How to Fix Plantar Fasciitis (NO MORE HEEL PAIN!)

How to Fix Plantar Fasciitis (NO MORE HEEL PAIN!)

September 26, 2019 100 By Ewald Bahringer


What’s up, guys? Jeff Cavaliere, ATHLEANX.com. Today I’m going to show you how to fix plantar
fasciitis once and for all. All right, guys. If you have plantar fasciitis you know it. It’s one of those ailments that you instantly
know you’ve got because you’ve got that defined heel pain. Almost that sharp, knife-like pain in your
heel. Especially when you get up in the morning,
you take that first step, and it feels like someone is ripping the under foot apart. That is essentially what’s happening there
because the plantar fascia – which we’re going to show with this piece of band here
– is absorbing stresses that it never has to in the first place. The problem is, all our focus and attention
when we go for treatment is on this plantar fascia. That’s the mistake because, again, this
is not the cause. This is the result of what’s happening somewhere
else. So, when we look at the foot, when we look
at the plantar fascia, we know what it does. It’s supposed to attach back from the heel,
up toward the toes, and its main function is to provide some support for that arch that
we have in our foot. A lot of us don’t have it. I have none because I have an extremely flat,
pronated foot. Well, it’s supposed to provide some good
support for the arch. What it’s not supposed to do is have to
provide support during propulsion and to absorb all the forces of propulsion when we move
our body. That’s what we’re asking it to do by having
things wrong with the mechanics of our ankle, or our knee, or hip, or even our back. Literally, our midback can cause issues down
here and you have to address those. If we’re talking about this, why is it so
important? Because it comes down to the heel. You can see here with the heel, there are
a couple of states I want you to see, guys. The first thing is, we know we have mobility
of the heel. This is the calcaneus. We know that it can move either in this way
– inverted – or it can move out – everted. When it moves out, that’s associated with
this ability of the mid foot to adapt to the surface that it’s on. It becomes a lot looser. So, if I take this, and I move it out – you
can do this on your own foot, by the way. You’ll feel this. If you move the heel out you can see that
all the joints in the mid foot are nice, and loose, and mobile, and I can twist and turn. That’s what happens when our foot hits the
ground. We go into this pronation, the heel kicks
out, we go into this pronation, so we have the ability to adapt to the surface. Even if it’s an uneven surface. You want to have the ability to have that
mobility to absorb the stresses of that. If your foot was a rigid lever here and it
hit the ground every time, there’s nowhere for the forces to go, except up into the knee,
up into the hip, or even up into the low back. Which can cause problems. You want that mobile adaption here to absorb
those forces. The next thing it does, if I turn it in and
I invert it, what’s happened here? All that mobility is gone. You can see this is a lot more rigid here
than it was before. That’s a very important thing – and a
good thing – because what happens when I want to push off my foot when I’m running? I want it to be rigid, so I can push off and
gain a lever and propulsion forward. If it was trying to push of a loose foot,
you could see that would be unstable and that’s not really productive, in terms of propelling
me any distance with any force. There’s the problem. The problem is, and what happens is, when
we get into a position where we need to propel; that foot is in an unstable, loose state. That heel is everted instead of inverted. So how do we fix that? What’s the cause? Well, there are a lot of causes. Let me show you. We come back up. Again, people spend all their lives rolling
it out with a tennis ball, getting an ultrasound on the bottom there, doing all the things
to try and loosen that up, and that is not the problem, guys. That’s not the problem. You’re going to get temporary relief of
a symptom, but you’re not going to get at the cause. So, throw that away. What we do is, if I’m in – let’s talk
about walking and running. As I start to walk, again, when my foot hits
the ground here, I need the ability to adapt to that surface. That’s going to allow the absorption of
forces, so I don’t get too much going into my knee, or hip, or low back. Then as I start to go through and walk through,
I need this to lock up, at some point. We need that heel to kick in. So, I get that ability of that foot to the
original lever, so I can propel off, and then step through, and then go again. Well, I could tell you this: if you have tight
calves, you’re going to lose the ability to do that. You’re going to cause a timing issue down
here in your foot that will be felt and absorbed by the plantar fascia in a way that it’s
not meant to handle. Let me spell that out for you a little more
and show you how that works. Let’s say I’m – let’s work on this
side here. As I’m through, you can see that’s the
moment and gate I need the most dorsiflexion. Meaning, the bending of the ankle upward. Closing down this angle between my shin and
my foot. I need dorsiflexion here. So, as I go through, if I don’t have dorsiflexion
– why? Because I have tight calves and I can’t
get that. What’s going to happen? I’m going to get dorsiflexion, but not from
here. I’m going to get it through that mid foot. How do we get that dorsiflexion here through
the mid foot? We have to make sure it’s loose. We have to make sure it’s unlocked. We have to make sure that heel is kicked out. So, what we do is, if you look at it – and
I’m going through here. I don’t have any more dorsiflexion, but
I know I need it because I need to be able to load this hip up to be able to come through;
what am I going to do? At that point, I’m going to take it from
here by keeping the heel kicked out by having the foot collapsed down. Guess what happens now? Now, when I got to take a step – and I’m
not just talking about taking one. I’m talking about running a mile and taking
hundreds, and thousands of steps. Every time, I’m pushing off an unstable
foot. A loose, floppy foot. The only thing that can provide support for
that is that lousy, little plantar fascia under your foot, which is not designed to
do that. Support the arches standing? Great. But to be able to supply the rigidness of
the foot to be able to propel yourself? No chance. So now I try to push, and I try to push, and
I try to push, and I do that over, and over, and over again; that creates a lot of inflammation
and strain in that tendon. Over time, it can cause some tension stress
on that tendon this way. Which causes heel spurs to form because of
all that traction stress. And it’s just a big mess. But you need to stretch your calves out. So, we talked about some other causes. I’m going to get into those in a second,
but what’s the problem? What would you do for your calves? “Well, I’ll just go hang off here. Like this. If I just do this, and I hang down” – this
thing is going to fall over on me. If I’m here, and I stretch my calves like
this, on the stairs, that should do it.” No. That won’t do it. That won’t do it because you’re not mimicking
the stress that you’re under when you’re at that moment in that backside gate that
you need to fix. So, what you would do is a stretch over here
against the wall. You’re probably saying to yourself “Well,
I’ve done this before. Okay, do that calf stretch? Yeah, do that with both your knee bent, and
with your knee straight so you work the gastrocnemius and the soleus, and I should be good to go.” Not really. There’s something you’re overlooking here. If you remember, when I took this position,
that position of the heel. We said that the problem was that the heel
was kicked out at that point. We want the heel to be able to be inverted,
kicked in so we can turn it into that rigid lever we can propel from. So, if we’re in that position here, what
you want to do in order to turn this heel back in the proper position to be inverted
here, you want to drive your foot across your body here. You want to drive your leg across your body. So, it’s not just this way because if I’m
doing this, I’m just feeding more into that down, and in position, which is part of the
problem. I can turn it on by just allowing my foot
to come and reach this way. So, as I reach into the wall that way and
stretch back here, now what I’ve done, as you can see, I’ve kicked that heel in. Which has turned this foot into the lever
it’s supposed to be. Now I’m stretching out the calf in that
position. Just like that. What we can do is make it more dynamic, where
go and reach across the body that way. But as I reach in, I’m still pushing down,
making sure this heel is in contact with the ground to stretch that calf out. If I wanted to turn in all three dimensions,
I could try to rotate back toward you guys there, and you can see that just by rotating,
how the heel has to kick in, and I maintain that stretch. You walk away from that stretch and you’re
like “Wow! That feels a lot looser.” Now, if I’m in this position here, my heel
is better able to absorb those stresses and turn into that rigid lever without having
to be thrown onto that plantar fascia, which is the problem. Now, how could other things be causing it,
and what could you do? Outside of doing that stretch – which, by
the way, a quick way for you tell – if you have pain, say, in my left foot, and you go
to test your calf flexibility; if you notice you have tight calves, that is almost always
the cause of the problem that you’re dealing with. So, you would stretch the calves like I said. You do this religiously. Every, single day. Just go through it for about three to five
minutes every, single day. Sometimes multiple times a day. Over the course of a few weeks, by taking
the stress off the plantar fascia that inflammation will go down and your problem will be solved
once, and for all. But, let’s say you test your calf on that
side and it’s loose. You don’t have any tightness in your calf,
but you still have pain there. Well, then you’ve got to look at the other
side. Problems in the other side can cause loading
issues on that side. So, let me give you an example. We talk many times here about the importance
of having glute medias strength, and how a weak glute medias – and squatting alone
isn’t going to do it, guys. Deadlifting alone is not going to do it. You need to strengthen those muscles independently. If I have a weak glute medias that does this,
we know it’s that Trendelenburg Gate that Jesse demonstrated so well back in that anterior
pelvic tilt video. If this drops because this is loose here,
what has it done to this foot? You can see what happened. Again, if I put my weight this way, because
I have a weak glute medias on this side, you can see it’s collapsed this foot. It’s kicked the heel out on this side. It’s made the arch fall here. It’s created that loose midfoot. So now if I’m trying to run and I’ve got
a weak glute medias on the opposite side, you can see how all those things are going
to happen to you again. I’m going to have that midfoot trying to
propel an unstable foot, and we’re going to have a lot of issues. So, you want to strengthen this opposite side’s
glute medias. I’ve done a whole video on that, on how
to od that. I’ll link those at the end of this video. But you would do something like, if I was
trying to strengthen this glute medias I’d stand up here against a wall, I’d let it
drop out to the side, and then I’d lift it up and squeeze in. So, drive this hip toward the wall. This is just going along for the ride. Drive it in, squeeze. Drive it in, squeeze. You can feel it right here, in that glute
medias, doing all the work. You can do that – you can even weight it
by using a resistance band as well. Now, one last thing. I talked about all the way into the low back,
or the midback. How the hell could that have any impact on
what’s going on? Well, when you walk, you’re supposed to
be able to rotate. You don’t see it as much, but we do. Obviously, as we step, we rotate. With every step we take. So, let’s say I’m able to rotate this
way. I’m going to over rotate this way. What happens as I rotate this way? You can see this foot comes down. It goes from here, and down. So, that means if I can rotate in this direction,
this is going to come down. If I can’t rotate back, that’s going to
cause a problem in our ability to get out of that position here. If I lack rotation in the opposite direction,
that’s going to prevent me from being able to – in a magnified way, as we do step,
after step, after step, after step, and run, after run – that’s going to prevent me
from being able to get off that unstable foot. That’s going to cause a problem. So again, an inability to rotate can cause
that foot to be put in the same position. So, you want to maintain thoracic extension
because thoracic extension gives you the ability to rotate. I can’t rotate much when my spine isn’t
extended. If I can get full thoracic extension – again,
watch the video that we did on the posture fixes and how to do that. It’s critical. You need to maintain thoracic extension. But if I could get there, and then I could
do rotation as well, and we can work on that with a drill I’m showing you right here
– which I’ve shown you many, many times before. Those will now allow you to maintain good
mobility through your spine, so it doesn’t down-load, toward your ankle, and into your
plantar fascia, once again, causing all these issues. So, the highlight here is that you’ve got
some things to work on. The first thing you need to do is figure out
what is essentially causing your pain. Run through some test to see your stiffness
and flexibility on those ankles. Assess your glute strength, see if that could
be an issue. Once you’ve identified it, guys, it’s
all going to make sense. But for heaven’s sake, stop looking at your
plantar fascia and blaming it saying “Why is this damn thing not working? Why is rubbing this ball not maintaining a
solution to this for the long-term?” Because that’s not the problem. That’s never the way to solve it, guys. You’ve got to look above at the other joints
to see what’s going on. We’re one big, kinetic chain. So, there you have it, guys. I hope you’ve found this video helpful. We always try to put the science back in strength
here. Again, it’s a bit of a detailed explanation,
but I think the guys that are suffering from this – and girls – are going to really
appreciate the explanation because they’ll finally understand why they haven’t been
able to solve it. If you’re looking for programs that build
in the science in everything we do, all our training, all our workouts are built on science. You can get them over at ATHLEANX.com. In the meantime, if you’ve found the video
helpful let me know below and leave your comments on what other things I haven’t covered,
that maybe I could help you address. I’d be glad to do those in the days and
weeks ahead. If you haven’t already, guys, please subscribe
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