Therapeutic goals
Reduction of pain and inflammatory processes in the plantar fascia.
Improved flexibility of the plantar fascia and the posterior chain.
Strengthening of the intrinsic foot muscles and the ankle stabilisers.
Improved control of the foot arch.
Correction of biomechanical problems in the foot.
Prevention of recurrence and a gradual return to sporting activities.
Techniques used
Pain-relieving physical therapy as indicated. Massage therapy and myofascial release of the plantar arch and the plantar fascia. Release of the posterior compartment muscles (triceps surae).
Progressive stretching of the plantar fascia. Stretching of the triceps surae (gastrocnemius and soleus). Stretching of the posterior chain. Ankle mobility work in dorsiflexion.
Progressive strengthening of the intrinsic foot muscles, tibialis posterior, peroneals (fibularis muscles) and triceps surae.
Single-leg balance exercises. Work on wobble boards or balance cushions. Control of the foot arch during weight-bearing.
Gradual retraining for walking, then for sports activities. Work on control of foot contact and shock absorption by the foot.
Exercise programme
- Short foot exercise (activation of the foot arch)
- Picking up objects with the toes
- Scrunching a towel with the toes
- Calf raises on both legs, then on one leg
- Plantar fascia stretch (toe extension)
- Triceps surae stretches against a wall
- Self-massage of the foot arch with a ball
Protocol details
Injury related to this protocol
Ce protocole de rééducation est spécifiquement conçu pour la prise en charge de plantar fasciopathy.
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