The doctor will ask about your symptoms and medical history, and examine your foot.
Tests may include:
of the foot—to help rule out stress fractures or other bone abnormalities
Rehabilitation Measures to Reduce Plantar Fascia Irritation
Avoid running and other activities that may worsen pain.
Begin stretching exercises to lengthen the Achilles tendon and plantar fascia as recommended by a healthcare professional.
This is usually done when the acute pain has resolved or improved.
Ice—Apply ice or a cold pack to the heel and arch for 15 to 20 minutes, 4 times a day to relieve pain. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.
Night splint—A special splint that will hold your foot in a neutral position while sleeping.
Orthotics—Special shoe inserts provide support for the mid-arch region of your foot. Prefabricated inserts may work just as well as customized ones.
The following medications can relieve pain and inflammation:
Ibuprofen (Motrin, Advil)
Naproxen (Aleve, Naprosyn)
Corticosteroid injections are controversial, but may be an option in some cases (may be given by a doctor). In certain cases, a new special type of sound wave called, extracorporeal shock wave, may be appropriate (also under the care of your doctor). At this time, this is generally a treatment for chronic, refractory cases.
In a few cases, basic treatments don't help, and surgery is performed to cut the tight, swollen fascia.
Heel spurs have not been proven to cause plantar fasciitis, and they do not need to be routinely surgically removed.
To reduce your risk of getting plantar fasciitis:
Wear appropriate and well-fitted footwear during sports and exercise.
Do stretching exercises for the Achilles tendon and plantar fascia.
Increase intensity and duration of exercise gradually.
Pommering TL. Ankle and foot injuries in pediatric and adult athletes.
6/5/2009 DynaMed's Systematic Literature Surveillance
: Baldassin V, Gomes CR, Beraldo PS. Effectiveness of prefabricated and customized foot orthoses made from low-cost foam for noncomplicated plantar fasciitis: a randomized controlled trial.
Arch Phys Med Rehabil.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a