I have had plantar fasciitis for nearly six months. i am on painkillers which don't work much and i have had unsuccessful steroid injection. what should i try next?

See below: Pain killers do not solve problem and can cause other problems. Sometimes more than one injection is required to provide effective relief, although if 3 do not help, i would not consider any more. Plantar fasciitis is causes by excess tension or plantar fascia often from poor biomechanical support. Treatment should be directed at lessening tension and providing more support. Stretching and support.

Try: Night splint, ultrasound, I have had good results with plasma enriched platelet injections. Surgery would be your last choice.

Several options: Firstly, plantar fasciitis is usually caused from of lack of prper biomechanical support. Therefore taping and/or orthotics are often helpful in addition to stretching exercises and physical therapy. Additionally you can have another injection since sometimes it takes more than one injection to improve. However, there is a limit to how many injections you can have. No more than 3. See a podiatrist.

In 16 years: Of practice I have never once placed a patient on pain killers for plantar fascitiis. If your pain is that severe, i would consider an MRI to make sure there is no stress fracture of the heel or partial tear of the fascia. Antiinflammatories, ice, night splints, orthotics are all helpful. One injection may not always do it and a second could be tried. If the pain is so severe a camwalker boot.

Treatment Plan: With this condition it is most helpful to find the bio-mechanical cause of the repetitive injury to the origin of the fascia to the calcaneal bone. In most cases an orthotic device may be recommended and in rare cases surgery is necessary. Seeing a competent podiatrist for a bio-mechanical evaluation may eliminate the need for pain medication.