Plantar fasciitis treatment

Plantar fasciitis or heel pain: surgery is always the last resort

The bad news is that there is not a single simple cure for plantar fasciitis. The good news is that there are many treatments available that can improve your symptoms. At Schoen Clinic, our specialists are experts in managing this condition, and a multidisciplinary team of surgeons and therapists are at your disposal to manage your heel pain.

Plantar fasciitis or heel pain treatment without surgery

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, 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 available 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.

Conservative treatment methods

  • Plantar fasciitis or heel pain treatment without surgery

Plantar fasciitis or heel pain surgery only when necessary

If your symptoms have failed to ease with non-surgical treatment and you have had severe pain for many months or even 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. 

Surgical treatment methods

  • Plantar fasciitis or heel pain surgery only when necessary