These are some of the main treatments for plantar fasciitis, but this list is not exhaustive.
- Rest the foot - avoid walking or standing for long periods of time where possible.
- Appropriate footwear - wear shoes with extra cushioning and good arch support, for example, running trainers. Do not walk barefoot or on hard surfaces.
- Orthotic Devices - arch supports and / or heel cushions.
- Analgesia - options include paracetamol and / or non-steroidal anti-inflammatory drugs (for example Ibuprofen or Naproxen). Ask your doctor or pharmacist for advice before taking any medication.
- Ice - Apply an icepack (covered with a towel) to the foot for 15-20 minutes for symptomatic relief. Only use if advised to do so by your doctor or physiotherapist. There are some people who must not use ice, including people with impaired circulation or sensation. Ice must not be applied over an area of decreased or altered sensation. Care must be taken to check the area regularly whilst the ice is in place to ensure that the ice does not cause a burn. Stop using ice immediately if you notice any evidence of marked increased redness, burn or if there is increased pain.
- Weight loss - if you are overweight, losing weight can help prevent future episodes.
- Stretching of the Achilles tendon and / or plantar fascia – Refer to the enclosed exercises below
- Rolling foot on a ball or a cold bottle of water - Refer to exercise below.
- Night splints
- Physiotherapy
- Cast application or special walking boot (occasionally)
- Steroid Injection (rarely)
- Shockwave Therapy - if symptoms persist after trying conservative management this may be offered
For most people with plantar fasciitis, their symptoms will resolve or improve with treatment. However, it may take up to 18 months for symptoms to clear. Occasionally symptoms re-occur and treatment is again necessary.
Surgery is rarely required. There are associated risks and possible complications with surgery, including infection, persistent pain, and damage to the small nerves in the heel causing tingling and numbness Surgical division of the plantar fascia can result in a flat foot