Plantar fasciitis

Overview

Plantar fasciitis is a common condition that causes heel pain. The plantar fascia is tissue that runs along the bottom of your foot. When this gets irritated, pain can occur. This condition can develop gradually or have an acute onset. It can involve one or both feet. Plantar fasciitis can happen to anyone, but it is more common in people who are on their feet for long periods of time.  

Repetitive walking and jogging are risk factors for plantar fasciitis. The plantar fascia tissue is repetitively stretched, which can lead to small tears, irritation, and pain. Symptoms are typically worse in the morning when you first get out of bed and with prolonged standing during the day.

Treatment of plantar fasciitis often takes time. Numerous treatments may be helpful for plantar fasciitis, including:

  • Regular stretching of the plantar fascia and calf
  • Strengthening exercises of foot and ankle muscles
  • Cross friction massage of the heel
  • Icing the heel for 15 minutes up to three times a day
  • Wearing shoes with good support
  • Using heel inserts and arch supports
  • Weight loss
  • Over-the-counter medication such as acetaminophen or NSAIDs
  • Night splint

When plantar fasciitis does not improve with the above treatments, other options may include:

  • Corticosteroid injection
  • Minimally invasive ultrasound-guided procedures such as tenotomy, platelet-rich plasma injection, or Tenex procedure

Surgery

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