Hong Kong’s vibrant running and hiking culture makes an active lifestyle almost irresistible. However, if you suffer from plantar fasciitis, the pain can significantly hinder your ability to participate in marathons or reach new peaks. If you spend a lot of time on your feet—whether running, hiking, or simply staying active—this guide provides essential insights to help you manage and overcome plantar fasciitis.

Understanding Plantar Fasciitis
Plantar fasciitis is one of the leading causes of heel pain. It occurs due to inflammation of the plantar fascia, a thick band of tissue running across the bottom of your foot, connecting your heel bone to your toes. This vital tissue supports the arch of your foot, absorbs shock, and facilitates movement. When inflamed, even walking can become excruciating.
Symptoms of Plantar Fasciitis
The hallmark symptom of plantar fasciitis is a stabbing pain in the bottom of the foot, particularly around the heel and arch. The pain is most severe:
- With the first steps in the morning.
- After prolonged sitting or standing.
- When walking on hard surfaces due to increased impact and strain.

Common Causes
While the exact cause of plantar fasciitis isn't always clear, several factors contribute to its development:
- Overuse and High-Impact Activities: Long-distance running, dancing, and prolonged standing can strain the plantar fascia.
- Age: Most commonly affects individuals between 40 and 60 years old.
- Excess Weight: Extra body weight places additional stress on the plantar fascia.
- Inadequate Footwear: Shoes without proper support or cushioning can increase strain on the foot.
Effective At-Home Treatments
Before seeking professional help, you can attempt to alleviate symptoms with these self-care strategies:
- Supportive Footwear: Wear well-cushioned, sturdy shoes and avoid walking barefoot.
- Rest and Recovery: Reduce high-impact activities for at least a week to allow healing.
- Stretching Exercises: Perform calf stretches in three sets of 30 seconds each to help loosen the muscles and alleviate pain.

Professional Treatment Options
If home remedies do not bring relief, consider these clinical treatments:
- Low-Dye Taping: Supports the foot to minimize excessive flattening and relieve strain on the plantar fascia.
- Custom Orthotics: Tailor-made shoe inserts provide targeted support, improving foot alignment and reducing stress.
- Soft Tissue Release, Massage, and Dry Needling: These techniques enhance blood circulation, reduce inflammation, and break down adhesions in the plantar fascia.
- Shockwave Therapy: Uses high-energy sound waves to promote healing, increase blood flow, and break down scar tissue.
- Surgical Options (Last Resort):
- Gastrocnemius Recession: Lengthens the calf muscles to reduce tension on the plantar fascia.
- Plantar Fascial Release: Partially cuts the plantar fascia ligament to relieve tension and pain.
Preventing Plantar Fasciitis
Taking proactive steps can help you avoid plantar fasciitis altogether:
- Stretch Before and After Exercise: Maintain flexibility and reduce the risk of strain.
- Allow Proper Rest: Give your feet adequate recovery time after intense activities.
- Replace Athletic Shoes Regularly: Change them every six to nine months for optimal support.
- Avoid Walking Barefoot on Hard Surfaces: Use cushioned footwear to protect your feet.
By following these strategies, you can continue enjoying an active lifestyle without the setback of plantar fasciitis. Prioritise foot care and take action early to keep moving pain-free.