Dry Needling and Relief for Plantar Fasciitis

dry needling for plantar fasciitis

For those who suffer from plantar fasciitis, the struggle with heel pain can be debilitating. Plantar fasciitis is a condition that revolves around the plantar fascia. This is the ligament, or tissue band, that provides a support system for your arch. The plantar fascia forms a connection between the to bring you relief for your heel pain.

Understanding Dry Needling

Dry needling is a popular form of treatment that is in a physical therapist’s reperto targeted bands of muscle in your foot, stimulating these areas deep within.

How Can Dry Needling Help You with Heel Pain?

Dry needling can be extremely effective when it is used as one component in a comprehensive approach to your treatment regimen.

Connecting Treatment with the Way that the Foot Moves

Your physical therapist has a keen understanding of your anato head in the right direction with trigger point therapy.

How Focusing on a Trigger Point Can Help You

Think of a trigger point as the main area of irritation in your heel. This is the point where you have muscle tears, inflammation, and tenderness. Every time that you walk, the nerve endings are screaming as you place pressure on this sensitive area. It’s at a point deep within your foot where your physical therapist is unable to heal.

Dry Needling for Plantar Fasciitis

While your physical therapist may incorporate trigger point therapy in your treatment for plantar fasciitis, you can also expect other treatment methods. Specific exercises can help you to reduce your pain, as well as using shoes with proper support. You can also find relief from plantar fasciitis if you put on supportive shoes as soon as you get out of bed each morning. Otherwise, your foot will not have enough support and you could aggravate your condition.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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