Plantar Fasciitis Physical Therapy: Rathleff Protocol

James McCormack is a Knee, Foot and Ankle Specialist Physiotherapist with over 10 years experience.

Alongside his clinical work he has created this website to provide free-to-read content for it's users.

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Plantar Fasciitis Physical Therapy

Plantar Fasciitis is a painful condition defined by pain under the heel, on the inner side, and along the medial arch of the foot. It is made worse by impact activities, and over time, there is a physical change in the structure of the Plantar Fascia connective tissue that decreases its loading capacity.

To address these changes, strengthening exercises are the most effective treatment for Plantar Fasciitis. In particular, an evidence-based rehabilitation protocol by Rathleff et al. (2014) has been demonstrated to be the most effective Physical Therapy Protocol for Plantar Fasciitis.

Our aim in this article is to show you the protocol, but please keep in mind that this is only one form of treatment for Plantar Fasciitis. It is a complex condition, and various treatment methods are often combined to resolve the symptoms of Plantar Fasciitis.

Rathleff Protocol: Heavy Load Strength Training for Plantar Fasciitis

The Rathleff Protocol is a set list of modified calf raises using a rolled towel under the big toe. The function of the towel is to place a stretch on the Plantar Fascia, which bias the heel raise towards the Plantar Fascia rather than the calf muscle, although both work in tandem.

Rathleff Protocol:

Below you will see each week the repetition count will decrease per set while the sets increase.