26/02/2026
Plantar Fasciitis: Why the Problem Might Not Be Your Foot
Plantar fasciitis affects far more people than most realise. And while it’s commonly treated as a foot problem, in my experience — through years of working with clients, alongside physical therapists, strength & conditioning coaches and podiatrists — the issue very rarely starts in the foot itself.
More often, it begins higher up the chain.
Start with the Glutes & Hips
Many of us today have weak glutes and underactive hips. When these muscles aren’t doing their job:
• The knees don’t track optimally
• The ankles compensate
• The foot loses its natural rolling pattern during gait
• Load distribution changes
Over time, this altered biomechanics can place excessive strain on the plantar fascia.
If you’re prone to plantar fasciitis, it may be worth focusing on training your glutes properly — hard and heavy, with good form. Strengthening and activating the hips can help “course-correct” the entire downward chain and restore more natural movement patterns.
Don’t Forget the Top of the Chain
Another area sometimes overlooked is the atlas vertebra (C1) — the top cervical vertebra that supports the skull. If alignment here is slightly off, it can influence overall weight distribution and postural balance through the body. That imbalance may eventually show up further down — including in the feet.
For some people, starting at the top by consulting a qualified chiropractor can be helpful before working down the chain.
Manual Therapy Support
You may also have heard of Active Release Technique (ART) — a patented soft-tissue treatment method used by some chiropractors and manual therapists. It focuses on relieving tension and adhesions in muscles, fascia and nerves, and has been used alongside chiropractic care to support people dealing with plantar fasciitis.
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The Bigger Picture
From what I’ve consistently observed, plantar fasciitis often emanates from dysfunction higher up the body. The foot is simply where the symptoms show up.
Address the hips.
Strengthen the glutes.
Assess alignment.
Support soft tissue health.
Sometimes relief comes not from treating where it hurts — but from correcting where it starts.
This is not medical advice. This is anecdotal insight gathered from years of clinical observation, conversations with physical therapists, strength and conditioning professionals, podiatrists, and my experience as a reflexologist working with clients.