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HomeAnswersPhysiotherapyplantar fasciitisMy foot pain worsens with extended sitting. Please help.

Can you suggest physiotherapy treatment for plantar fasciitis and knee pain?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Shakti Mishra

Medically reviewed by

iCliniq medical review team

Published At September 21, 2017
Reviewed AtFebruary 13, 2024

Patient's Query

Hello doctor,

I am a 40-year-old man. I have foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve my condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding foot pain, I feel it early in the morning after walking or after sitting for a long period. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches, and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting.

Answered by Shakti Mishra

Hello,

Welcome to icliniq.com.

The protocol followed by you is good. You should follow that regularly for the next one month.

For the plantar fasciitis, I suggest the following:

1. Calf muscle stretching with wall support.

2. Dorsiflexion of the foot with pressure applied by your hand.

3. Hot water foot immersion and active rotation, with a sidewise movement of the foot. Water should be tolerable in temperature. Do it twice a day for at least 15 minutes in each session.

4. Try to stretch out the foot with the fanning out of the toe fingers widening it as much as possible. Widen and keep it in that position for 10 seconds and come to the normal position.

5. Stand on your toe fingers for a count of 20 and come back to normal. Do this 10 times. Then, stand on your heel, count to twenty, and release, ten times (twice daily).

For the knee pain, I suggest the following:

1. Static cycling is recommended. Lie down on the bed, lift your leg, and move circularly like you would while pedaling a cycle. Repeat 15 times.

2. Also, a moist pack is good to relieve pain.

3. Straightening of the leg with knee extension. You can do this by sitting on a high-rise table and keeping your legs in position for ten seconds and then bringing down the leg. Do it twice daily.

4. You can also do kegel exercises like squeezing the gluteus muscle, keep for a count of 10 seconds, and release. Do this thrice daily.

This will help ease your pain. Happy recovery.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Shakti Mishra
Shakti Mishra

Nutritionist

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