel beneath the toes during a calf raise increases tension on the plantar fascia as you lift your heel.

Start with a manageable resistance and perform 3 sets of 8–12 slow repetitions every other day, adjusting the load to your current capacity. Gradually increase the resistance as your tolerance improves. Some discomfort may be acceptable, but if pain increases substantially or your first-step pain is worse the following morning, reduce the load or range of motion.

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