
22/04/2025
Think you’ve got plantar fasciitis? Well, you might actually be dealing with plantar fasciosis—and the difference matters.
Plantar fasciitis refers to inflammation of the plantar fascia, the strong band of tissue that runs from your heel to the front of your foot.
The interesting thing is: in chronic cases, research has shown that there’s little to no inflammation present. Instead, they’ve found degeneration of the tissue, such as frayed collagen fibres, reduced blood flow, and thickening of the fascia. That’s not inflammation—it’s degeneration, known as plantar fasciosis.
How we treat these conditions matters, as the treatment needs to match the condition.
If it’s fasciitis (inflammatory):
• Rest
• Ice
• Anti-inflammatory medication
If it’s fasciosis (degenerative):
• A progressive loading plan
• Stimulating blood flow and tissue repair
• Addressing biomechanics—think foot function, calf strength and hip control—because it’s all connected.
Signs it might be fasciosis instead of fasciitis:
• Pain lasting longer than 6–8 weeks
• Anti-inflammatories and rest haven’t helped much
• No obvious redness, swelling, or heat—just ongoing, nagging pain
So, if your heel pain isn’t settling with the usual advice, it might be time to take a different approach.
If you need any more personalised advice, reach out to us.