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Massage for plantar fasciitis - Does it actually work? Research update and demo

Updated: 3 hours ago

THE PLANTAR FASCIITIS SELF-TREATMENT SERIES:

 

Yes, it does. Recent research has found that patients with plantar fasciitis appeared to have superior recovery rates if their physiotherapy treatment included soft tissue release (massage) – not only of the plantar fascia, but also of other tight muscles in the legs.


The good news is that the current research further suggests that self-massage techniques are just as effective as massage done by a therapist. So, no need to break the bank! Here’s how you can do it in the comfort of your own home.


Learn how to massage yourself to treat your own plantar fasciitis. You should focus on more than just the plantar fascia.

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This article will show you:

  1. Which muscles to massage as treatment for plantar fasciitis

  2. How to massage the plantar fascia itself

It’s important to understand that massage alone will not cure your heel pain. It is only one part of the treatment plan. You can find more information about what treatments have been shown to be effective for plantar fasciitis here.


Or if you're looking for a rehab plan, check out the Plantar Fasciitis rehab plan in the Exakt Health app. I've helped to design the app to guide you through the rehab process from the moment your foot becomes painful all the way back to your sport. You can get one month free access when you use the Discount Code: MARYKE


Click to download the Exakt Health App

Massage for plantar fasciitis: Which muscles should be included?


All the muscles that run down the back of your legs are connected via thick layers of fascia and tendons. They are in turn connected to the plantar fascia via the Achilles tendon. Tight muscles further up the body can thus potentially cause more strain on the plantar fascia. You should therefore not only massage the plantar fascia but also the other muscles in the back of your legs.


Because these muscles are connected, they can influence the plantar fascia.
Because these muscles are connected, they can influence the plantar fascia.

As mentioned before, treatment for plantar fasciitis should include more than just massage, and you may find better results if you combine the massage with plantar fasciitis stretches.


Jump to:


Massaging the glutes (your buttock muscles)


Tightness in your gluteal muscles not only contribute to plantar fasciitis due to increasing the tension in the fascia, but also by holding on to your sciatic nerve. The sciatic nerve runs through these muscles, and when it’s not allowed to slide freely it can contribute to pain in the plantar fascia.



What you need

I prefer to use a massage ball because it gives you better point pressure, but you can also use a foam roller.


Method

Slowly roll over the gluteals while you sit sideways on the ball or roller. You can also just maintain the pressure on painful spots for 30 seconds before moving on. Do this once a day for two minutes.

It is important to massage and loosen off the glute muscles when you have plantar fasciitis as they can hold on to your sciatic nerve which can then cause plantar fasciitis symptoms.

Dosage

You can do this once a day for one to two minutes, but two or three times a week is usually enough.


Massaging the hamstrings


Your hamstrings attach onto your calf muscles, which in turn are attached to the plantar fascia via the Achilles tendon. That’s why you should include massage for your hamstrings when you struggle with plantar fasciitis.



What you need

I use a foam roller, but some of my patients prefer a firm ball such as a lacrosse or hockey ball.



Method

Place the foam roller under your thighs and slowly roll backwards and forwards. Make sure that you cover the whole length of the hamstrings from its origin in the buttock to its attachment at the knee. You can target different parts of the hamstring by rolling your body slightly to the sides.

Your massage regime for plantar fasciitis should include the hamstring muscles.

Dosage

You can do this once a day for one to two minutes, but two or three times a week is usually enough.


Massaging the calves


As mentioned above, your calf muscles attach directly to the plantar fascia via the Achilles tendon. Any treatment plan for plantar fasciitis should therefore include massage of the calf muscles.



What you need

Use a foam roller or any firm massage ball.


Method

You can use your opposite leg to apply pressure and make the massage more effective. Slowly roll backwards and forwards using your arms to push you. Make sure you cover the full length of the calf muscles from the knee to the Achilles tendon.

Learn how to use a foam roller to massage your calves

Dosage

You can do this once a day for one to two minutes, but two or three times a week is usually enough.


Massaging the plantar fascia


A WORD OF CAUTION: It is not a good idea to massage the plantar fascia itself while it is in the acute phase (very painful phase) of plantar fasciitis, as you may make the pain worse. You should only massage it in the chronic phase, when the acute pain has settled down a bit.



What you need

You can buy several types of tools to massage the plantar fascia.



Method

Place the ball under your foot and gently roll it backwards and forwards while applying downward pressure. Do not press too hard – it should be firm pressure, but not painful. You can cause yourself more pain and injury if you bruise your foot.


You can use a golf ball or foot massager to massage the plantar fascia if you suffer from plantar fasciitis.

Dosage

I suggest that you do it once or twice a day for two minutes.


  1. When you wake up in the morning, before you take your first steps. This will not only help to decrease the pain in the mornings, but will also prevent the sudden overstretch that occurs when you suddenly put your weight on your foot after a night’s rest.

  2. At the end of the day when you’re done running around.


This article is the last in my series of four articles on how you can treat your plantar fasciitis yourself. Massage alone will not be enough to fix your plantar fascia pain. So, if you’ve landed on this article first, please consider going back and reading the others as well. This will help you to find the best overall approach to fixing your plantar fasciitis.


Learn more:

How we can help


Need more help with your injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan.

The Sports Injury Physio team

We're all UK Chartered Physiotherapists with Master’s Degrees related to Sports & Exercise Medicine. But at Sports Injury Physio we don't just value qualifications; all of us also have a wealth of experience working with athletes across a broad variety of sports, ranging from recreationally active people to professional athletes. You can meet the team here.

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About the Author

Maryke Louw is a chartered physiotherapist with more than 20 years' experience and a Master’s Degree in Sports Injury Management. Follow her on LinkedIn and ResearchGate.


References:

  1. Robroy L. Martin, T. E. D., Stephen F. Reischl, Thomas G. McPoil, James W. Matheson, Dane K. Wukich, Christine M. McDonough, Roy D. Altman, Paul Beattie, Mark Cornwall, Irene Davis, John DeWitt, James Elliott, James J. Irrgang, Sandra Kaplan, Stephen Paulseth, Leslie Torburn, James Zachazewski, Joseph J. Godges. (2014). Heel Pain—Plantar Fasciitis: Revision 2014. Journal of Orthopaedic & Sports Physical Therapy, 44(11), A1-A33.

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