01/11/2025
https://www.facebook.com/share/p/1FmVkrZuNK/?mibextid=wwXIfr
🔈 BEYOND PLANTAR FASCIITIS
Exploring the biomechanics, dysfunctions, and osteopathic treatment of the lower extremity.
Pain in the heel or along the outer ankle is often blamed on plantar fasciitis or sprains — but the cause may lie deeper within the muscular balance and biomechanics of the foot.
Anatomy Insight
• Quadratus Plantae – on the sole of the foot, it assists the flexor digitorum longus in toe flexion and supports the arch.
• Peroneal (Fibularis) muscles – longus, brevis, tertius – stabilize the ankle and control eversion during gait.
Physiological Role
• Quadratus Plantae distributes pressure evenly during walking.
• Peroneals prevent excessive inversion and maintain lateral stability.
Common Dysfunctions
• Heel pain from Quadratus Plantae tension can mimic plantar fasciitis.
• Lateral ankle pain often comes from peroneal overuse or instability.
Osteopathic Approach
• Flexion Calcaneus (Quadratus Plantae) – foot flexion and gentle compression relieve plantar heel pain.
• Lateral Ankle (Peroneals) – gentle eversion and external rotation ease tension and restore balance.
These techniques help reset neuromuscular tone and restore function without aggressive manipulation.
Self-Care & Home Support
• Foot rolling: Use a small massage ball or frozen water bottle under the arch and heel for 1–2 minutes per side.
• Calf and peroneal stretches: Gentle standing calf stretch or side-lying ankle eversion stretch can improve flexibility and circulation.
• Foot mobility: Try picking up a towel or marbles with your toes to strengthen intrinsic foot muscles.
• Supportive footwear: Choose shoes with proper arch and heel support to reduce repetitive strain.
Takeaway:
Understanding functional anatomy helps us treat the root cause, not just the symptom. Balance, mobility, and mindful movement are key to lasting recovery from heel and ankle pain.