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Tuesday, October 8, 2013

Plantar Fasciitis: A.R.T. and Graston to help move out the stubborn scar tissue

For any one that has suffered from plantar fasciitis, there are two important manual techniques that can really help. These techniques are A.R.T.(Active Release Technique) and Graston. These 2 short videos adequately demonstrate the techniques. Most Chiropractors and some PTs are certified in these techniques. So, if the going is slow, consider these techniques, designed to break down chronic scar tissue, as possible help for your sore feet.


  1. I am curious about A.R.T. for internal scar tissue (scars "look" fine, but I scar excessively internally--just the fun way my body responds!) after medial sesamoidectomy/bunion repair/hammertoe fusion to let a plantar plate tear heal. I am just over 7 months out of surgery, and progress is slow. I have some very bad pain days, and some relatively good days. It's been quite a journey... I was "injured" for 8 months leading up to surgery, as none of the docs I saw could sort out my issue(s)! I have a top-notch ortho surgeon now, who is also aware of scar tissue complications... That said, I fear I'll be dealing with pain/dysfunction for a LONG time yet... I am as active as I can be (I swim a lot, but can also walk on uneven/wooded surfaces for up to an hour--not always pain-free, mind you!), and healthy overall. I fear the other sesamoid is now "flaring", but I use orthotics and stable shoes and am rarely barefoot. I'm in PT, go to acupuncture, and do scar tissue massage... Just not sure how else to approach this. Seeing my surgeon for a routine follow-up next week to check in. Thoughts/suggestions for my situation, Dr. Blake? :)

  2. Thank you for your email. My best suggestion is to get a current MRI to know exactly where the scar tissue is that is blocking your progress. ART may be helpful, but you can not do under the sesamoid or near the plantar plate. If they are telling you that the big toe joint is restricted, see my video on Self Mobilization for Hallux Limitus and do 3 times daily. Takes all of 1 minute. Definitely make sure you are doing metatarsal doming exercises and Single Leg Balancing. If the inflammation gets out of control, iontophoresis or a short acting cortisone shot into the joint may be appropriate. I hope this helps some. Rich


Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.