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Dr. Gosal Discusses Initial Treatments for Plantar Fasciitis

Plantar Fasciitis Treatments

There are many types of non-surgical treatments for acute Plantar Fasciitis. Watch Dr. Gosal, one of our podiatrists, discuss the various options for treatment of early stage Plantar Fasciitis.

Video Transcription:

Hi, I am Dr. Satwinder Gosal of The Center for Morton’s Neuroma. I am here to talk to you about the treatment of acute plantar fasciitis. Stretching is key: stretching every day, keeps the podiatrists away. You should try your plantar fasciitis stretching regiment which can be downloaded from our website. In addition, you can perform 2 to 3 reps of stretching exercises every morning before getting out of bed, which should help you get out of bed. You have been sitting for more than 10 minutes? Or after driving perform simple stretching exercises before getting up. A night splint can help stretching. Do your best to wear it every night. Most people find it difficult to wear it at bed. So, try wearing it when resting or watching TV. Just prop your leg up on a supportive structure while wearing the splint. Icing is helpful with inflammation. I recommend throwing the water bottle in the freezer at home or at work. Roll the frozen water bottle along the bottom of your foot for 10 minutes at a time. Insert orthotics play an important role in treating acute and chronic plantar fasciitis. I highly recommend trying an over the counter insert to help control excessive motion and provide support. If you get relief with the insert, think right!! But, sometimes depending on your foot structure and mechanics custom orthotics are needed. Shoes play a crucial role too. If you can bend or twist your shoe, stay away from it. I highly recommend getting fitted for an appropriate athletic shoe at a Running Store. Wearing shoes with the appropriate width and size is important. And shoes with slight heel or heel lift can help symptoms as it takes the pressure of the heel. If you are experiencing excruciating heel pain, you can wear walking boot, which makes it a lot better. But, you will need to wear it for 46 weeks, which is often difficult for people to do. Non-compliance with wearing the boot is the reason this treatment often fails. Ultrasound guided steroid injections can also help by reducing inflammation. One must be careful as there are real risks of plantar fascial rupture with each injection. No more than 3 steroid injections should be administered in a year. One should be educated on the rupture risk, the risk of soft tissue atrophy, skin discoloration and steroid flare before deciding on an Ultrasound Guided Steroid Injection. We recommend Extracorporeal Shock-Wave therapy as an excellent alternative with simple, relatively painless and has a very success rate. The usual treatment course is a set of 2 twenty minutes treatment and you generally only need once or twice. Physical therapy is very important in treating plantar fasciitis. A physical therapist can help and guide you with stretching and strengthening, also assess your gait, perform a biomechanical analysis from head to toe. This can assess you for anything that may have contributed to your plantar fasciitis. And remember the most important thing is to go to a clinician experienced in the treatment of plantar fasciitis.

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Janet Pearl MD

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