Ankle/Foot Pain

Ankle/Foot Injuries & Rehabilitation

Ankle/Foot Physical Therapy at SSOR

Whether you have a chronic condition like Achilles tendinitis, a fracture, an ankle sprain, or are recovering from surgery, the physical therapists at SSOR know what the most effective interventions are to address your ankle/foot pain. After a thorough evaluation on your first physical therapy visit, we’ll establish a plan that most suits your needs, both physically and financially. Our approach to physical therapy for ankle/foot pain involves a healthy mix of hands-on manual therapy and soft tissue mobilization, stretching, strengthening, and education. We’ll also address other areas that may contribute to the maximization of your outcome.

Interestingly, ankle/foot limitations can cause issues in other areas of the body; for example, ankle motion restrictions may be a reason for knee pain. Our physical therapists are astute at biomechanical assessment and can devise a plan for you. Even if you had physical therapy before with limited or no success or continue to have symptoms, we’re confident our approach will restore your faith in physical therapy. You don’t have to accept an “acceptable” outcome for your ankle/foot pain – let our expertise help you get back on your feet again.

It would be a privilege to partner with you in the care of your ankle/foot pain.  Give us a call!

Plantar Fasciitis

Arguably, there is no more frustrating condition for patients or for physical therapists than plantar fasciitis. It shows up randomly at times for no reason in particular. It can make the first few steps in the morning excruciating and then nag throughout the day. Plantar fasciitis can be unremitting and can affect your quality of life.

I’ve tried everything– orthotics, stretching, taping, chiropractics, physical therapy, etc. What works?

The physical therapists at SSOR are committed to using evidence-based practice which is a combination of clinical expertise, what the research says, and what our patients value the most. The Orthopedic Section of the American Physical Therapy Association (APTA) recently released a Clinical Practice Guideline on heel pain from plantar fasciitis. Their findings showed strong evidence to support the following interventions:

  1. Joint and soft tissue mobilization of the calves and foot

    massage stick for plantar fasciitis

    Soft tissue mobilization of the calf using a massage stick

  2. Stretching of the gastrocnemius and soleus (“calf” muscles) for at least 4 weeks
    Gastrocnemius stretch

    Stretch of the Gastrocnemius calf muscle

    plantar fascia stretch

    Self plantar fascia stretch

  3. Taping for overpronation for up to 3 weeks. Elastic therapeutic tape might be used for up to a week for short-term pain relief on the calves and plantar fascia
  4. Orthotics, either over-the-counter or custom, for 2 weeks up to a year, especially in those that respond to taping
  5. Night splints should be used for 1-3 months

What doesn’t seem to work are physical agents like ultrasound, laser, or phonophoresis. There is conflicting evidence for the use of iontophoresis, and no recommendation can be made to use dry needling.

The physical therapists at SSOR would add gluteal strengthening to this list, even though it hasn’t been studied. We understand biomechanics of movement very well and plantar fasciitis is often a condition from failed shock absorption; therefore, we work the gluteals for plantar fasciitis because they are the muscles that reduce impact forces on the heel to avoid the plantar fascia dissipating that force.

Some of these interventions may not have worked for you, while some may have a little. Regardless, you should try all of these methods before accepting your outcome. We hope you’ll give us the opportunity to help you achieve your goals.