Plantar Fasciitis: Podiatrist or Physiotherapist – Who to Consult?

Plantar fasciitis is one of the most common causes of heel pain, affecting athletes, workers on their feet all day, and even those with a more sedentary lifestyle. It happens when the plantar fascia—a thick band of tissue running along the bottom of your foot—becomes inflamed or irritated, often causing stabbing pain near the heel.

The discomfort is typically worse in the morning or after long periods of rest. If this sounds familiar, you may be wondering: should I see a podiatrist or a physiotherapist? Both can help, but understanding their roles and how they approach treatment will help you choose the right path forward.

Understanding Plantar Fasciitis: What Causes It?

Plantar fasciitis occurs when the tissue that supports the arch of your foot is overloaded or irritated. This often results from repetitive strain, improper mechanics, or structural issues.

Common Causes Include:

• Overuse or high-impact activities – Running, jumping, or long hours standing can place excessive stress on the foot.

• Poor footwear – Shoes lacking proper arch support or cushioning can contribute to overload on the plantar fascia.

• Tight calf muscles – Limited flexibility in your calves increases tension along the back of the leg and foot.

• Flat feet or high arches – Foot shape can affect how weight is distributed, potentially straining the fascia.

• Sudden changes in activity – Going from minimal activity to intense training without preparation can lead to injury.

Less Obvious but Common Contributors:

• Weak glute medius and poor hip strength – These can affect how your legs and feet absorb shock, putting extra pressure on the plantar fascia.

• Previous hip or knee injuries – Past injuries may change your walking pattern, creating an imbalance that shifts strain to the feet.

In other words, the cause of plantar fasciitis isn’t always isolated to the foot. That’s why getting the right assessment is so important.

Should You See a Podiatrist or Physiotherapist for Plantar Fasciitis?

Both podiatrists and physiotherapists can treat plantar fasciitis, but they approach the problem from different angles.

When to See a Podiatrist for Plantar Fasciitis

Podiatrists are foot and lower limb specialists who focus on diagnosing foot-specific conditions and providing treatments like:

✔ Custom orthotics – Prescribed inserts to support foot alignment and reduce strain on the fascia
✔ Footwear recommendations – Advice on choosing supportive shoes that prevent flare-ups
✔ Gait analysis – Assessing how your foot moves and loads during walking
✔ Foot-specific concerns – Addressing corns, calluses, or other conditions that may be aggravating symptoms

A podiatrist is often the right choice when your plantar fasciitis is clearly linked to foot structure, footwear, or surface-related issues.

When to See a Physiotherapist for Plantar Fasciitis

Physiotherapists take a more whole-body approach, which is particularly helpful when plantar fasciitis is linked to weakness, movement dysfunction, or past injuries.

✔ Stretching and strengthening programs – Focused on improving flexibility and building support in the feet and lower limbs
✔ Manual therapy and massage – Releasing tension in surrounding muscles, including the calves and plantar fascia
✔ Posture and movement analysis – Identifying poor gait or mechanics that place extra stress on the feet
✔ Treatment for contributing factors – Like weak glutes or previous hip/knee issues
✔ Dry needling or shockwave therapy – Used to relieve persistent pain and promote healing

A physiotherapist is a great option when your plantar fasciitis stems from movement problems higher up the chain, or if you need help with a long-term rehab plan.

How Podiatrists and Physiotherapists Work Together

In many cases, the most effective approach to plantar fasciitis involves a team effort.

For example:

• A podiatrist may fit you with orthotics to support your arch and reduce pain while walking.

• A physiotherapist can then help you strengthen your glutes, improve your walking mechanics, and work on flexibility through the calves and hips.

This combined approach often results in quicker recovery and longer-lasting relief.

Best Treatment Options for Plantar Fasciitis

Regardless of the professional you start with, treatment often includes a combination of the following:

1. Footwear Modifications

Supportive shoes with proper arch support and cushioning can reduce stress on the plantar fascia. Avoid going barefoot on hard surfaces.

2. Stretching and Strengthening Exercises

Stretches for the calves, hamstrings, and foot arch, combined with exercises to strengthen the glutes, hips, and foot muscles, can correct imbalances that cause or worsen plantar fasciitis.

3. Manual Therapy and Massage

Hands-on techniques help release tight tissues and improve mobility in the ankle and foot.

4. Custom Orthotics

If structural issues in your foot are part of the problem, orthotics can provide essential support.

5. Ice and Anti-Inflammatory Strategies

Applying ice to your heel and using techniques like taping or strapping can help manage pain and swelling.

6. Dry Needling or Shockwave Therapy

These techniques can stimulate healing and are particularly useful in stubborn or chronic cases.

How Long Does It Take to Recover from Plantar Fasciitis?

Recovery time varies depending on how long you’ve had the condition and how consistent you are with treatment. Most people feel noticeable improvement in 6 to 12 weeks with professional support, but chronic cases may take 3 to 6 months.

Preventing Plantar Fasciitis from Returning

After recovery, focus on prevention:

• Wear supportive footwear daily, even at home if needed

• Stretch your calves and plantar fascia regularly

• Strengthen your hips and glutes to improve overall movement control

• Ease into new activities instead of jumping into intense training

Who Should You See for Plantar Fasciitis?

Both podiatrists and physiotherapists can help, but the right choice depends on your symptoms:

👉 See a podiatrist for structural issues, orthotics, or foot-specific concerns
👉 See a physiotherapist if your pain is linked to movement issues, weakness, or past injuries higher up the body

In many cases, combining both can offer the most complete solution.

Book an Appointment with Elite Health & Performance

If plantar fasciitis is slowing you down, Elite Health & Performance is here to help. Our experienced physiotherapists will assess your movement, identify the root causes—including hip and knee factors—and build a personalised plan to get you back on your feet.

Contact us today to book your appointment and take the first step toward pain-free movement.