Treatments for Heel Pain from Plantar Fasciitis

The plantar fascia is a dense, fibrous membrane which forms a strong mechanical tie between the heel and toes. The plantar fascia maintains the arch of the foot. Plantar Fasciitis, also known as heel pain syndrome, is the inflammation of the plantar fascia. read more about the condition

Treatment to relieve the inflammation and the resulting heel pain is based on a correct diagnosis by the physician. Once the problem is diagnosed, the physician usually sets up a treatment plan which may include the following:

Appropriate Footwear:
Shoes should be selected according to specific activities, foot structure and individual wearer characteristics. The person with Plantar Fasciitis should always wear shoes or supportive sandals such as Birkenstocks or Mephistos. (read more)

Orthotic Intervention
The use of foot orthoses (inserts) are often required for the treatment and prevention of Plantar Fasciitis. Orthoses are available pre-fabricated or custom made orthotics. A thorough biomechanical assessment allows the Certified Orthotist to determine if and what type of orthosis is most appropriate for the individual client. Contact us or fill in the form on the bottom right of this page to arrange for a free assessment.

Ice
Icing the heel several times a day will help reduce inflammation. Take care to protect the skin from frostbite.

Modified Activity
Decreasing the repetitions of stress on the inflamed fascia will reduce the destructive forces and help prevent further injury. Changing the activities to reduce load through the foot also reduces chances of re-injury. For example, running can temporarily be replaced by cycling.

Physiotherapy
Physiotherapy may be prescribed. Initially, therapy will focus on reducing inflammation and then to increase flexibility and strength in order to prevent reoccurrence. Gentle stretching of the Achilles tendon and plantar fascia several times a day will help to prevent further injury.

Other
Cortisone, medication, shock wave therapy, casting and surgery are also used in some cases.