This sort of support is rare among doctors, yet is a regular practice and exemplary manifestation of the one-on-one attention given at Therapydia. I feel supported at Therapydia by the entire staff, from the physical therapists to the service provided by the administrative support team. When you look forward to coming in for a physical therapy appointment you know you have found something special.
These guys are the best. There is a reason everyone gives them 5 stars. At first glance, it’s the personal attention really separates this practice from others. But then you find that not only does the team want to make sure you are getting their full attention, but they want to make sure you see results, too. I work with Jennifer, and she is terrific.
I came to Therapydia with a painful ankle with a referral from my doctor after a traffic accident. They knew exactly what to do, and after only a few sessions the pain was gone and I was able to fully resume my triathlon training!
What Is Plantar Fasciitis?
One of the most common sources of heel pain that we encounter in physical therapy is plantar fasciitis. The word itself implies inflammation of the plantar fascia, the thick connective tissue that supports the arch of the foot during weight bearing activities. In the PT clinic, we see both acute micro-tearing of the plantar fascia as well as chronic build up of scar tissue from repetitive injury. When the plantar fascia becomes irritated, inflamed, or weakened by injury, every step can be painful.
Physical therapy should be an integral part of the treatment plan for podiatrists, orthopedists, and family medicine doctors that encounter a patient with plantar fasciitis. Physicians often treat plantar fasciitis with orthotics, NSAIDs, and/or corticosteroid injections. These treatments can certainly be helpful for patients but do not directly treat the two biggest risk factors of plantar fasciitis, limited ankle dorsiflexion ROM and a high BMI. Early assessment and conservative intervention is key to avoiding a long term injury and more aggressive treatments like injections or surgery.
Signs & Symptoms
There are a number of risk factors that can lead to plantar fasciitis including limitations in dorsiflexion range of motion (ROM) in the ankle, improper shoe wear, and inordinately high or low arches. Studies have shown that limited dorsiflexion and high body-mass index (BMI) in particular are the two biggest risk factors in the development of plantar fasciitis.
- Pain with the first step in the morning
- Discomfort in the heel or arch with walking after prolonged sitting
- Sensation of a lump or rock in the shoe
Plantar fasciitis is a very common injury seen in runners, accounting for 8-10% of all running related injuries. PTs can help to quickly alleviate the primary symptoms in the foot as well as educate patients on any compensatory movement patterns that may lead to secondary complications like knee, hip, or back pain.
Patients often ignore these symptoms because it is not unusual for the pain to quickly go away after the first few steps in the morning or after the first minute or two of a run. However, these symptoms will worsen without getting proper treatment. PTs can help to quickly alleviate the primary symptoms in the foot as well as educate patients on any compensatory movement patterns that may lead to secondary complications like knee, hip, or back pain.
- Joint mobilization, manual therapy therapy, and myofascial release are common techniques to release or inhibit an active trigger point.
- Video run/gait analysis to hone in on specific movement changes to decrease chances of re-injury
- Dry needling to release knot-like trigger points
- Custom exercises in conjunction with heel and quad range of motion are also effective at reducing plantar fasciitis symptoms.
About Therapydia DC
Better Physical Therapy Experience
At Therapydia DC, our physical therapists offer one-on-one, hands-on plantar fasciitis treatment. You’ll spend your entire with one of our expert therapists – we won’t hand you off to a PT assistant or aide. We’ll help you understand what’s causing your pain, what you can do to relieve your pain and ways to prevent reoccurring injuries. Best of all, you’re covered. Therapydia works with and provides billing for most PPO insurance groups and Medicare. We also accept cash-based payments.
- Lifetime Wellness
- Quality Treatment
Tim Vidale, DPT
and Physical Therapist
Jennifer Nelson, DPT
Jane Kruszewksi, DPT
Joanne Divito, DPT