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Effective Treatment for Plantar Fasciitis Pain


(gentle music) – Hi everybody, it’s Dr. Blake from Doctors Adolph and
Kalkstein Chiropractic. We’re gonna take a break
from our regularly scheduled program with Dr. Jeff
and the neck stretches after a plane ride because
Ashley came to me this morning and said, we’ve been doing a
lot of sprints and workouts, running, and she’s starting
to get a little heel pain. So one of the effective ways
that we use in our office to take care of plantar
fascia pain or heel spur pain is we’re gonna dry needle
here, we’re gonna dry needle her Achilles, Ashley,
have you had your Achilles and your foot dry needled before? – [Ashley] Nope. – So it might be, you’ll get a true
representation of what someone who’s never had needle work
done before will feel here. I’ve needled her hamstrings before, but never her foot. (cell phone ringing) Are you nervous? – [Ashley] It’s gonna hurt. (both laugh) – So we put a little alcohol down. (Ashley moans) How’d that feel, Ashley? – [Ashley] Not too bad. – [Dr. Blake] Wasn’t terrible? – [Ashley] No, not yet. (laughs) – [Dr. Blake] Not yet? Were you expecting it to be worse? – [Ashley] A little bit. It’s gonna get worse. – [Dr. Blake] Yeah. (Ashley laughs) So. Typically, when we deal with
heel pain, plantar fascia pain, heel spur pain, and I’m not
saying she has a heel spur or not, I haven’t seen any
x-rays, but we’ve examined her foot and we know
what we’re gonna treat. And the plantar fascia attaches
to this part of this heel. And we’re gonna drop needles
right along that line, and then we’re gonna work
a little bit into this, the big toe muscle, there’s
two big toe muscles, one that runs down like
this and hooks into the plantar fascia, and
that’s a really effective way to get down there and treat that, so. (Ashley cries out) You can use your words, Ashley, it’s okay. (Ashley laughs) – [Ashley] It’s okay. – So of all the places that we needle, that can be uncomfortable,
this is number one. – [Ashley] What? – I said, this is number one. – [Ashley] Yeah. (camera person laughs) – All right, so we’ve dropped
that line, like we said, and we’re just gonna
come a little bit higher, right into this plantar, where that — (Ashley cries out) (camera person laughs) That insertion point is
perfect, right there. Now I want to show you guys next is, in addition to the work on that area, we’re gonna just come in and
get the Achilles as well here. And so we’ll drop some needles
right into the Achilles, and we’ll come on either
side, there’s a fat pad that’s on either side of the Achilles that we’ll drop some needles into as well. The treatment protocol
for this in our office is gonna be 15 minutes. That wasn’t so bad, was it Ashley? – [Ashley] No. – [Dr. Blake] Yeah, nothing
like the foot, right? – [Ashley] Nope. – So we’re gonna needle
her for 15 minutes, and then afterwards, we’re gonna put some ultrasound
right over that heel there, right where we needled, right here. And then we’re gonna adjust her foot and we’ll show you guys all that stuff. So two more here, and
then we’ll be right back with some ultrasound
and a foot adjustment. It was really awesome listening
to you guys talk about your favorite foods in the last video. So in this video, if you
guys made it this far, what I want you guys to comment on is one place you wanna go
that’s on your bucket list, anywhere in the world,
I’d love to hear about it. So we’ll see you guys soon, bye. So we got Joe here, our intern, hi Joe. – How are ya? – And he is working on some ultrasound over that heel, so we use
the deep heat modality to help stimulate, really from the needles. We usually use ultrasound or a heating pad after we put needles on it. We also encourage patients
to take a hot shower or a hot bath after they’ve been needled. And so this treatment’s gonna
last five to six minutes, but we just wanted to
give you a quick show of what’s going on, and
then we’re gonna show you a foot adjustment, an ankle adjustment, and some soft tissue work on
the plantar fascia afterwards. Back, we’re gonna show you
some active release technique for the plantar fascia,
and we’re gonna show you how we adjust the midfoot here. So there’s two techniques that
I like to do, well, three. We’re gonna work in the superficial layer
of the plantar fascia, we’re gonna work the deep
layer of the plantar fascia, and we’re gonna work the
big toe muscles here. So (static) the muscle down. And then stretch the tissue over my pin. So if you guys are going this at home, don’t use your thumb, ’cause you can hurt yourselves,
especially if you haven’t done this a lot before, you haven’t
been trained in it. But what you can do is you
can replicate this with a lacrosse ball or a
tennis ball or a golf ball while you’re treating plantar fascia, so put that hard object right here, and then stretch this over that. It’s not so bad, right Ashley? So I’m starting everything in flexion, plantar flexion, toe flexion, and then you’re gonna pin
that down with that ball or whatever you’re doing. And then take everything into extension, dorsiflexion, toe extension. Notice how we’re getting
to the superficial plantar fascia group. (banging in background) What was that? – [Ashley] You gotta go see. (doctor laughs) – And so now I’m applying
a little bit more pressure as I work through the layers. Next, we’re gonna go after that big toe. Same thing, I put
everything in flexion here, so when you’re doing this at
home, curl your big toe down, and then lift it up. Take everything into extension. And you can take it to extension,
and I guess it would be adduction, yeah. So we’d start it in flexion and adduction, and then lift your toe up and go that way. And so the reason we’re
doing that is ’cause the plantar fascia comes down like this, but that big toe muscle comes right down and attaches right into
that same site there. So the next thing we’re gonna do is we’re gonna go to that deep layer. So you’re gonna start with
your ankle back, Ashley. So we’re gonna do ankle dorsiflexion and then toes into flexion. We’re gonna start there. And now, what this does is it
puts this top band in here, and now I can apply pressure. Now when she drops her ankle
down into plantar flexion, it really opens up the gap. And now lift your toes up, Ashley. (Ashley cries out and laughs) – [Ashley] Ow! – Yeah, so when you get down
to that true deep layer, it can be rather uncomfortable, but it’s really, really effective. So ankle back. So dorsiflexion. And just keep that there,
and then do toe flexion. And then pressure, and then I wanna go plantar flexion, and then toe extension. Lift, lift, lift, lift, lift, lift. (Ashley cries out) Good, yeah. So she’s really trying to,
when she does toe extension, she’s really trying to
fight her ankle back. And while I’m taking
contact here, I’m kind of pinning her ankle down, so it allows that superficial layer to go in slack. And then I can get deep
into it and get into that. So ankle back, toes down,
we’ll do one more here. Go ahead, ankle down. So plantar flexion, now keep that there and lift your toes up. (Ashley moans, then laughs) Good. So you’re starting to sweat
on me a little bit, Ashley. (Ashley laughs) And now we’re gonna
just adjust her midfoot. I’m not gonna tell you how to do this. Relax this. Relax your ankle. – [Ashley] I’m trying. – Adjust your calcaneus. (popping, Ashley laughs) There you go. Okay, did you hear that one? – [Camera Person] Mm-hmm. – Yeah, all right so
there’s a full treatment for plantar fascia. Active release, dry needle, ultrasound, and manual therapy. So if you guys have any
questions about plantar fascia, leave a comment in the video below, make sure you hit that like button, make sure you turn on the
bell so you get notifications when we launch new videos. And please, thank you guys so
much for watching these videos with your ad blockers
off, 10% of the revenue we generate from this ad goes to charity, so thank you guys so much for that. See you guys in our next video. (energetic music)

72 thoughts on “Effective Treatment for Plantar Fasciitis Pain

  1. Wow, literally the problem I'm having right now, but I'm also having related issues with my knees and pelvis.
    I'll try out these active release techniques- any other obvious things I should be doing at home to feel better?

    (Also, Greece! I need to try some of that authentic Greek food)

  2. I believe i have a pinched nerve in the center of my back. Is there an self remdies that I can do to help the progress if the pain to dim down.

  3. Want to go to France with my dad and find my uncle Charlie’s headstone in the Aisne-Marne Cemetery. Charlie died at the battle of Belleau Wood during world war 1

  4. I’m curious to know how effective dry needling is? What was Ashley’s response a day or two from now about how it is versus how it was.

  5. Bucket list location / s. New Zealand for the beauty, South Africa to dive with Grest White sharks and Rocky Mountains to follow a trip my Grandparents took in 1972 just before I was born. I’m in Buxton, Derbyshire in the UK btw.
    Loving the videos 😄 love and light to all of you there ❤️

  6. I have dreamed of Ireland since O was 12. I dye my hair red and i have Irish names picked out for my children when i have them. Just so it's known…im almost 32

  7. I don't know if I'm having this problem or not but my heel pains alot.
    I was at my dance class and I was practicing flare(a b-boying stunt) and I hit my heel on the ground. And from that point I'm having pain when i walk. It doesn't pain when I rotate my foot but it pains when I walk. What should I do? Can I cure it without going to doctor?

  8. This looks effective, however, I would have probably PASSED OUT due to the actual pain that I have. For now, I will imagine me getting this treatment. Great job explaining everything.

  9. The technique u are doing to insert the needles looks just like acupuncture. Do you use that type of needle? It's it as fine as the acupuncture needles? U can barely feel those needles. Her response seemed similar to the pain of acupuncture.

  10. That was very cool, I greatly enjoyed the anatomical explanation for the needling.
    I've always wanted to see Sapporo, Hokkaido in the winter time. I spend a lot of time in Okazaki and Tokyo, but I want to see the snow there :).

  11. My plantar fasciitis is so painful along with my bone spur in both my heals, this is new to me and I would love to try this treatment. I have always dreamed of going to Australia.

  12. Had so called shingles on bottom of foot and painful foot after both legs cramped up with Charlie Horses at same time. Rt foot was okay left foot pain from calf, ankle, and bottom of foot. Even sound made my foot painful.

  13. I don’t like needles. Don’t like idea of acupuncture.
    Firm believer in chiropractic treatment and massage.

  14. I had Plantar Fasciitis for two years due to injury. Could barely walk. Needed a walking stick to get around. Nothing helped until I tried heat (a bucket of warm water 3 times daily) and mild exercise. PF was gone within weeks.

  15. The bottom of both of my feet have plantar fasciitis and my pain its chronic. My Podiatrist has recommended dry needle treatment, how often a week should be sufficient? How many minutes at a time? Is the shock wave therapy be part of the treatment for better results and in case the PT Clinic don’t carry the shock wave, what would be the alternative? Thx
    The video looks as if there is no pain but the pain is awful. My feet are very sensitive n as you grab her feet I would be screaming. I guess I have no elasticity n I wish I can find the correct treatment for my feet.

  16. I need this done, do you know a good practice in northern California? Also does it change things if you do have a heel spur? I had two cortisone injections this year first one worked on the inner foot and then pain came back but more on the outer this time, 2nd cortisone injection is not helping. I do the stretches, ice, and rolling and motrin and it is not getting better. I am not able to rest my foot all day. So not sure what else I can do, the nerve pain I am getting up my heel is killer though. New subscriber.

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