Foot Alignment, Loading and Plantar Fasciitis

Stephen Grinnell // November 13 // 0 Comments

You will notice from the image that the normal foot showing pressure on the foot is centred around the heal 90% and the rest spread across the ball of the foot as used for balance. The shoe follows a similar pattern but limited wear on the heal and much more wear on the ball of foot.


The heel shows a circle of pressure where most plantar fasciitis occurs and spreads due to activity. Its important to note that the normal foot is showing pressure wile standing and forms the basis for all orthotics and insoles for plantar fasciitis development and design.

A couple of obvious questions spring to mind:

  • With this the basis, why do they not focus on the heel and ball of the foot for support and importantly cushioning?
  • Secondly why do they build up the arch support? I assume it’s the try and reduce the load on the heel to reduce the pain from plantar fasciitis.

The shoe shows a similar pattern for wear to the normal foot image. However, if you look closely the wear is most at the ball and down the outer edge of the foot where it will have contact with the ground and least on the heel.

So what is going on?

Firstly its important to note that the wear on the shoe, a barefoot, is from walking with correct walking mechanics of heel, weight transition and ball, toe drive off.

Not Standing!

So correct walking means that the pressure or load on the heel is for a extremely small amount of time. Important for plantar fasciitis, the outer edge of the foot provides support in the transition and the ball of the foot provides the power.

The foot does not need arch support it needs correct movement mechanics to heal!

To start using your foot correctly and load and apply pressure in the correct way to help reduce pain and heal your plantar fasciitis your foot needs to be straight.

When the majority of people stand they have their feet slightly turned out to aid with sideways balance. The image of the normal foot reflects this and you can see that the difference with the foot straight in the shoe image.

The line of foot pressure is different and pressure on your plantar fasciitis will be different, in most cases reduced. When walking you need to land on your heel with your foot straight, but, focus mostly on the drive or push off. This will reduce your pain and significantly increase your walking speed.

To find out more and experience this transformation for yourself will you book a treatment and assessment below:

About the Author Stephen Grinnell

Stephen Grinnell MSc Health and Rehabilitation
Pain and Physical Rehabilitation Specialist: Plantar Fasciitis, Lower back and Knee
Stephen has had his own Pain and Rehabilitation Clinic for over 14 years where he has treated well over 3000 people with lots of different pain and injury issues. Stephen’s personal physical rehabilitation journey started with a serious injury while on active service with the Royal Marines 25 years ago. This injury resulted in a long journey of complementary rehabilitation and two replacement hips. Stephen has developed his own bespoke treatment protocols using a variety of medical devices to help pain and inflammation resulting in accelerated recovery. Expert areas of focus are Plantar Fasciitis Treatment, Back pain issues particularly Lower Back and Sciatica and hip and knee replacement rehabilitation. Stephen previously had a successful academic career lecturing at a variety of Colleges and Universities in the Sports Science, Rehabilitation and Training areas. Stephen has also worked in The Queen Elizabeth Hospital Physiotherapy department during the Covid 19 Pandemic helping the recovery of COVID patients. Stephen has been extensively researching and trialling protocols to treat plantar fasciitis. His Expertise has resulted in the successful treatment of 3000+ people and counting with a current success rate of 93%

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