Plantar Fasciitis

Symptoms of Plantar Fasciitis

• Pain and stiffness on the bottom of the foot or the heel
• An aching or burning sensation on the bottom of the foot
• Pain in the morning, (especially when taking the first steps of the day)
• Difficulty with activities such as climbing stairs
• Mild swelling or redness on the bottom of the foot

Treating Plantar Fasciitis

The first line of treatment for Plantar Fasciitis is to avoid the activities and positions that cause any pain. Your pain specialist can evaluate your foot with a physical exam. This will allow him/her to diagnose whether or not it is Plantar Fasciitis and to determine a course of treatment. This condition can often be treated by non-surgical means, however, in severe cases, surgery may be needed. Surgery is normally required to release the tissue if it becomes too tight for regular interventions to be successful.

Medicine Intervenes

Procedures that your physician may recommend and perform may include:

• REST and ICE
• Pain medication to reduce discomfort
• NSAIDS (Non-steroidal Anti Inflammatory Drugs)
• Steroid shots or injections into the heel
• Surgery to correct underlying pathology or the cause of the Plantar Fasciitis (in extreme cases)
• Orthotic devices or special shoes
• Wearing a boot-like cast to support the foot and immobilize the injured area
• Night splints to stretch the injured tissue and allow it to heal

Prognosis

Most people recover full function following a course of conservative care that includes pain relief and possible physical therapy. It is important that once the pain is reduced, and range of motion and strength are restored, the patient gradually return to daily activities.

Instruction in daily activities or sports will be given by your pain management specialist, for reducing the re-occurrence of Plantar Fasciitis. Non-surgical methods are typically effective and reduce the pain associated with this condition. Treatment can take several months before symptoms improve.