The E3 Rehab Podcast 215. Plantar Fasciitis: A Practical Guide w/ Marc Surdyka and Chris Hughen
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Aug 26, 2025 Marc Surdyka, a Doctor of Physical Therapy, joins the discussion to dive deep into plantar fasciitis. They dissect its diagnosis, common misconceptions, and management strategies, emphasizing a tailored approach to treatment. A personal case study illustrates the recovery journey, highlighting the importance of individual exercise plans and the impact of systemic health. The conversation also touches on adapting fitness routines and making health changes to navigate the challenges of plantar fasciitis, providing practical advice for those affected.
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Image Only When Necessary
- Do not routinely image plantar heel pain; reserve X-ray or MRI for suspected fractures or other sinister pathology.
- Explain that heel spurs are often incidental and do not change prognosis or management.
Name Reflects Mechanism
- The term 'plantar heel pain' or 'plantar fasciopathy' better reflects non-purely inflammatory mechanisms than 'plantar fasciitis.'
- Moving terminology shifts expectations away from rest/NSAID-only approaches toward load-based rehab.
Track Steps And Manage Load
- Track and manage load objectively by monitoring steps and adjusting daily or weekly volume to find a tolerable baseline.
- If patients can't self-limit (e.g., runners), impose temporary stricter rest or cross-training to prevent prolonging symptoms.