The people most likely to get plantar fasciitis are those who:
* are on their feet a lot (athletes, soldiers, store clerks)
* have high arches
* have excessive pronation (the feet roll inward when you walk)
* stand or run on hard surfaces for long periods of time (triathletes, chefs, store clerks)
* are overweight
* wear shoes that do not fit well or are worn out
* have tight Achilles tendons or calf muscles (the most common cause)
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Plantar fasciitis is not caused by heel spurs. A heel spur is a small bone growth on the calcaneus (heel).
Only one out of every 10 people will ever have a heel spur, and only one out of 20 of those people will feel heel pain because of it.
Plantar fasciitis has many causes, but the most common–tightness in the calf muscles–can be treated by neuromuscular massage.
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Excess tension in muscles causing pain.
Restricted blood flow which delays healing.
Restricted range of motion in the joints limiting activity.
Compression of structures upon nerves causing sharp pain.
Postural distortion caused by overuse of muscles on one side, and underuse on the other.
Referred pain where trigger points of high electrical activity sends pain to other areas of the body.
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People with plantar fasciitis often complain about pain in the heel that is most painful with the first few steps in the morning. The pain then subsides with movement. Massage can treat the musculature that places stress on the plantar fascia—the thick connective tissue that runs along the bottom of the foot from the heel to the toes.
Massage can also treat soft tissue injuries that mimic plantar fasciitis. Pain in the foot that results from a long day of walking but never occurs in the morning is more likely to be pain referred from trigger points in the calf muscle that is felt in the foot. Either way, neuromuscular massage can help relieve the symptoms.
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