Munson Health
 
Related Information
Plantar Fasciitis

Back to Document

by Badash M
 

Treatment

Talk to your doctor about the best treatment plan for you. Options include:

Home Care

  • Ice—Apply ice or a cold pack to the heel and arch for 15 to 20 minutes several times a day. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.
  • Night splint—A special splint that will hold your foot in a neutral position while sleeping.
  • Orthotics—Special shoe inserts that support the mid-arch region of your foot. Inserts that are not customized may work just as well as those that are customized.
  • Activity
    • Avoid running and other activities that may worsen pain.
    • Begin stretching exercises to lengthen the Achilles tendon and plantar fascia as recommended by your doctor. This is usually done when pain has lessened or improved.

Medication

To help manage pain, your doctor may recommend over-the-counter nonsteroidal anti-inflammatory medication (NSAIDs), such as ibuprofen or naproxen. Prescription pain relievers may also be required. Steroid injections may be used in some cases or if other treatment is not working.

Procedures

A special type of sound wave called extracorporeal shock wave may also be considered in certain cases. This treatment happens under the care of your doctor. At this time, this is generally a treatment for long-term cases that do not respond to other treatments. Massage therapy or accupuncture may also be effective for long-term cases.

Surgery

In a few cases, basic treatments don't help. Surgery may be performed to cut the tight, swollen fascia.
 

RESOURCES

American Academy of Physical Medicine and Rehabilitation
http://www.aapmr.org

OrthoInfo.org—American Academy of Orthopaedic Surgeons
http://orthoinfo.org

 

CANADIAN RESOURCES

Ontario Podiatric Medical Association
http://www.opma.ca

Orthogate
http://www.orthogate.org

 

References


Plantar fasciitis. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated November 2, 2012. Accessed February 18, 2014.


Plantar fasciitis. Focus on the basics. Mayo Clin Health Lett. 2012;30(8):7.


Plantar fasciitis and bone spurs. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00149. Updated June 2010. Accessed November 19, 2012.


Pommering TL. Ankle and foot injuries in pediatric and adult athletes. Prim Care. 2005;32:133-161.


6/5/2009 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Baldassin V, Gomes CR, et al. Effectiveness of prefabricated and customized foot orthoses made from low-cost foam for noncomplicated plantar fasciitis: a randomized controlled trial. Arch Phys Med Rehabil. 2009;90:701-706.


4/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Wise JN, Weissman BN, et al. American College of Radiology (ACR) Appropriateness Criteria for chronic foot pain. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/ChronicFootPain.pdf. Updated 2013. Accessed April 24, 2014.

 

Revision Information