Symptoms
Plantar fasciitis-like pain
Heel and arch pain on first steps in the morning commonly involves soleus, tibialis posterior and intrinsic foot muscle trigger points.
Overview
Heel and arch pain on first steps in the morning commonly involves soleus, tibialis posterior and intrinsic foot muscle trigger points. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Combine plantar fascia care with myofascial release of the posterior chain.
Red flags — when to refer
Bilateral heel pain with stiffness — consider inflammatory referral.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction