Physical therapy for
plantar fasciitis

Does physical therapy help for people with plantar fasciitis?

Yes, physical therapy can help plantar fasciitis by addressing the root problem, your heel and foot are getting more load than the tissue can handle right now. Modern guidance often calls this “plantar fasciopathy” because it behaves more like an overload and degeneration problem than a simple inflammation.¹ ²

Physical therapy supports recovery by improving:

  • Strength in the calf, foot, and supporting muscles up the leg
  • Mobility in the ankle and foot
  • Motor control so you load the foot in a more efficient way
  • Pain regulation by gradually and safely exposing the tissue to the loads it needs to tolerate¹ ²

It is often a first-line treatment because it is non-invasive and builds long-term resilience, not just short-term relief.¹ ² Many people improve with the right mix of load management, stretching, and progressive strengthening.¹ ²

What sets physical therapy apart from passive treatments is that it helps you change what the tissue can tolerate over time. Taping, insoles, and night splints can help some people feel better in the short term, but they work best as support while you build capacity with movement and strengthening.¹ ² ⁶ ⁷

Goals of physical therapy for plantar fasciitis

Physical therapy is not just about calming pain, it is about helping you get back to your life. Common goals include:

  • Reduce morning “first-step” pain and heel tenderness¹ ²
  • Make walking and standing feel easier, especially at work or during daily errands¹ ²
  • Improve ankle and calf mobility to reduce heel strain¹ ²
  • Build strength and endurance in the calf and foot so the fascia is not doing all the work³
  • Return to running or sport gradually, without flare-ups or repeated setbacks¹ ²

Programs vary based on your starting point, your health history, and what your day requires. For example, someone who stands all day at work may need a different plan than someone returning to running.

What results can I expect with physical therapy?

Many people start to notice meaningful improvement within 6 to 12 weeks when they follow a structured plan that reduces overload and builds strength over time.¹ ² If symptoms have been around for a long time, or if your daily life keeps the heel under constant strain, recovery can take longer, sometimes several months.¹ ²

Common benefits people report with physical therapy include:

  • Less pain with first steps and after long standing¹ ²
  • Better walking tolerance and function¹ ²
  • More confidence returning to activity with a clearer plan and fewer setbacks¹ ²

Recovery is not one-size-fits-all. Some weeks feel steady, others can feel bumpy, especially when life forces you to be on your feet more than usual. A good program expects that and helps you adjust without giving up.

Sword's approach

Sword Health helps people manage pain and movement issues with expert-guided AI care you can use from home. Our model combines clinical support with modern technology, designed to work around your life.

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Footnotes

1

Martin RL, Davenport TE, Reischl SF, et al. Heel Pain–Plantar Fasciitis: Revision 2023. Academy of Orthopaedic Physical Therapy Clinical Practice Guideline. Dec 2023. URL: https://www.orthopt.org/uploads/content_files/files/Heel_Pain_Plantar_Fasciitis_Revision_2023.pdf

2

NICE Clinical Knowledge Summaries. Plantar fasciitis. Last revised December 2024. URL: https://cks.nice.org.uk/topics/plantar-fasciitis/

3

Rathleff MS, Mølgaard CM, Fredberg U, et al. High-load strength training improves outcome in patients with plantar fasciitis: a randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports. 2015;25(3):e292-e300. doi:10.1111/sms.12313

4

Landorf KB, Keenan AM, Herbert RD. Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial. BMC Musculoskelet Disord. 2006;7:64. doi:10.1186/1471-2474-7-64

5

ACR Appropriateness Criteria®. Chronic Foot Pain. J Am Coll Radiol. 2020;17(11S):S391-S402. doi:10.1016/j.jacr.2020.09.018

6

Whittaker GA, Munteanu SE, Menz HB, et al. Foot orthoses for plantar heel pain: a systematic review and meta-analysis. Br J Sports Med. 2018;52(5):322-328. doi:10.1136/bjsports-2016-097092

7

BMJ Best Practice. Plantar fasciitis. Accessed January 2026. URL: https://bestpractice.bmj.com/topics/en-gb/487

8

Wheeler PC, Tattersall C. Addition of a tension night splint to a structured home rehabilitation programme in patients with plantar fasciitis: a randomised controlled trial. BMJ Open Sport Exerc Med. 2017;3:e000234. doi:10.1136/bmjsem-2017-000234

9

DiGiovanni BF, Nawoczenski DA, Lintal ME, et al. Tissue-specific plantar fascia-stretching exercise enhances outcomes in patients with chronic heel pain. A prospective, randomized study. J Bone Joint Surg Am. 2003;85(7):1270-1277. doi:10.2106/00004623-200307000-00015

10

NICE CKS. Plantar fasciitis: Diagnosis and background information. Last revised December 2024. URL: https://cks.nice.org.uk/topics/plantar-fasciitis/diagnosis/

11

Riel H, Rathleff MS. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. Br J Sports Med. 2021;55(19):1106-1118. doi:10.1136/bjsports-2019-101970

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