{"id":7216,"date":"2023-07-09T09:43:48","date_gmt":"2023-07-09T13:43:48","guid":{"rendered":"https:\/\/funcphysio.com\/?p=7216"},"modified":"2023-07-14T08:59:25","modified_gmt":"2023-07-14T12:59:25","slug":"plantar-fasciitis","status":"publish","type":"post","link":"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/","title":{"rendered":"Plantar fasciitis"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Do you have any heel or sole pain at the first step after waking up or after walking for a long distance? If so, you might have plantar fasciitis. Plantar fasciitis is an inflammatory response within the plantar fascia. It is one of the most common causes of the heel pain. A wide range of population from high level athletes to sedentary workers suffer from heel pain caused by plantar fasciitis. In this blog, I would like to introduce the recent evidence and the general treatment plans for the plantar fasciitis.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"186\" height=\"380\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image.png\" alt=\"\" class=\"wp-image-7218\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image.png 186w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-147x300.png 147w\" sizes=\"(max-width: 186px) 100vw, 186px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\" id=\"h-what-is-plantar-fascia\">What is plantar fascia?<\/h1>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Plantar fascia is a thick and strong fascial structure found in the superficial surface of the sole under the skin. This structure is not a tendon nor muscle, but it plays an important role in walking\/running for a shock absorption and a force production with its own stretching and shortening capacity. It covers a whole foot from the heel to the base of the toes, then it emerges into the tendons of the toes. Plantar fascia gets taut when you bring your toes up, and it gets slack when you point your toes down. During walking, tension of the plantar fascia helps to enhance the whole foot stability while putting our weight on our feet.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"606\" height=\"598\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-11.png\" alt=\"\" class=\"wp-image-7242\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-11.png 606w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-11-300x296.png 300w\" sizes=\"(max-width: 606px) 100vw, 606px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"358\" height=\"330\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-3.png\" alt=\"\" class=\"wp-image-7224\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-3.png 358w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-3-300x277.png 300w\" sizes=\"(max-width: 358px) 100vw, 358px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-4.png\" alt=\"\" class=\"wp-image-7226\" width=\"155\" height=\"310\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-4.png 182w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-4-150x300.png 150w\" sizes=\"(max-width: 155px) 100vw, 155px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p>Plantar fascia has no function to change its length by itself. In other word, other muscles and joint motions are necessary to change tension of the plantar fascia. Deeper to the plantar fascia, a lot of muscles within the foot attach to it.&nbsp;A part of the Achilles tendon also reaches to the plantar fascia through the sheath superficial to the heel bone (interesting!!). These structural connections are the hints of the treatment options for plantar fasciitis (i.g., stretching calf muscles or foot muscle strengthening).<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>*The left picture shows how the Achilles tendon is connected to the plantar fascia through the sheath superficial to the heel bone. The right picture shows foot intrinsic muscles located underneath the plantar fascia.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Plantar fasciitis (\u8db3\u5e95\u7b4b\u819c\u708e\uff09\" width=\"750\" height=\"422\" src=\"https:\/\/www.youtube.com\/embed\/O7OqNZ22Q3w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\" id=\"h-symptoms-of-plantar-fasciitis\">Symptoms of plantar fasciitis<\/h1>\n\n\n\n<p>As I mentioned above, plantar fasciitis is an inflammatory condition of the plantar fascia. When mechanical stress is applied to it, such as stretching, irritable plantar fascia feels pain. People with plantar fasciitis typically experience sharp pain in heel or sole with initial steps after a period of inactivity such as sitting or sleeping. Pain at the first step when getting off the bed is one of the most common symptoms because we naturally put our feet in shortened position for the plantar fascia (pointing toes down in the bed). Then, the initial steps which stretch plantar fascia in the morning cause sharp pain. People also feel pain when they walk for a long period of time due to repetitive pressure on the plantar fascia. The pain often lasts for more than 3 months, but 80% of people relieve symptoms within a year.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-bottom is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"898\" height=\"624\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-7.png\" alt=\"\" class=\"wp-image-7232\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-7.png 898w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-7-300x208.png 300w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-7-768x534.png 768w\" sizes=\"(max-width: 898px) 100vw, 898px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"744\" height=\"586\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-8.png\" alt=\"\" class=\"wp-image-7234\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-8.png 744w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-8-300x236.png 300w\" sizes=\"(max-width: 744px) 100vw, 744px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>While you sleep, toes are pointing down, meaning the plantar fascia is in the shortened position.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>Night splint helps to keep the plantar fascia stretched while you sleep, so you would not feel sharp pain in the morning.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>&nbsp;<\/p>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\" id=\"h-risk-factors-of-plantar-fasciitis\">Risk factors of plantar fasciitis<\/h1>\n\n\n\n<p>Evidence indicates several factors that increase a risk of plantar fasciitis. Recent increase in activity level, tight ankle, high BMI, and either high or low medial longitudinal arch are the risk factors according to the research of plantar fasciitis. Approaching these factors can be effective to prevent from having heel pain or reducing pain caused by plantar fasciitis.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-recent-increase-in-activity-level\">Recent increase in activity level<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>If you increase your activity level within a short period of time, your body will not adapt the change in activity level, then you will have pain in your body (not necessarily in your heel). You may have symptoms in your knees, low back, or feet. If you want to start regular exercise, I recommend gradual increase in training intensity.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-text-align-left\">Example of exercise program:<\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<p class=\"has-text-align-center\">Week 1: jogging 6mph for 20 mins 3\/week<\/p>\n\n\n\n<p class=\"has-text-align-center\">Week 2: jogging 6mph for 25 mins 4\/week<\/p>\n\n\n\n<p class=\"has-text-align-center\">Week 3: jogging 7mph for 20 mins 4\/week<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-tight-ankle\">Tight ankle<\/h2>\n\n\n\n<p>The most common reason to have a tight ankle is  a presence of tight calf muscles. Physical therapists often prescribe patients with calf stretching for plantar fasciitis symptoms because tight calf muscles pull the plantar fascia into the shortened position. Removing calf tightness would help to reduce the stress on the plantar fascia.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-high-bmi\">High BMI<\/h2>\n\n\n\n<p>As you can imagine, heavy weight causes more stress on our entire body. One of the roles of plantar fascia is to support our weight in standing position. As you gain more weight, you would put more stress on the plantar fascia. Losing weight is  one of the options to prevent from plantar fasciitis.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-medial-longitudinal-arch\">Medial longitudinal arch<\/h2>\n\n\n\n<p>Medial longitudinal arch is composed of bones and muscles on the inside of our foot. Dropped or raised medial longitudinal arch is caused by countless numbers of reasons; weak foot muscles, tight ankle, poor hip and trunk control in standing, tight hip joint, thoracic scoliosis, or even neck tightness. It is hard to tell what exactly causes the change in your medial arch height, so you need to see a physical therapist to find out what causes it. If you have heel pain and you think you have flat feet or high arch, I recommend to go to see a physical therapist.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\" id=\"h-treatment-for-plantar-fasciitis\">Treatment for plantar fasciitis<\/h1>\n\n\n\n<p>In addition to treating the risk factors that I mentioned in the previous section, physical therapists often provide treatments which directly help to reduce symptoms. Treatment guideline for plantar fasciitis suggests doing, manual therapy, stretching, taping\/orthosis\/night splints, activity modification, and some modalities. The guideline suggests that plantar fasciitis patients should receive multiple types of interventions to improve symptoms.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-manual-therapy\">Manual Therapy<\/h2>\n\n\n\n<p>Manual therapy performed by physical therapists on foot and calf muscles may decrease the symptoms. Go visit PT!<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"268\" height=\"268\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-9-edited.png\" alt=\"\" class=\"wp-image-7240\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-9-edited.png 268w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-9-edited-150x150.png 150w\" sizes=\"(max-width: 268px) 100vw, 268px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"336\" height=\"326\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-10.png\" alt=\"\" class=\"wp-image-7238\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-10.png 336w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-10-300x291.png 300w\" sizes=\"(max-width: 336px) 100vw, 336px\" \/><\/figure>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-stretching\">Stretching<\/h2>\n\n\n\n<p>Calf stretching is effective to plantar fasciitis. However, one research showed that stretching specifically focusing on plantar fascia (stretching toes) is more effective than calf stretching. If you have plantar fasciitis, you should try stretching both calf and toes.<br><\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-taping\">Taping:<\/h2>\n\n\n\n<p>Taping to support medial arch may help to reduce the heel pain. Calf muscle support tape is also effective.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-15-1024x922.png\" alt=\"\" class=\"wp-image-7254\" width=\"255\" height=\"229\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-15-1024x922.png 1024w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-15-300x270.png 300w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-15-768x691.png 768w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-15.png 1200w\" sizes=\"(max-width: 255px) 100vw, 255px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/07\/7E832C8C-B3BE-4885-B42F-F526CAB44050.jpeg\" alt=\"\" class=\"wp-image-7315\" width=\"283\" height=\"377\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/07\/7E832C8C-B3BE-4885-B42F-F526CAB44050.jpeg 756w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/07\/7E832C8C-B3BE-4885-B42F-F526CAB44050-225x300.jpeg 225w\" sizes=\"(max-width: 283px) 100vw, 283px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-foot-orthosis-night-splints\">Foot orthosis\/night splints<\/h2>\n\n\n\n<p>Foot orthosis and night splints put the plantar fascia in stretched position. This lengthens the plantar fascia, and you may feel less pain. If you have symptoms with prolonged activity, you may benefit from daytime orthosis. If you have symptoms with initial steps in the morning, you may benefit from night splints.<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><br><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"h-modalities\">Modalities<\/h2>\n\n\n\n<p>Effects of Extracorporeal Shock Wave Therapy (ESWT) and corticosteroid shot are controversial. That means, they sometimes work well, and sometimes do not. Research showed that standard treatment (the treatments mentioned above) was better than ESWT for plantar fasciitis. It says physical therapists may use ESWT when other interventions are not effective. Corticosteroid shot has some side effects, such as heel fat pat (shock absorber) atrophy, plantar fascia rupture, change in skin integrity, and nerve and muscle damage. You will need to discuss the benefits and drawbacks of these modalities with your doctor or a therapist.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"679\" height=\"354\" src=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-16.png\" alt=\"\" class=\"wp-image-7256\" srcset=\"https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-16.png 679w, https:\/\/funcphysio.com\/wp-content\/uploads\/2023\/06\/image-16-300x156.png 300w\" sizes=\"(max-width: 679px) 100vw, 679px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-right\" id=\"h-mls-laser-therapy\">MLS\u00ae Laser Therapy<\/h2>\n\n\n\n<figure class=\"wp-block-embed alignleft is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Class IV Laser therapy: MLS laser at Ankle\/Achilles Tendon\" width=\"750\" height=\"422\" src=\"https:\/\/www.youtube.com\/embed\/ZfrUYEfq0N8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>The innovative and patented&nbsp;<strong><em>Multiwave<\/em>&nbsp;<em>Locked System<\/em>&nbsp;(MLS)<\/strong>&nbsp;Therapy Laser was<br>developed in an effort to produce an efficient and simultaneous effect on pain,&nbsp;inflammation, and edema, exceeding the limits of traditional LLLT (low power) and concerns of HP (high power) laser therapy.<\/p>\n\n\n\n<p>An energetic synergy is created when delivering these wavelengths that produces greater anti-inflammatory and analgesic effects than either can produce on its own, while minimizing the risk of thermal damage.<\/p>\n\n\n\n<p>It is this unique combination and synchronization of continuous and pulsed emissions that characterizes MLS and distinguishes it from other Class IV lasers.<\/p>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\" id=\"h-conclusion\">Conclusion<\/h1>\n\n\n\n<p>I introduced the basic information and treatment plans for plantar fasciitis. As I explained, combination of manual therapy and exercise therapy is the most effective to remove pain. Also, if you have heel pain, I recommend you go to see a doctor or a physical therapist. You may have different diagnosis such as tarsal tunnel syndrome, Achilles tendinitis, or neural symptoms caused by spinal stenosis. Physical therapists may give you different treatment plans from what I mentioned here because each person has different physical problems, such as poor posture, weak core muscles, tight hamstrings, or all of them. Please do not hesitate to see a physical therapist so you can find your own problems.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-reference\">Reference<\/h2>\n\n\n\n<ol class=\"wp-block-list\" type=\"1\">\n<li>Stecco, Carla., Corradin, Marco., Macchi, Veronica., et al. Plantar fascia anatomy and its relationship with Achilles tendon and paratenon. J Anat. 2013;223(6):885-76.<\/li>\n\n\n\n<li>Martin, RL., Davenport, TE., Reischi, SF., et al. Heep pain \u2013 plantar fasciitis: revision 2014. J Orthop Sports Phys Ther. 2014;44(11)A1-33.<\/li>\n\n\n\n<li>Netter, FH. Atlas of Human Anatomy. 6<sup>th<\/sup> edition. 2014<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Do you have any heel or sole pain at the first ste [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7220,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[128,143,55],"tags":[148,146,142,144,147,145,149],"class_list":["post-7216","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-front-page-2","category-hiroya-kosaki","category-tips","tag-funcphysio","tag-heel-pain","tag-hiroya-kosaki","tag-laser","tag-manhattan","tag-planter-fascitis","tag-running"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.7 (Yoast SEO v26.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Plantar fasciitis - FuncPhysio Physical Therapy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/\" \/>\n<meta property=\"og:locale\" content=\"zh_TW\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Plantar fasciitis\" \/>\n<meta property=\"og:description\" content=\"Do you have any heel or sole pain at the first ste [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/\" \/>\n<meta property=\"og:site_name\" content=\"FuncPhysio Physical Therapy\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/funcphysio\" \/>\n<meta property=\"article:published_time\" content=\"2023-07-09T13:43:48+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-07-14T12:59:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"402\" \/>\n\t<meta property=\"og:image:height\" content=\"396\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Hiroya Kosaki\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u4f5c\u8005:\" \/>\n\t<meta name=\"twitter:data1\" content=\"Hiroya Kosaki\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u9810\u4f30\u95b1\u8b80\u6642\u9593\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 \u5206\u9418\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/\"},\"author\":{\"name\":\"Hiroya Kosaki\",\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/#\/schema\/person\/672502da2cf8016a1bd44c8454645fbf\"},\"headline\":\"Plantar fasciitis\",\"datePublished\":\"2023-07-09T13:43:48+00:00\",\"dateModified\":\"2023-07-14T12:59:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/\"},\"wordCount\":1461,\"publisher\":{\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/#organization\"},\"image\":{\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/funcphysio.com\/wp-content\/uploads\/\/2023\/06\/image-1.png\",\"keywords\":[\"FuncPhysio\",\"heel pain\",\"Hiroya Kosaki\",\"Laser\",\"Manhattan\",\"Planter Fascitis\",\"Running\"],\"articleSection\":[\"Front page\",\"Hiroya Kosaki\",\"Tips\"],\"inLanguage\":\"zh-TW\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/\",\"url\":\"https:\/\/funcphysio.com\/zh-hant\/2023\/07\/09\/plantar-fasciitis\/\",\"name\":\"Plantar fasciitis - 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