Taping for Plantar Fasciitis

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Heel pain is one of the most common problems of the lower extremity. Almost 1 million patients visit a doctor for heel pain every year. Treatment for heel pain may include stretching, resting, icing, weight loss, anti-inflammatory medication, recommendations for shoes, and an orthotic. But when you step down from your bed first thing in the morning and feel excruciating pain in your heel, it feels like there is little you can do. 

Morning Heel Pain

One of the most common reasons people experience heel pain in the morning is because of plantar fasciitis. Plantar fasciitis is inflammation of the thick band of tissue (called  fascia) at the bottom of your foot that runs from your heel to your toes. When this tissue becomes inflamed, it causes pain in your heel. Inflammation and swelling can lead to tenderness throughout the underside of the foot. Usually, the pain is worse when you take your first steps in the morning or after you’ve been sitting for a long time. It tends to feel better with activity but worsens again after you spend a long time on your feet. 

Taping the Foot

Taping of the foot to support the plantar fascia can be beneficial and cause significant pain relief. Watch our video video of Dr. Huff taping a patient’s foot for heel pain and plantar fasciitis. We recommend that you use good high-quality tape like the Hypafix tape seen in the video. Also, you can use an adhesive spray to make the tape stick to your skin. Make sure that you do not have an allergy to adhesive before you apply tape or adhesive spray to your skin.  The taping can stay in place for up to 3-4 days. 

Instructions:

  1. Cut three long strips of tape starting from just behind the ball of the foot ending behind the heel.
  2. Cut three short strips of tape that are long enough to cover the foot side to side.
  3. Make sure your foot is dry and apply the first long strip in the center of the foot starting just behind the ball of the foot and ending behind the heel.
  4. Apply the next long strip on either side of the first strip overlapping by 50%.
  5. Take the first short strip and place it on the front of the heel dividing the heel in half.
  6. Next, place the two short strips in front of the first short strip overlapping each other by 50%. Make sure to put even pressure on these strips so that you do not bunch up the skin.

In combination with other treatment options, taping can help patients overcome heel pain.

-Dr. James Willmore

 

Bibliography:

  1. Riddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 2004; 25:303.
  2. Landorf KB, Radford JA, Keenan AM, Redmond AC. Effectiveness of low-Dye taping for the short-term management of plantar fasciitis. J Am Podiatr Med Assoc 2005; 95:525.
  3. Radford JA, Landorf KB, Buchbinder R, Cook C. Effectiveness of low-Dye taping for the short-term treatment of plantar heel pain: a randomised trial. BMC Musculoskelet Disord 2006; 7:64.
  4. Podolsky R, Kalichman L. Taping for plantar fasciitis. J Back Musculoskelet Rehabil 2015; 28:1.

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