Conservative treatment

  • Rest and ice by themselves rarely improve symptoms for any extended period of time, unless the foot can be completely offloaded for several weeks.
  • Orthotics are used with good success to offload the arch or heel. This allows individuals to remain active, but allow the fascia to heal.
  • Steroid injections have an excellent record in reducing symptoms quickly and effectively.  Some people can get long term results, but adding an orthotic decreases the risk of recurrence.
  • Prolotherapy injections.
  • Platelet rich plasma (PRP) injections.
  • Night splint.
  • Complete immobilization in a walking cast.
  • Extracorporeal shockwave therapy.
The plantar fascia is a strong and thick ligament.  It inserts in the heel and extends along the bottom of the foot, to the ball, and even sends slips into the base of the digits.  Inflammation can occur anywhere along the ligament, but most commonly occurs at the heel or within the arch.  Symptoms are usually gradual in onset with no definitive incident of injury; however, injury can induce plantar fasciitis.  If symptoms persist, the pain can become chronic.  Interestingly, while fasciitis denotes inflammation, biopsies in chronic cases have shown very few inflammatory cells at the area of pain. This has led to treatments focused on reinitiating the inflammatory process so the ligament can heal.

Symptoms

  • Pain in the heel or arch with first step in the morning.
  • Pain with prolonged standing or walking.
  • Pain in the heel or arch when you stand or walk after a period of rest.
  • Pain when pushing on or near the heel or arch.
  • Rest improves or eliminates the symptoms.
  • The pain rarely wakes you up at night.

Plantar fasciitis

     Ankle and Foot Clinic of Idaho

Surgical

  • Endoscopic plantar fasciotomy.
  • Radiofrequency microtenotomy coblation.
  • Minimally invasive plantar fasciotomy.
  • Open plantar fasciotomy.

Call Us:  (208) 529-0229