Massage Tutorial: Myofascial Release for Plantar Fasciitis and Heel Pain
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- Опубліковано 23 сер 2013
- My new book is out! It's called Massage Is Weird: massagesloth.com/book/
Have a client with persistent heel pain, especially upon waking or standing? The plantar fascia may be involved, and thus the posterior low leg fascia. Definitely work with the foot, but don't neglect the incredible amount of connectivity that the foot has with the low leg!
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I have a client who is coming in tomorrow for a 30 mins massage with me for plantar fasciitis and this video helps a lot!! thanks for the upload.
Something to consider. Sometimes plantar fasciitis is affected by hyperflexibility. For years I dealt with it and I have no issues with tight low leg, ankle, or foot/arch mobility.There were other factors at play. My attempts to stretch were serving to make it continue to tear at the calcaneous. Massaging towards the heal and modifying movement to allow time for it to heal helped a lot. PF is tricky and often times takes some trial and error to find what will work for the particular patient/client.
Keep up the good work. I enjoy and am informed by all your tutorials. Well done.
Great point, Sandy! If the MT finds no heightened tone in the leg, this course of action would probably be unwise! It's nice being surrounded by smart people :)
Thanks for showing some new techniques that I will try with my clients.
Your videos are so helpful! Thank you so much!
Can't wait for you to offer CE , thank you for great technique.
Thank you, brilliant results
Thank you for saying what you are thinking as you work!
Excellent demonstration.
Thanks for this excellent video...the best system for treating facia
Thank you! My husband usually wears appropriate footwear while working on a ladder; but two days ago, he only had tennis shoes on the job site. He has very high pain thresholds, but the ball of his foot was shooting with pain. When I first began massage, he couldn't tolerate touch on the immediate area. We began in the calf and worked down into the top of the foot and finally into the bottom fascia. After 30 minutes of massage/stretch, he has 90% relief. We will continue the work and stretches in the coming days until the relief is complete.
Thank you so much for this presentation!! So grateful
I just heard you say you were from Pensacola, Fl. I grew up there!! My family still lives there so I visit quite often. It would have been so cool to see you in action. Enjoyed this video as well. I am learning so much from you.
Helpful tips.
yes you are a sloth massager indeed. lol Nice work
Thanks for the videos! The tips on the hand shape I'll definitely give a shot. Foot massage always felt like it beat up my thumb and really wanted an alternative method/approach
I am a student at the end of my 2 year program and I had a lazy teacher. not lazy as in the way you are so that you work smarter not harder. She was just lazy lol.. I appreciate your tips on how to save your hands.
that's nice
Hi there Massage Sloth and thank you for being a part of my journey (just graduated in Feb!). Wondering when you suggest a client start strengthening and stretching on their own (ex. as soon as they get home or sometime that day? Next day, few days later? Does it matter?)? Thank you for your thoughts on this!
Usually that very day, starting with some reps in my office. I should finally make that lower body stretching video I've been meaning to make, but for now here's one I made explaining how I go about demonstrating upper body stretches to clients: ua-cam.com/video/Ascz2whmczs/v-deo.html Congrats on your recent graduation!
I need that idk what else to do with my foot I have special inserts and they still don’t work I get the worst pain ever
I wish you would have a record your video from where you're sitting instead of on the other side you're explaining it but it's best to see it
I'll try to have an updated version of this video out in the near future, and I'll definitely keep that in mind!
I'm pretty new to the massage therapy world so forgive my ignorance, but what does plantar fasciitis on your client feel like? I have a few clients who have sore feet often, wear heels most of the time etc etc, and I'm wondering if fasciitis is the culprit
Plantar fasciitis, in my experience, seems to be all about irritability/sensitivity of the plantar tissue rather than a change in the structure. While I have been able to palpate a thickening of the foot tissue in one or two clients, usually their feet just feel like feet :) In all cases where a client has heel or plantar pain, I always suspect the calf region. No harm in giving the area some extra attention. Thanks for the question!
Massage Sloth oh ok! thank you so much for your guidance 😊 I've been subscribed for only a few days now but from what I can see, what you are doing here is amazing. Thank you for helping new therapist like me expand my knowledge without hassle 😊
Love that blue polo on you.
Myofascial is the only thing that helped my plantar fasciitis
Your first move on the calf. How would you do that on a hairy leg?
Pretty much the same way. I find that if I have a little bit of oil or lotion, and if I move slowly, that most guys aren't really aware of their hair being involved. If you happen to get someone with sensitive follicles, try a little oil applied directly to the hair. If that still doesn't do the trick, I'll cover the leg with the sheet and do static compressions, still at the 45 degree angle up toward the posterior knee.
That said, most guys really aren't aware of their leg hair, and this slow work is pretty kind to the follicles.
Hi Ian, how many sessions would a client need for this condition to go away? How many or how long?
While massage can be helpful for plantar fasciitis, it may not be able to resolve the condition when used in isolation. If at all possible I recommend seeing a physical therapist for a evaluation and treatment, with massage being a useful adjunct as you recover. With that said, I tend to see changes happen within two to three months with twice monthly massage.
Massage Sloth Oh wow, thank you so much, that is very helpful! You are so generous with your time and energy; that was not expected but it is deeply appreciated. Best to you always.
Would love to see the rocking of the foot off table from another angle it was hard to visualize all your actions so i can repeat them
Good point! This is one I need to refresh soon, so I'll keep that in mind
ok my question is, should i work both feet even the problem is in just one foot? because 30 min in one feet and none in the other should feel really weird !!!
I try to even things out a bit, even if I don't come close to the same amount of time. For instance with plantar fasciitis, I might spend 15 minutes with the affected leg and 5 minutes with the other. One thing to keep in mind is these clients are likely to have the beginnings of that same musculoskeletal problem on the other side, so work now might prevent problems later.
thank you sir
I hope you can help! I have plantar fasciitis in my left heel and it is very painful. I also feel a knot in the heel. I have been having treatment done at an Arrosti clinic but have had 3 treatments with little results. All the Dr. is doing is applying pressure to my "tender spots". He has not touched my calf & I told him my calf it tight & I can feel it stretch & burn when I walk. Do you think I need something like this to get relief? Thank you so much for any insight!
Hi Tisha! So sorry to hear you're in pain. Yes, in my opinion, and based on the physical therapy literature, focusing on the heel itself doesn't address the whole problem. I'd recommend seeking out a medical doctor and physical therapist so that you can get started on a comprehensive stretching and exercise program. If these minimally invasive techniques don't do the trick, there are other medical interventions available. As for massage, I've seen patients get relief from slow, comprehensive myofascial release work in the low leg, as seen in the video. You can also implement a gentle stretching routine while you wait to see a specialist: ua-cam.com/video/H4zpbslRHJc/v-deo.html Let me know how it goes, and best of luck!
@6:50 that would kill me... any pressure In that area and I want to scream.
Thanks for the specific input! To massage therapists working with cases like yours:
In cases of extreme touch sensitivity, I would likely avoid that area for the first few sessions. Work the plantar region, the heel, and the distal leg; work with some range of motion; and end with some light, static contact. Basically a laying on of hands, telling the nervous system that "not all touch has to be unpleasant."
By the 3rd or 4th session, you may be able to start applying light pressure at an oblique angle. Just stay in contact, and let the client know that this will be a process that takes time.
its really great videos, but the talking part is too too long. From a med student..
I just can't help myself ;__; For anyone who would like me to hurry up with it, I make frequent use of the speed feature: Click on the gear icon at the bottom of the video, select "speed," and try 1.5x on for size. I watch pretty much all lecture material this way!
Though I'm not surprised, I've found this simply does not help.