Jo Anne has asked the Guru if her GP is correct sending her for an injection for plantar fasciitis…

Jul 28th, 2014

After 5 years remission plantar fasciitis has returned. Eventually gave in to walking pain and saw GP on Friday who suggested I skip all other treatments and go straight for the steroid injection. I would prefer to leave the injection as the last resort and wondered if SP could help with exercises/massages/strapping etc?

Jul 28th, 2014

The Guru Responded:

Hi Jo Anne

You’re GP is a Neanderthal! The world has moved on from a gangsta spray and pray approach!

Your instincts are right – jabbing it, should only be last resort when all other non invasive therapies have been used and failed.

PF does have a bit of a bad rap when it comes to getting better with Physio input, as most people want symptom relief rather than actually, truly getting better – and for this you need to understand why you’ve got it (again) in the the first place.

Common culprits are poor shoes trying to marry with the wrong foot posture (or vica versa), really tight calfs (but don’t stretch them, get them released – stretching will just increase the load on your PF) and loosing control of how much your foot rolls in or pronates.

Pronation is normal, but it’s the lack of control which is the issue. Shoes, temporary orthotics an controlling the rolling in will all help to getting you better.

Tape is good as are those funny socks that you wear at night (!) but they only make you feel better, they don’t get you better.

I’m sure we can really help – don’t expect over night miracles but give it a few weeks…..

The Guru
Six Physio


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