At Home Check for Plantar Fasciitis: The Windlass Test

Updated On:

October

18

Joe Armeli | DPT

A picture of the anatomy of a foot at home depicting the use of the windlass test at home to test for plantar fasciitis.

Key Points: 

  • Understanding Plantar Fasciitis: Discover the potential root cause of heel pain by examining the elasticity of your plantar fascia.
  • Self-Assessment with the Windlass Test: Learn how to perform the Windlass Test at home to gauge the flexibility of your plantar fascia and identify signs of tightness.
  • Professional Consultation: Understand the importance of supplementing self-assessment with professional medical insight for a thorough evaluation and tailored treatment plan.
  • Addressing Plantar Fascia Tightness: Explore initial steps to take after identifying plantar fascia tightness, with gentle stretches.

Plantar fasciitis, a common source of heel pain, often sends individuals on a quest to discover its root cause. One aspect to explore is the elasticity of the plantar fascia, a band of tissue connecting the heel to the front of the foot. The Windlass Test is a self-assessment tool that provides insight into the flexibility of your plantar fascia.

While the Windlass Test grants initial understanding, it merely scratches the surface of the interplay between your foot's form and function. Hence, it's crucial to supplement this self-assessment with professional medical consultation to delve deeper into the narrative of your plantar fascia's condition. As you navigate through the Windlass Test instructions in the following sections, bear in mind that this journey, though initiated at home, reaches its full potential in the hands of medical experts proficient in body biomechanics.

What is the Windlass Test and How Can it Help Me Understand my Heel Pain?

The Windlass Test is a simple assessment to gauge the flexibility of your plantar fascia and identify if its tightness could be causing your heel pain. It's akin to a preliminary audition of your foot's flexibility. 

The anatomy of the plantar fascia. The plantar fascia is a band that runs along the bottom of your foot.

Here’s how it works:

Your plantar fascia starts at your heel, runs along the bottom of your foot, and attaches to the big toe. When your big toe is bent up towards your shin, it puts the plantar fascia on a stretch. This movement describes the Windlass test. If you have pain or a sensation of tightness with this movement, you have a tight plantar fascia. 

The Windlass Test gives a glimpse into the flexibility or rigidity of the plantar fascia, it doesn't tell the whole story of your foot's health. It's a stepping stone to understanding if a tight plantar fascia might be contributing to your heel pain.

Read More: Causes of Plantar Fasciitis 

How to Perform the Windlass Test at Home?

A picture showing the windlass test for plantar fasciitis in action.

Performing the Windlass Test at home is straightforward. Here are the steps:

  • Find Your Spot:
    • Sit down in a chair with your feet flat on the floor.
  • The Positioning:
    • Select one foot to start with and put this foot onto the other.
  • The Stretch:
    • Reach and grab your big toe. Gently lift the big toe of your chosen foot towards your shin.
  • Feel the Stretch:
    • Notice if you feel a stretch or tightness along the bottom of your foot or into your heel.
  • Switch Roles:
    • Repeat the process with your other foot.
  • Repeat:
    • Perform the test a few times to ensure consistency in what you feel.
  • Bonus: 
    • The Windlass test is a great way to track progress. Keep a diary every week about what you feel. You should notice your pain or tightness getting less. I like to encourage writing a score 0-10 after every test to help you track your progress. 

Step

Description

1. Preparation

Sit in a chair with feet flat on the floor.

2. Performing the Test

Reach and grab your big toe. Gently lift the big toe of your chosen foot towards your shin.

3. Switch Feet

Repeat step 2 with the other foot.

4. Repeat

Perform the test a few times to ensure consistency.

What Signs Should I Look for During the Windlass Test?

During the Windlass Test, pay attention to the following signs of a tight plantar fascia:

  • The Stretch Sensation:
    • Feel the stretch along the bottom of your foot as you lift your big toe.
  • Pain Points:
    • Note any discomfort or pain, particularly around the heel or arch.
  • Comparing Sides:
    • Compare the feeling between both feet; significant differences could hint at an issue.
  • Repetition Reveal:
    • Consistent tightness or pain across multiple test repetitions. You may even notice tightness changes after different activities or times of the day.

These signs are indicators of a tight plantar fascia, but accurate interpretation and diagnosis require a professional examination. After conducting the Windlass Test, consulting with a foot doctor is a prudent step for a thorough understanding and guidance.

What are the Limitations of the Windlass Test?

The Windlass Test has its limitations, and here are some key points to consider:

  • Surface-level Insight:
    • It provides a glimpse into the flexibility of your plantar fascia but may miss other underlying issues.
  • Not a One-size-fits-all:
    • The test is a general assessment tool that may not capture individual foot nuances.
  • Self-assessment Challenges:
    • There's potential for misinterpretation of results without professional guidance.
  • No Treatment Guidance:
    • The test identifies tightness of the plantar fascia and can get you started down the road to recovery however, but doesn’t provide a treatment plan.
  • Doctor’s Expertise:
    • Medical professionals have the necessary expertise to conduct a thorough examination, provide accurate diagnoses, and suggest tailored treatment plans.

If My Plantar Fascia is Tight What’s Next?

Upon identifying tightness in your plantar fascia through the Windlass Test, here's a structured approach to address it:

  • Keep a Foot Diary:
    • Document the level of tightness and any other symptoms.
  • Engage in Gentle Stretches:
    • Start with gentle stretching exercises for the foot and calf.
  • Wear Supportive Footwear:
    • Choose shoes with good arch support and cushioning.
  • Ice and Rest:
    • Apply ice or heat with rest your foot if you notice pain.
  • Seek Professional Help:
    • Consult with a podiatrist or a physical therapist for professional advice.
  • Stay Positive and Patient:
  • Follow a Treatment Plan:
    • Adhere to the treatment plan designed to specifically target plantar fasciitis.

Conclusion

Following these steps, coupled with professional guidance, will set you on the right path towards addressing plantar fascia tightness and achieving foot comfort.

Navigating the path of understanding and managing plantar fasciitis is a collaborative endeavor, intertwining self-awareness with professional medical insight. The Windlass Test serves as a valuable initial step, furnishing you with early insights into the flexibility of your plantar fascia. 

However, this self-assessment merely represents the tip of the iceberg. Delving deeper into the nuances of your foot health necessitates the expertise of medical professionals who can provide a thorough evaluation and tailor a treatment plan to your unique needs.

The journey may commence at home, with a simple flex and stretch during the Windlass Test, but it flourishes under the adept guidance of healthcare providers. By marrying self-assessment with professional consultation, you're not only elucidating the narrative of your plantar fascia's condition but also embarking on a structured pathway towards alleviating discomfort and fostering optimal foot health.

As you tread forward, armed with the knowledge acquired from the Windlass Test and the subsequent professional evaluation, the roadmap to a pain-free stride becomes clearer. Whether it's adhering to a prescribed treatment plan, engaging in recommended exercises, or simply becoming more attuned to your body's signals, each stride you take is a stride towards a more comfortable and active life. 

The synergy between self-initiative and professional guidance is the cornerstone of successfully managing plantar fasciitis, ushering you towards a horizon where every step is taken in comfort and confidence.

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About the author, Joe Armeli DPT

I'm Joe Armeli, a Doctor of Physical Therapy, Certified Athletic Trainer and Certified Strength and Conditioning Specialist, a movement enthusiast, and a fellow runner. I'm here to help you achieve your physical health and performance goals, whether you're just starting to run or are a seasoned vet. For questions or concerns, email me at joe.armeli.dpt@gmail.com. Look forward to hearing from you!

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