足底筋膜炎係腳板底由腳踭連到腳趾嘅筋膜長期受拉扯或退化，引起微細撕裂同發炎，最典型係腳踭痛。

常見原因
– 長時間企立、行路或跑步，尤其係硬地面
– 扁平足、高弓足或腳形結構問題
– 小腿肌肉過緊、阿基里斯腱繃緊
– 體重過重、穿著欠支撐性鞋款
– 突然增加運動量

症狀
– 朝早起身落床頭幾步刺痛最明顯
– 久坐再企起身會再痛一次
– 多數集中喺腳踭內側，按壓會特別痛
– 行耐、跑步或企耐會加劇

物理治療重點

急性期：減痛、減壓
• 儀器治療、冰敷減少發炎。
• 教導合適拉筋（小腿、足底）及臨時貼紮或鞋墊，分散腳踭壓力。

慢性期／恢復期：組織修復、改善足部力學
• 需要時使用衝擊波促進筋膜修復。
• 強化足弓及臀部肌肉，調整跑姿／行路姿勢，連同鞋款建議，從根源減少足底負荷。

Plantar fasciitis is irritation and micro-tearing of the plantar fascia, the thick band running from the heel to the toes, leading to characteristic heel pain.

Common causes
– Prolonged standing, walking, or running on hard surfaces
– Flat feet, high arches, or other foot structural issues
– Tight calf muscles and Achilles tendon
– Increased body weight or unsupportive footwear
– Sudden spike in training or activity volume

Symptoms
– Sharp pain in the heel with the first few steps in the morning
– Pain when standing after sitting for a while
– Tenderness at the inner part of the heel bone
– Worsening with long walks, running, or prolonged standing

Physiotherapy focus

Acute phase – pain relief and off-loading
• Modalities and ice to reduce inflammation and pain.
• Stretching for calf and plantar fascia, taping or temporary insoles to unload the heel.

Chronic / recovery phase – tissue healing and biomechanics
• Shockwave therapy when appropriate to stimulate healing of the fascia.
• Strengthening of the foot arch and hip muscles plus gait and running-form retraining, with footwear advice to reduce long-term strain.