Does Dry Needling Work for Plantar Fasciitis?
Dry needling has fairly sufficient evidence as an effective treatment for plantar fasciitis. First, to concisely clear up some confusion, let me briefly explain the relationship between acupuncture and dry needling. Dry needling is a fairly new term, but the treatment approach of using acupuncture needles on trigger points has long been a part of acupuncture. Dry needling can also be referred to as trigger point acupuncture, or trigger point needling. Now that that’s clear, lets look at some research. A study in the British Medical Journal (BMJ) found that acupuncture with trigger point acupuncture (dry needling) gave significant relief to patients with heel pain due to plantar fasciitis. Even more surprising, is that these patients already had physiotherapy and shoe supports which didn’t relieve their case of plantar fasciitis. This is important because a lot of plantar fasciitis cases resolve with these treatments, so the ones in this study were pretty tough cases. Another interesting point, some of these patients only had acupuncture points and their cases of plantar fasciitis didn’t respond. However, when they added dry needling (trigger point acupuncture) in addition to the acupuncture points for plantar fasciitis the study subjects DID get relief.
Where do the Needles go in Dry Needling for Plantar Fasciitis?
The thought of dry needling on the feet can be nerve wracking. The fact is, to treat plantar fasciitis with dry needling it’s necessary to needle trigger points in the plantar fascia on the bottom of your foot. Dry needling on the bottom of the foot can be sensitive because of it’s density of specialized nerve endings, but ultimately a short duration of discomfort is worth it if can help with the persistent and daily pain of plantar fasciitis. The second area to address when performing dry needling for plantar fasciitis is the calf area. The calf area includes the gastrocnemius muscle and the soleus muscle. To be honest, the dry needling the calf area can be uncomfortable as well, because it typically creates a signficant twitch reaction when dry needling a trigger point. Sometimes dry needling to the calf feels similar to a brief cramp or charlie horse. Again, I’d argue that a brief session of needling is worth while if it’s going to address plantar fasciitis pain, which can be excruciating.
What About Acupuncture and Dry Needling for Plantar Fasciitis?
Acupuncture and dry needling together are a great approach for addressing plantar fasciitis. My typical needling sessions for plantar fasciitis include acupuncture points around the foot, ankle, and lower leg that have been proven to bring relief. After performing acupuncture to those points I’ll do some dry needling to the plantar fascia followed by dry needling to the calf. By utilizing acupuncture and dry needling for plantar fasciitis the patient gets the pain relief effects of acupuncture and the trigger point reduction of dry needling. This is why I typically refer to any appointments involving dry needling or acupuncture as “needling” appointments since I like to use a mix of the two techniques.
Other Chiropractic Treatment for Plantar Fasciitis
Chiropractic care is a great treatment option for plantar fasciitis. We offer more treatments for plantar fasciitis than acupuncture and dry needling. Our chiropractors in Cary NC also use other therapies like manipulation, mobilization, ultrasound, Graston Technique, IASTM, interferential current, kinesiotape, and rehab exercises to address plantar fasciitis. Some patients will recover with these therapies alone and never need to try acupuncture or dry needling for plantar fasciitis. Others, like in the study referenced above, undergo treatment for a while and simply don’t improve enough. That’s why we offer dry needling for plantar fasciitis, it often succeeds where other treatments fail.
If you’re suffering from foot pain and are considering dry needling for plantar fasciitis give out Cary chiropractors a call. The first thing we’ll do is examine the area and make sure it is in fact plantar fasciitis that’s causing your pain. If it is, we’ll get to work on your plantar fasciitis and hopefully help you avoid having to undergo a painful steroid shot or oral steroid. These options to treat your plantar fasciitis will always be available if it’s not getting better with conservative care. Remember, we also do free 10 minute consultations if you’re curious to see if dry needling for plantar fasciitis or acupuncture for plantar fasciitis may help.