Introduction

Plantar fasciitis is one of the most common causes of heel pain, affecting millions of people worldwide. It occurs when the plantar fascia, a thick band of tissue that connects the heel to the toes, becomes inflamed due to excessive strain. This condition is particularly common in runners, individuals who spend long hours on their feet, and those with improper footwear. While various treatments exist, orthotics have proven to be a highly effective non-invasive solution for managing plantar fasciitis. At Bondi Podiatry, we are experts in custom orthotics designed to alleviate pain, improve foot function, and prevent future flare-ups.

Understanding Plantar Fasciitis

Plantar fasciitis typically manifests as a sharp, stabbing pain in the heel, particularly during the first steps in the morning or after prolonged rest. The pain results from excessive stress on the plantar fascia, leading to microtears and inflammation. Several factors contribute to this condition, including:

• Overuse or repetitive stress – Common in runners and athletes who engage in high-impact activities.

• Improper footwear – Shoes with inadequate support, cushioning, or arch support can exacerbate the problem.

• Foot structure and biomechanics – Flat feet, high arches, or abnormal walking patterns increase strain on the plantar fascia.

• Obesity or weight gain – Additional body weight places extra pressure on the feet.

• Tight calf muscles or Achilles tendons – Limited flexibility in these areas can contribute to increased tension on the plantar fascia.

If left untreated, plantar fasciitis can lead to chronic pain, reduced mobility, and compensatory issues affecting the knees, hips, and lower back.

What Are Orthotics?

Orthotics are custom-designed or pre-fabricated shoe inserts that provide support, cushioning, and biomechanical correction for individuals experiencing foot pain. Custom orthotics, in particular, are tailored to an individual's foot shape, gait, and specific needs, offering targeted relief and enhanced comfort.

How Orthotics Help with Plantar Fasciitis

Orthotics play a crucial role in both treating and preventing plantar fasciitis by addressing the underlying causes of excessive strain on the plantar fascia. Here’s how they provide relief:

1. Arch Support and Biomechanical Correction

Many cases of plantar fasciitis stem from improper foot mechanics, such as overpronation (excessive inward rolling of the foot) or supination (insufficient inward roll). Custom orthotics help correct these biomechanical issues by supporting the natural alignment of the foot, redistributing pressure evenly, and reducing strain on the plantar fascia.

2. Shock Absorption and Heel Cushioning

Orthotics provide additional cushioning to the heel, absorbing the impact forces that contribute to microtears in the plantar fascia. This is particularly beneficial for individuals who stand or walk on hard surfaces for extended periods.

3. Even Weight Distribution

By redistributing body weight across the foot, orthotics help prevent excessive pressure on specific areas, reducing the likelihood of overuse injuries. This is particularly important for individuals with flat feet or high arches, as these foot types are more prone to uneven weight distribution.

4. Reducing Inflammation and Pain

Proper foot support and alignment reduce the stress placed on the plantar fascia, allowing it to heal over time. By minimising strain, orthotics help alleviate inflammation and provide long-term relief from heel pain.

5. Enhancing Overall Foot Function

Orthotics not only address plantar fasciitis but also improve overall foot function. By promoting proper alignment and gait, they reduce the risk of developing other foot conditions such as bunions, Achilles tendonitis, and shin splints.

Extracorporeal Shockwave Therapy for Plantar Fasciitis

In addition to orthotics, extracorporeal shockwave therapy (ESWT) has emerged as an effective treatment option for plantar fasciitis. This non-invasive procedure uses high-energy sound waves to stimulate healing in the affected area.

How ESWT Works

Shockwave therapy works by delivering focused energy pulses to the plantar fascia, which helps:

• Stimulate blood circulation to promote tissue repair.

• Break down scar tissue that contributes to chronic pain.

• Reduce inflammation and pain by inhibiting pain receptors.

Benefits of ESWT for Plantar Fasciitis

• Non-invasive – No need for injections or surgery.

• Quick and effective – Many patients experience relief within a few sessions.

• Encourages natural healing – Stimulates the body's repair mechanisms without medication.

• Minimal downtime – Patients can continue with most daily activities after treatment.

At Bondi Podiatry, ESWT is often used in combination with orthotics to enhance recovery and provide long-term relief for plantar fasciitis sufferers.

Types of Orthotics for Plantar Fasciitis

There are various types of orthotics available for plantar fasciitis, ranging from over-the-counter insoles to fully custom-made devices. At Bondi Podiatry, we offer the following options:

1. Custom Orthotics

Custom orthotics are individually designed based on a thorough assessment of a patient’s foot structure, gait, and specific condition. These provide the highest level of support, comfort, and correction for plantar fasciitis and are ideal for individuals with severe or persistent symptoms.

2. Semi-Custom Orthotics

Semi-custom orthotics are pre-fabricated but can be modified to fit an individual’s foot shape more precisely. These are a more affordable option for those who need additional support but do not require fully customised devices.

3. Over-the-Counter Insoles

While not as effective as custom orthotics, high-quality over-the-counter insoles can provide temporary relief for mild cases of plantar fasciitis. They offer cushioning and basic arch support but lack the precision of custom solutions.

Additional Strategies to Complement Orthotic Use

While orthotics and ESWT play a significant role in managing plantar fasciitis, they work best when combined with other conservative treatments. These include:

• Stretching exercises – Regular stretching of the plantar fascia, calf muscles, and Achilles tendon to improve flexibility and reduce tension.

• Strengthening exercises – Building foot and lower leg strength to support proper foot mechanics.

• Proper footwear – Wearing supportive shoes with good arch support and cushioning.

• Ice therapy – Applying ice packs to reduce inflammation and relieve pain.

• Massage and myofascial release – Techniques to improve circulation and alleviate muscle tightness.

• Lifestyle modifications – Managing weight, avoiding prolonged standing, and reducing impact activities when necessary.

Conclusion

Orthotics and extracorporeal shockwave therapy provide highly effective solutions for managing plantar fasciitis, offering targeted relief and long-term foot health benefits. At Bondi Podiatry, we tailor our treatment plans to each patient’s unique needs, ensuring optimal comfort and recovery.

If you’re struggling with plantar fasciitis or heel pain, don’t wait for the condition to worsen. Contact Bondi Podiatry today to schedule a consultation and explore the benefits of custom orthotics and ESWT tailored to your needs.