Plantar Fasciitis

Plantar fasciitis is the most common injury of the plantar fascia and is the most common cause of heel pain. Approximately 10% of people have plantar fasciitis at some point during their lifetime. It is commonly associated with long periods of weight bearing and is much more prevalent in individuals with hyperpronation (flat feet). Among non-athletic populations, it is associated with obesity. Plantar fasciitis pain is usually felt on the underside of the heel and is often most intense with the first steps of the day. Those with plantar fasciitis often have difficulty bending bringing their toes toward the shin

First-line conservative approaches such as rest, heat, ice, calf-strengthening exercises, plantar fascia stretching techniques, achilles tendon stretching techniques, weight reduction in overweight or obese patients, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen are considered first-line treatments for plantar fasciitis. NSAIDs are commonly used to treat plantar fasciitis, but fail to resolve the pain in 20% of patients. Custom orthotic devices have been demonstrated as an effective method to reduce plantar fasciitis pain for up to 12 weeks; the long-term effectiveness of custom orthotics for plantar fasciitis pain reduction requires additional study