July 2025

The Real Reason Your Plantar Fasciitis Keeps Coming Back

A Personal Note from Dr.Scott:

A Personal Note from Dr. Scott

Are You Really Free?

Every year, we celebrate the 4th of July with fireworks, cookouts, and flags waving high โ€” a symbol of freedom, independence, and the ability to live life on our own terms.

But hereโ€™s the question I want to ask you this month:

Are you really free?

Because if pain, stiffness, fear of getting hurt, or a body that just doesnโ€™t move the way it used to is calling the shots in your lifeโ€ฆ thatโ€™s not freedom.

If youโ€™re turning down hikes, skipping workouts, avoiding travel, or simply not feeling like yourself anymore โ€” then your body has quietly taken over the decisions your heart wants to make.

Hereโ€™s the good news: it doesnโ€™t have to stay that way.
Whether itโ€™s stubborn foot pain like plantar fasciitis, or the weight that just wonโ€™t come off no matter how hard you try โ€” there is a better way forward. A way that doesnโ€™t rely on guesswork, generic advice, or more medications.

At Back In Motion, we believe your independence matters. Not just on holidays โ€” but every day. And weโ€™re here to help you reclaim it.

So this month, while youโ€™re watching those fireworks light up the sky, take a moment to ask yourself:
What would freedom really look like for me โ€” and whatโ€™s one step I can take to move closer to it?

To your health and freedom,
Dr. Scott Gray

Article of the Month

The Real Reason Your Plantar Fasciitis Keeps Coming Back

(Hint: Itโ€™s Not Just About Your Feet)

Youโ€™ve tried everything.
Icing. Stretching. Orthotics.
Maybe even cortisone injections.

And for a little while, your foot felt better.
But thenโ€ฆ the pain came back.

That familiar sharp, stabbing heel pain โ€” especially in the morning or after long periods on your feet โ€” returns with a vengeance. And the cycle starts all over again.

If this sounds like your story, youโ€™re not alone.
And more importantly โ€” youโ€™re not broken.

Youโ€™ve just been treated for the symptom, not the source.

Most Plantar Fasciitis Treatments Are Too Narrow

When most people hear โ€œplantar fasciitis,โ€ they automatically think about the foot โ€” because thatโ€™s where the pain is. So naturally, most treatment plans target the foot itself:

  • Arch supports or orthotics
  • Icing and rest
  • Night splints
  • Stretching the calves or plantar fascia
  • Taping and massage

These things might provide temporary relief. But here’s the problem:

They rarely address why the plantar fascia was overloaded in the first place.

Until you fix that, the pain will keep coming back โ€” or never fully go away.

The Kinetic Chain: Why the Problem Starts Above Your Foot

The human body is a connected system. What happens at your hips or knees directly affects how your foot moves and absorbs force.

This is called the kinetic chain โ€” a term used to describe how one joint affects the next in a coordinated sequence of movement.

Think about walking or running:

  • Your glutes and hip rotators control your legโ€™s alignment
  • Your knee stabilizes your stride
  • Your foot and ankle absorb whatever the joints above send down

If your hips or knees arenโ€™t doing their job properly, the plantar fascia ends up handling more load than itโ€™s designed to โ€” and over time, it breaks down.

Common Biomechanical Causes of Recurring Plantar Fasciitis

Weak Glutes and Poor Hip Control
When the glute medius and hip rotators are weak, your leg tends to collapse inward (internal rotation). This causes excessive pronation โ€” or flattening โ€” of the arch. Your foot becomes unstable, and the plantar fascia stretches repeatedly with every step.

Tight Hip Flexors and Poor Pelvic Control
Tight hips throw off your stride and limit proper push-off mechanics, forcing the foot to overwork during gait. Itโ€™s like driving a car with misaligned tires โ€” the wear and tear show up in the wrong place.

Poor Single-Leg Stability
If your body canโ€™t balance and stabilize on one leg (which happens constantly when walking or running), you compensate by over-gripping the ground, leading to overuse of the plantar fascia.

Knee Instability or Misalignment
When the knee collapses inward (valgus), it causes a chain reaction: the arch collapses, the heel turns outward, and the fascia stretches excessively.

The result?
Heel pain that just wonโ€™t quit โ€” no matter how many times you stretch your calves.

Why Traditional PT Often Misses This

At Back In Motion, we see this mistake all the time:

Patients whoโ€™ve been through weeks of therapy โ€” but nobody ever looked above the ankle.

If your treatment has only focused on your foot, youโ€™ve only received part of the story.

This is why we use theย Gray Methodโ„ข, our signature full-body approach that detects the true cause of pain โ€” not just where it hurts.

We donโ€™t guess. We assess.

And more often than not, the root of your plantar fasciitis is in your hips, knees, or overall movement pattern โ€” not just the bottom of your foot.

How Sports Physical Therapy Solves the Real Problem

This is where a performance-based approach to rehab makes all the difference.

We use principles ofย sports physical therapyย to restore your bodyโ€™s natural movement from the top down. That means assessing how your hips, knees, and feet are moving together, not in isolation.

A proper rehab plan should include:

  • Gait and movement analysis
  • Hip and core strength training
  • Dynamic balance and single-leg stability work
  • Manual therapy to restore joint motion and tissue mobility
  • Progressive loading of the plantar fascia โ€” safely and strategically

This approach doesnโ€™t just give you relief โ€” it helps you move better long-term so the pain doesnโ€™t come back.

What Real Plantar Fasciitis Treatment Looks Like

Hereโ€™s what you can expect when you work with our team:

1. Movement Assessment
We evaluate your entire lower body โ€” not just your foot. How does your hip rotate? Does your knee collapse inward? Do you overpronate when you walk or run?

2. Customized Strength & Mobility Plan
We target the specific imbalances causing your foot to overwork โ€” often starting at the hip and pelvis, not the foot itself.

3. Manual Therapy
Our hands-on treatments reduce pain, restore tissue mobility, and improve how your joints move so your foot isnโ€™t doing all the work.

4. Foot Mechanics & Gait Retraining
We teach you how to walk and move in a way that reduces strain on your plantar fascia.

5. Return-to-Activity Programming
Whether youโ€™re a runner, hiker, golfer, or weekend warrior โ€” we help you get back to what you love, pain-free and stronger than before.

Who This Works For

This full-body approach helps:

  • Adults who want to stay active without recurring foot pain
  • Runners or athletes whoโ€™ve been sidelined
  • Women 50+ who are tired of waking up with heel pain
  • Anyone whoโ€™s been told they โ€œjust need better shoesโ€
  • Patients whoโ€™ve tried traditional PT, orthotics, or injections โ€” without success

If youโ€™ve had plantar fasciitis treatment before and no one ever looked at your hip, knee, or how you walk โ€” then the job wasnโ€™t finished.

Your Foot Pain Isnโ€™t the Real Problem โ€” But We Can Help

Plantar fasciitis is frustrating. But when you understand that the problem is often higher up the chain โ€” not just in the foot โ€” you unlock real, lasting relief.

At Back In Motion, we specialize in fixing the cause, not just the symptom.

If your pain keeps coming back, donโ€™t wait until it becomes chronic.

Learn more about ourย plantar fasciitis treatment, or schedule a full-body movement evaluation with our team of experts to finally get answers โ€” and a real plan that works.

Staff Spotlight

Staff Spotlight – Meet Oliver Gray

Oliver Gray, the spirited standard poodle, sports a striking red coat that turns heads wherever he goes, its vibrant hue gleaming like a sunset. Often mistaken for a golden doodle due to his luxurious, curly locks, Oliver is a proud, full-blown poodle, embodying the breedโ€™s elegance and intelligence with every prance. His fiery coat only amplifies his larger-than-life personality, making him the ultimate showstopper. Devoted to his mom and dad, he showers them with affection, his soulful eyes lighting up at their every word. Long walks are his playground, where he struts with flair, chasing his beloved ball with boundless enthusiasm. Swimming is his true passion, as he dives into pools or lakes, his red coat shimmering in the water like a crimson wave.

At mealtime, Oliverโ€™s heart belongs to eggs with cheese, which he devours with a gusto that rivals a gourmet critic. At Back in Motion, heโ€™s the star greeter, charming patients with his wagging tail and magnetic presence, thriving as the center of attention. Though his red coat may spark doodle confusion, Oliver Gray is unmistakably a pure poodle, stealing hearts with his vibrant spirit and undeniable poodle pride!

Oliverโ€™s Healthy Recipe

Oliverโ€™s Corner Recipe: Grilled Lemon Herb Chicken Skewers with Veggies

Grilled Lemon Herb Chicken Skewers with Veggies

A clean, protein-packed crowd-pleaser โ€” without the heavy sauces or sugar-laden marinades.

Ingredients:

  • 1.5 lbs boneless skinless chicken breast, cut into 1-inch cubes
  • 1 red bell pepper, cut into chunks
  • 1 zucchini, sliced into thick rounds
  • 1 red onion, cut into wedges
  • 1 yellow squash, sliced
  • 2 tbsp olive oil
  • Juice of 1 lemon
  • 3 cloves garlic, minced
  • 1 tsp dried oregano
  • 1 tsp dried thyme
  • Salt & pepper to taste
  • Optional: chopped fresh parsley for garnish

Ingredients

Marinade Instructions:

  1. In a bowl, whisk together olive oil, lemon juice, garlic, oregano, thyme, salt, and pepper.
  2. Add chicken to the marinade and toss to coat. Cover and refrigerate for at least 30 minutes (or up to 4 hours for deeper flavor).

Skewer & Grill:

  1. Preheat grill to medium-high heat.
  2. Thread marinated chicken and vegetables onto skewers, alternating for color.
  3. Grill skewers for 10โ€“12 minutes, turning occasionally, until chicken is cooked through and lightly charred.

Serve With:

  • Quinoa, cauliflower rice, or a leafy green salad
  • A dollop of Greek yogurt mixed with lemon zest and herbs for dipping

Why Itโ€™s Great for You:

  • High in lean protein
  • Loaded with fiber and antioxidants
  • Low in sugar and processed ingredients
  • Easy to scale up for guests

Fitness Corner

The Truth About Fat Loss After 50: Whatโ€™s Really Going On With Your Body

If youโ€™ve hit your 50s and feel like losing fat has become frustrating, confusing, or downright impossible โ€” youโ€™re not imagining it.

Your bodyย doesย change with age. But that doesnโ€™t mean fat loss is off the table.
It just means the rules are different โ€” and itโ€™s time to stop blaming willpower and start understandingย physiology.

Hereโ€™s whatโ€™s really going on with fat loss after 50 โ€” and what you can do about it.

1. Hormones Shift โ€” and So Does How Your Body Stores Fat

After 50, both men and women experience aย natural decline in sex hormones, which play a major role in how your body stores and burns fat.

For Women:

Estrogen levels drop during perimenopause and menopause. This causes fat to shift from the hips and thighs to theย abdomen, increasingย visceral fatย โ€” the type that wraps around internal organs and raises health risks.

Lower estrogen also impactsย insulin sensitivity, making your body more prone to storing fat after meals, especially when eating refined carbohydrates.

For Men:

Testosterone starts to decline around age 40โ€“50. This hormone helps preserve muscle mass and burn fat. As levels dip, men may notice more fat gain around theย midsectionย and a drop in energy and strength.

2. Muscle Mass Decreases โ€” Which Lowers Your Metabolism

After age 30, most adults lose about 3โ€“8% of muscle mass per decade. That process speeds up after 50 unless actively countered through strength training.

Hereโ€™s why that matters:

  • Muscle burns more calories at rest than fat
  • Less muscle = a slower metabolism
  • A slower metabolism means you can gain fatย even if youโ€™re eating the same amount

This is why the same diet or exercise routine that worked in your 30s doesnโ€™t get the same results now. Yourย metabolic engine has changedย โ€” but itโ€™s not broken.

3. Recovery, Stress, and Sleep Matter More Than Ever

The nervous system becomes less resilient to stress after 50. Combine that with modern life (work, caregiving, poor sleep), and many adults stay stuck in aย chronic stress stateย โ€” high cortisol, poor blood sugar regulation, and stalled fat loss.

Sleep also becomes more fragmented with age. And studies show that evenย one night of poor sleep can disrupt hunger hormonesย and lead to overeating the next day.

Fat loss after 50 isnโ€™t just about what you do in the gym โ€” itโ€™s about how you recover.

4. You Canโ€™t Just Cut Calories โ€” You Need to Fuel Smarter

Starving yourself doesnโ€™t work. It usually backfires.

Restrictive diets can cause muscle breakdown, slow your metabolism even further, and disrupt your hormones โ€” especially in women. What you need is aย strategicย approach that:

  • Prioritizesย proteinย to preserve and build muscle
  • Includesย fiber-rich carbsย to support energy and digestion
  • Usesย nutrient timingย to support blood sugar control
  • Doesnโ€™t leave you tired, moody, or craving sugar

Your body still wants to be lean and healthy โ€” but it needs the right kind of fuel to get there.

5. Strength Training Becomes Non-Negotiable

If youโ€™re still relying on long cardio sessions or high-intensity bootcamps to lose fat, you might be doing more harm than good.

At this stage of life,ย strength training is essentialย โ€” not optional. It:

  • Builds and preserves lean muscle
  • Revs up metabolism
  • Supports joint and bone health
  • Improves insulin sensitivity
  • Increases fat burning, even at rest

And you donโ€™t need to lift like a bodybuilder. Smart, progressive training 2โ€“4 times per week โ€” with a focus on form, function, and consistency โ€” is the secret.

6. The Right Program Makes All the Difference

The problem isnโ€™t your age. Itโ€™s the one-size-fits-all plans that donโ€™t work for your biology anymore.

At Back In Motion, we specialize in helping men and women 50+:

  • Burn fat safely without injury
  • Rebuild strength and energy
  • Regain confidence in how they move, eat, and live

Our programs are built by medical and performance professionals who understand how to balanceย fat loss,ย hormonal health, andย injury prevention.

Because looking better doesnโ€™t matter if you feel broken in the process.

Bottom Line: Youโ€™re Not Stuck. You Just Need a Smarter Strategy.

Fat loss after 50ย is possibleย โ€” but itโ€™s not about working harder. Itโ€™s about workingย smarterย with your biology, not against it.

Understand the physiology. Train with intention. Eat to fuel your body, not deprive it. And above all, stop falling for quick-fix plans that were never designed for you in the first place.

You still have time to feel stronger, leaner, and more alive than you have in years.

If youโ€™re ready for a plan that works โ€” and a team that gets it โ€” we can help.

Click here to schedule a free consultationย and discover how we help adults 50+ lose fat, gain strength, and feel in control again โ€” safely and effectively.

Try This at Home

The Marching Core Test

Want to know if your core is actually doing its job โ€” or just along for the ride?

Hereโ€™s a simple test we use in the clinic to spot compensation and weak core control in seconds.

Marching Core Test:

  1. Lie on your back with your knees bent and feet flat on the floor.
  2. Place one hand under your lower back โ€” you should feel a small space.
  3. Engage your core (gently flatten that space) and slowly lift one foot a few inches off the ground โ€” like a slow marching motion.
  4. Lower the foot and switch sides.

What to watch for:

  • Does your back arch or flatten drastically?
  • Does your belly push out or grip tightly?
  • Do you feel your hip flexors or lower back working more than your abs?

If yes โ€” your core may not be stabilizing properly. And that could be contributing to your back, hip, or knee pain.

Staff Spotlight

Meet Dr. Fernanda Paulsen- Pelvic Health Therapist

Dr. Fernanda Paulsen earned her Doctorate in Physical Therapy from the University of St. Augustine for Health Sciences, building upon a rich foundation that includes a Master of Science in Yoga Therapy from the Maryland University of Integrative Health, a law degree from Brazil, and undergraduate studies in Kinesiology at the University of Hawaii. While at Hawaii, she also explored her passion for movement through academic coursework in dance. Fernanda is a Certified Yoga Therapist (C-IAYT) and E-RYT 500 Yoga Teacher with over 1000 hours of training, blending scientific and holistic approaches in her work. Her academic path reflects a lifelong dedication to understanding the human body, movement, and wellness through both Western and Eastern lenses.

Dr. Fernanda brings a unique and integrative perspective to pelvic health, shaped by years of hands-on experience as a licensed massage therapist and yoga therapist at Hawaii Naturopathic Retreat Center. She has pursued advanced continuing education through Herman & Wallace to stay at the forefront of pelvic health care.

Outside of the clinic, Dr. Fernanda enjoys CrossFit, running and yoga, and treasures time spent with her two daughters. She is excited to serve the Fort Myers community, where she has deep family roots and long-standing relationships.

Favorites:

Place: beach

Food: Steak

Vacation Spot: Brazil

TV Show: Outlander

Film: Braveheart

Guilty Pleasure Song: Iโ€™ll be there for you, Bon Jovi

Celebrity: Russell Brand

Book: Bible

Sport: CrossFit

Team: Brazilโ€™s soccer

Hobbies: Yoga and Aerial Silks

Fitness Client Of The Month

Fitness Client of the Month โ€” Susan Yarab

Susan has been wowrking out with us at Back in Motion for over a year. She came to us because she was not being challenged or pushed at another gym facility. Sheโ€™s now lost 15 lbs and has more strength and energy. Way to go, Susan!

Client Case Study of the Month

Client Case Study of the Month – Sierra

When Sierra first came to us, she was frustrated, exhausted, and honestlyโ€”starting to lose hope.

She had been living withย chronic lower back pain and sacroiliac (SI) joint painย for almost a year. She tried massage, rest, and even some traditional physical therapy, but nothing made a lasting difference. Every time she tried to return to exercise or simply keep up with her busy life, the pain flared back up.

But after taking her through a detailed movement evaluation, we found something that others had missed.

Events of the Month

Events of the Month โ€“ July Highlights

Weโ€™ve got an exciting month ahead at Back In Motion! Mark your calendars and donโ€™t miss your chance to learn, give back, and get rewarded:

๐Ÿ’ช Fitness Workshop

Date: Wednesday, July 23rd

Topic: How to Improve Your Metabolism and Burn Fat After 50 โ€” Even If Youโ€™ve Tried Everything Else

Whether you’re struggling with low energy, stubborn weight, or a slowing metabolism, this free workshop will help you take back control.

๐Ÿ‘‰ Reserve your spot today!

๐Ÿšถโ€โ™‚๏ธ Plantar Fasciitis Workshop

Date: Saturday, July 19th

Topic: 3 Reasons Why Your Plantar Fasciitis Hasnโ€™t Healed โ€” and How to Fix It Naturally

If your heel pain keeps coming back, you need more than rest. Discover the root cause โ€” and how to heal it for good.

๐Ÿ‘‰ Limited seats โ€” sign up now.

๐Ÿงก Client Appreciation & Charity Workout

Date: Saturday, July 26th

Celebrate with us! Weโ€™re hosting a fun group workout to give back to our amazing clients and support a local cause.

Bring a friend, sweat a little, and help raise funds for things which are charity cause.

๐Ÿ‘‰ All fitness levels welcome. Let us know youโ€™re coming!

๐ŸŽ Referral Giveaway โ€” Win a $200 Spa Gift Card!

Know someone who could use our help?

When you refer a friend this month, youโ€™ll be entered to win a $200 gift card to Salon Spa & Aesthetics.

๐Ÿ‘‰ Thereโ€™s no limit โ€” the more you refer, the more chances you have to win!

๐Ÿšถโ€โ™‚๏ธ 3 Secrets to Overcoming Urinary Incontinence

Without Pills, Pads, or Embarrassment

-Tired of being told itโ€™s โ€œjust part of agingโ€? Join us for this eye-opening workshop where youโ€™ll learn the real reasons bladder leaks happenโ€”and how to fix them naturally. Weโ€™ll reveal 3 powerful secrets to regain control, confidence, and freedom without relying on medications, pads, or invasive procedures. Perfect for women who are ready to take back their lives discreetly and effectively. Donโ€™t miss it!

๐Ÿ‘‰ go.backinmotionsspt.com/3-secrets-to-overcoming-urinary-incontinence/

Testimonials

“Iโ€™m a little apprehensive about driving from Naples to Fort Myers, just physical therapy several times a week, but Iโ€™m glad I did. The outcome has been absolutely spectacular!
- Barb Steinberg
โ€œI really like that you were more focused on getting me back in the gym because you knew that was really important to me.โ€
- Emily

Get to the Root Cause of Your Pain Today!

Inquire About an Appointment Today and Someone From Our Team Will Be in Contact With You Shortly