What to Know: Massage for Plantar Fasciitis

March

19

by Joe Armeli | Doctor of Physical Therapy

Foot massage can provide relief for those suffering from plantar fasciitis.

Does Foot Massage Help Plantar Fasciitis?

Foot massage can help relieve pain of plantar fasciitis

A growing body of evidence suggests massage therapy can effectively treat plantar fasciitis. Plantar fasciitis is a common foot condition that can cause pain and discomfort in the heel and arch of the foot. Massage therapy has been shown to help alleviate the symptoms of plantar fasciitis by improving blood flow, and reducing inflammation, to promote healing.

Massage therapy can help reduce tension in the muscles and fascia of the foot and calf, which can help to alleviate pressure on the plantar fascia. Massage also helps to increase circulation, which can help to deliver essential nutrients and oxygen to the affected area, promoting healing.

The Benefits of Foot Massage for Plantar Fasciitis

The benefits of massage for plantar fasciitis include: relaxation, improved flexibility, improved blood flow, and breaking up of scar tissue in the plantar fascia.

As we said, foot massage can relieve plantar fasciitis, but how? 

Relaxation

Foot massage can help reduce stress and promote relaxation by soothing the muscles and calming the mind. Relaxation works to release endorphins that can block some of the pain receptors in the brain, making you perceive less pain. 

Improved circulation

The plantar fascia, a thick band of tissue that runs along the bottom of the foot, receives limited blood flow. However, massage therapy can enhance blood circulation to the plantar fascia. This boost in blood flow results in the delivery of more nutrients and oxygen to the area and the removal of waste products. As a result, this combination of increased blood flow and improved nutrient delivery helps to promote the healing of the plantar fascia.

Break up scar tissue

When the body is injured, including in cases of plantar fasciitis, it responds by producing scar tissue as part of the natural healing process.

Scar tissue is a dense, fibrous tissue that forms due to the body's attempt to repair damaged tissues. In the case of plantar fasciitis, scar tissue can form in the plantar fascia as the body tries to repair the micro-tears caused by the condition. Over time, this scar tissue can build up and cause the plantar fascia to become stiff and less flexible, leading to further pain and discomfort.

Foot massage can help break up scar tissue and adhesions in the plantar fascia, improving mobility and reducing pain. 

Improved flexibility

Decreased motion in the ankle and plantar fascia has been shown to increase the risk of plantar fasciitis. Massage can effectively improve the flexibility of the muscles and tissues in the feet and lower legs. By promoting relaxation and breaking up scar tissue, massage can help to increase mobility and range of motion, reducing the risk of injury and improving overall foot health.

What Part of Your Foot to Massage for Plantar Fasciitis?

You should massage the area of the sole while massaging for plantar fasciitis.

To effectively massage your feet, it's important to concentrate on the arch, which is the soft, tender area on the sole. Avoid applying pressure to bony areas, as this can be uncomfortable and ineffective for targeting the plantar fascia, which is not located in those areas.

Risks and Precautions

When done correctly, plantar fasciitis massage is generally considered safe with few associated risks. 

However, it is important to be cautious when massaging the fascia if it is inflamed. Aggressive massage can make the sole sensitive and potentially exacerbate the pain.

To ensure a safe and effective massage, it is crucial to start slowly and pay attention to any discomfort or pain. If the pain becomes too intense, stop the massage immediately. 

It's also essential to wait until any swelling, redness, or bruising has resolved before massaging the foot.

Using heat on your plantar fasciitis beforehand can help relax and warm up the tissues, making the massage more effective.

Self Foot Massage Techniques for Plantar Fasciitis

There are several benefits to self-massage for plantar fasciitis. One of the main advantages is that you can target the specific areas that need attention and adjust the pressure to your own comfort level. This level of control can make it easier to provide the correct amount of massage to the plantar fascia, which can be especially important for those with sensitivity or pain in the area.

Another benefit of self-massage is that it can be a more cost-effective option than seeing a professional massage therapist. With self-massage, you can use your hands or a massage tool to relieve your feet without the additional expense of paying for a professional massage.

Overall, self-massage can effectively provide targeted relief to the plantar fascia while allowing for greater control and affordability.

The Knuckle Massage

One type of self plantar fasciitis massage is using your knuckles to rub against the sole of your foot.
  1. Sit on a bed or chair and bring one foot up to rest where you can reach it with your hand. Use the knuckles of your opposite hand to push down on the sole of your foot, starting at the heel and working your way to the toes.

  1. Begin with longer strokes and light pressure, then gradually increase the pressure and lengthen your strokes. Use your body weight to apply more pressure, leaning in as you massage.

  2. Repeat the massage on the entire surface of your foot a few times to loosen up the fascia tissue.

Adjust the pressure and speed to your comfort level, and be gentle with your foot.

Thumb pushes

One type of plantar fasciitis massage is to use your thumbs to massage the plantar fascia of your foot.
  1. Sit on a chair or bed and cross one leg over the other.

  2. Use both thumbs to apply pressure along the length of your sole, starting from the heel and moving toward the toes. Work in a line towards the big toe, and then move up and down the foot in a line towards each of the other toes.

  3. Repeat this motion for 1 to 2 minutes, using moderate pressure.

If desired, you can increase the pressure by leaning in and using more body weight to apply the pressure.

Foot Massage with Tools for Plantar Fasciitis

Golf Ball

A golf ball massage for plantar fasciitis can effectively massage the feet and target the plantar fascia. Simply roll the ball under your foot, focusing on the arch and heel areas. Apply pressure as needed to help release tension and promote relaxation.

Tennis Ball

A tennis ball can also be used for foot massage, like a golf ball. Place the ball on the floor and use your foot to roll it back and forth, applying pressure as needed. This can help loosen tight muscles and alleviate pain and discomfort associated with plantar fasciitis. A golf ball can get deeper than a tennis ball as the tennis ball tends to compress. However, use what you have available. 

Massage Ball

There is a wide variety of massage balls available on the market that can be used for self-massage to treat plantar fasciitis, and they can be very effective tools. To get started, I suggest using a golf ball or tennis ball, as they are items that most people already have at home. If you find relief from using these balls, you may not need to purchase a specialized ball designed specifically for plantar fasciitis. However, if you want to invest in a dedicated ball, it can be a helpful addition to your self-massage routine.

Simply place the ball under your foot and apply pressure as needed, using circular or back-and-forth motions. This can help break up scar tissue and improve flexibility.

Massage Gun

Using a massage gun for plantar fasciitis can effectively alleviate muscle pain and tension in the plantar fascia. This powerful tool employs rapid vibrations to target specific areas, such as the arch and heel, which can help to improve circulation and promote relaxation. 

A massage gun uses percussive waves to provide a deep tissue massage and stimulation of the plantar fascia. This helps further break up scar tissue and improve the flexibility of the plantar fascia. 

Foot Roller

A foot roller is a simple yet effective tool for massaging the feet and targeting the plantar fascia. Simply roll the roller back and forth under your foot, applying pressure as needed. This can help stretch and massage the plantar fascia, improving flexibility and reducing pain. 

Massage for Plantar Fasciitis is NOT the End All Be All

While massage therapy can be a helpful adjunct to a rehab program for plantar fasciitis, it is not enough to fix the underlying condition. To achieve lasting relief from plantar fasciitis, it is important to address the root cause through a comprehensive plantar fasciitis rehab program that includes stretching, strengthening, and addressing any biomechanical issues.

Plantar fasciitis rehab program

Conclusion

Foot massage therapy has been shown to effectively treat plantar fasciitis by improving blood flow and reducing inflammation, promoting healing. It can reduce tension in the muscles and fascia of the foot and calf, increase circulation, break up scar tissue, and improve flexibility, all of which alleviate the symptoms of plantar fasciitis. 

To effectively massage the feet for plantar fasciitis, it is important to concentrate on the arch and avoid applying pressure to bony areas. 

Self-massage can be a more cost-effective option than seeing a professional massage therapist. It provides targeted relief to the plantar fascia while allowing for greater control and affordability. 

Some self-massage techniques for plantar fasciitis include using the heel of hand massage and thumb pushes. 

When done correctly, plantar fasciitis massage is generally safe with few associated risks, but caution must be taken if the fascia is inflamed. It is essential to start slowly and pay attention to any discomfort or pain, stop the massage immediately if the pain becomes too intense, and wait until any swelling, redness, or bruising has resolved before massaging the foot.

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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