Treating Plantar Fasciitis

First, your doctor relieves pain. Then, the cause of your problem may be found and corrected. If your pain is due to poor foot mechanics, custom-made shoe inserts (orthoses) may help.

Reduce Symptoms
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To relieve mild symptoms, try aspirin, ibuprofen, or other medications as directed. Rubbing ice on the affected area may also help.
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To reduce severe pain and swelling, your doctor may prescribe pills or injections. Physical therapy, such as ultra sound or stretching exercises, may also be recommended.
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To reduce symptoms caused by poor foot mechanics, your foot may be taped. This supports the arch and temporarily controls movement. Night splints may also help by stretching the fascia.

Control Movement
If taping helps, your doctor may prescribe orthoses. Built from plaster casts of your feet, these inserts control the way your foot moves. As a result, your symptoms should go away.
If Surgery Is Needed
Your doctor may consider surgery if other types of treatment don't control your pain. During surgery, the plantar fascia is partially cut to release tension. As you heal, fibrous tissue fills the space between the heel bone and the plantar fascia.
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Reduce Overuse
Every time your foot strikes the ground, the plantar fascia is stretched. You can reduce the strain on the plantar fascia and the possibility of overuse by following these suggestions:
Publication Source:
Canale ST, Campbell's Operative Orthopaedics, 10th ed., Cavus foot, 2003, pp 4148
Publication Source:
Willaims SK, Clinics in Sports Medicine, 23(1), Heel pain-plantar fasciitis and achilles enthesopathy, Jan 1, 2004, pp 123-44
Publication Source:
Young CC, American Family Physician, 63(3), Treatment of plantar fasciitis, Feb 1, 2001, pp 467-4, 477-8
Online Medical Reviewer:
Bhattacharyya, Tim MD
Date Last Reviewed:
6/1/2005
Date Last Modified:
6/1/2005