Basic Treatment

Basic interventions to treat plantar fasciitis and plantar fascia pain include stretching of the calf muscle (gastrucnemius and soleus), icing the painful area, and local massage (Hellman & Imboden, 2007; Brown, 2004; Young, Rutherford & Niefeldt, 2001; Wilson & Pengel, 2007). Common stretches include the wall stretch, stretching on a slant board, and stretching on a curb or stair. All of these stretches increase flexibility in the Achilles tendon through flexing the ankle (dorsiflection) (Young, Rutherford & Niefeldt, 2001). Pharmacological intervention may include prescribing non-steriodal anti-infamatory drugs such as asprin for pain (Hellman & Imboden, 2007).

If pain persists after taking these actions, the client may be directed to more involved treatment. Arch supports may be worn to unload some of the weight and pressure from the plantar fascia. Dynamic stretches may be taught. These stretches may include rolling the arch of the foot over something round like a tennis ball, cross friction massage, or towel stretching. More frequent stretching may be recommended, for example stretching may be needed first thing in the morning, before any long periods of standing, and also before bed. These more involved treatments may be recommended by a medical professional such as a podiatrist, physical therapist, or occupational therapist(Hellman & Imboden, 2007; Brown, 2004; Young, Rutherford & Niefeldt, 2001; Wilson & Pengel, 2007).

If these techniques do not work some clients resort to surgical procedure. There are a few different techniques available. Conditions necessary to be eligible for surgical procedure is that pain must be chronic (over six months) and extensive non surgical options have been used with no results (three or more treatments). (Hellman & Imboden, 2007; Brown, 2004; Young, Rutherford & Niefeldt, 2001; Wilson & Pengel, 2007). For cutting edge technology in surgical procedures, please see "new technology" post.


Pictures of therapeutic treatments courtesy of physicalsportsmedicine.com; American Academy of Family Medicine; FootCareDirect.com