The bad news is that there isn’t a single simple cure for plantar fasciitis. The good news is that there are many treatments available that can improve your symptoms. Here at Schoen Clinic we are experts at managing this condition and have a multi-disciplinary team of surgeons and therapists who will be at your disposal to manage your pain.
Rest - this should be the first step in managing an acutely painful heel. For example, if running is the cause of your heel pain then stopping or reducing the amount you run should be the first step.
Physiotherapy - stretching and strengthening exercises of the calf muscle (gastrocnemius), the hamstrings and the hip and core muscles as well as specific plantar fascia rehabilitation can help ease symptoms.
Insoles or orthotics - depending on your foot shape and arch height, we may recommend specific insoles or footwear for you.
Night splints - if early morning pain is a major problem then sleeping with a splint which keeps your foot in an upward position can be very helpful. There are many types on sale but a Strasbourg sock is a simple one that most patients find easy to use.
Shockwave therapy - mechanical shocks applied to the painful area over a number of spread out sessions can be a very helpful modality with a good body of evidence behind it.
Injections - there are various injectables that can be considered such as cortisone (a type of steroid) or PRP (platelet rich plasma) that can be used.
We will carefully assess your individual condition and symptoms to see if you are suitable for any of these treatments.
Surgery is always the last resort. However, if your symptoms have failed to ease with non-surgical treatment and you have had severe pain for many months or years then we may recommend surgery. There are various surgical interventions available. Our preferred method is to release or lengthen the calf muscle through a small incision on the inside of your leg. We have had good success in treating recalcitrant cases of heel pain and our lead foot and ankle surgeon (Mr Ali Abbasian) has published on this technique and is nationally recognised for it.