Plantar Fasciitis Treatment

Plantar Fasciitis / Policeman’s Heel

This is an overuse syndrome of the plantar fascia which leads to inflammation, thickening, degeneration and fatty-infiltration where the ligament attached to the heel bone.

The plantar fascia is a really strong ligament on the bottom of the foot which starts from the heel and attached to all your toes. The fascia is really important for stabilizing the arch when walking and running.

Plantar fasciitis usually occurs when there is overuse of the ligament. This can mean a new activity (longer walks or training for a marathon), certain foot types like flatfoot, or an increase in body weight. Usually the cause is multifactorial which is why a detailed assessment is so important.

Another important reason for an evaluation is because plantar fasciitis is only one reason for heel pain. There are many other causes of heel pain like a stress fracture, nerve entrapment or a tumor. I go deeper into this topic here.

Imaging can be an important part of confirming the diagnosis. In this article here I discuss the importance of imaging when a patient has heel pain.

Once the diagnosis is established, a treatment plan is created for the patient. My goal is to implement the most effective treatment plan that minimizes disruption of the activities you enjoy most.

Some basic treatments include:

  1. Stretching
  2. Orthotics
  3. Anti-inflammatory medications
  4. Physical therapy
  5. Massage
  6. Activity and Shoe modifications
  7. Cortisone Injections

Some more advanced options include:

  1. Radial shockwave treatment
  2. Platelet-rich plasma injections
  3. Surgery

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