If you are seeking quick relief from plantar fasciitis, there are several strategies that can help. One of the most important steps is to prioritize rest and avoid engaging in strenuous physical activities or spending long periods of time standing. Additionally, investing in high-quality orthotic inserts can provide much-needed support and alleviate the symptoms. Incorporating a daily stretching routine into your routine can also aid in the healing process. Lastly, it is advisable to schedule a timely appointment with a podiatrist to receive professional guidance and treatment for plantar fasciitis.
In addition to conventional remedies like nonsteroidal anti-inflammatory medications and physical therapy, your doctor may recommend exploring alternative treatment options for lasting relief from your condition. Despite the prevalence of these conservative approaches, several studies indicate that they may not offer sustainable relief for the majority of individuals.
Orthotics
Plantar fasciitis is a frequently encountered foot ailment characterized by discomfort and swelling in the heel area. This condition can be triggered by a sudden injury or gradually develop as a result of repetitive strain and pressure. Learn more about plantar fasciitis and its causes here.
Orthotics can help to control excessive movements that cause pain. Examples include over pronation and rapid movements that occur when standing or walking (see myths below).
Custom orthotics are made to be almost air tight to the arch of the foot and conform to it. A non-weightbearing cast or laser scan of the foot is used to make sure they fit perfectly.
Studies have shown that using prefabricated or custom-fitted orthotics reduces pain and improves function in adults with plantar fasciitis. These orthotics can be used alone or in conjunction with other therapies like physical therapy and NSAIDs.
Physical Therapy
Plantar fasciitis is a common condition that affects both athletes and non-athletes of all ages. It causes foot and heel pain that can range from dull and achy, to sharp and stabbing.
Physical therapy is often recommended for people who have plantar fasciitis. It involves a combination of stretching, strengthening and exercise that improve the flexibility of the ankle and the plantar fascia.
A physical therapist will evaluate your symptoms, health and activity history. She may also ask about any changes in your activities or lifestyle.
Research shows that plantar fasciitis often gets better with conservative treatments, including stretching and strengthening exercises, resting the area and avoiding activities that increase your risk for pain.
Depending on your specific symptoms, your therapist will recommend various types of treatment. This could include icing and taping, night splints or orthotics (shoe inserts) to help minimize abnormal foot motion that can lead to plantar fasciitis. The therapist might also use trigger point dry needling to release muscle tension and spasms.
Night Splints
Night splints help maintain a tight, controlled stretch on the plantar fascia ligament while you sleep. This helps prevent morning pain.
In addition to keeping the Achilles tendon and plantar fascia slightly stretched, night splints also keep your heel bone in a neutral position, which reduces the stress that ambulation places on the ligament during the day.
There are a few different types of night splints that podiatrists can prescribe. One type is called a dorsal night splint, which positions the foot and ankle in a dorsiflexion position while you sleep.
Another is an anterior night splint, which is less bulky and more comfortable than the dorsal night splint. This type of splint is effective in stretching the Achilles tendon, plantar fascia and triceps surae.
Studies show that night splints are effective for alleviating plantar fasciitis symptoms and improving function. Many DPMs use them as part of their treatment regimen for plantar fasciitis. They also recommend icing, stretching, shoe modifications and orthotics to treat the condition.
Steroid Injections
If you’ve tried conservative treatment options, including orthotic inserts, physical therapy, night splints, and stretching, but you’re still experiencing heel pain, your podiatrist may recommend steroid injections. Cortisone is a synthetic hormone that reduces inflammation.
Plantar fasciitis is a painful foot disorder caused by repetitive stress and strain to the plantar fascia. It’s a common problem that affects a million people per year.
However, most cases can be treated with a combination of treatments. Rest, ice, stretching, and using orthotic inserts to realign the arch and cushion the heel can be effective for most patients.
Depending on your personal preference for challenging issues, your podiatrist may recommend cortisone injections or platelet-rich plasma (PRP) injections. These injections use a patient’s own blood to encourage healing in damaged tissue.
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