How is plantar fasciitis treated

How is plantar fasciitis treated?

  • • Initial therapy:
    • Heel cup or other heel cushioning: consider custom orthotics if foot abnormalities are present.
    • NSAIDs.
    • Stretching exercises of the plantar fascia and Achilles tendon; “soda can roll” with foot.
    • Avoid weight-bearing exercise.
  • • If no improvement after approximately 2 to 3 months, continue the plan above and add:
    • Night splint: a removable splint to hold the foot in minimal dorsiflexion while sleeping
    • Consider a local corticosteroid injection.
  • • If no improvement after approximately 6 to 12 months of conservative therapy, consider a referral for surgery (<10% of patients).

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