A lot of things. Using anti-inflammotry medications could helpful, using insert in the shoes could help and injection of steroids could help and last the surgery to release it could be very helpful.
Rest. Plantar fasciitis is a common overuse injury in addition to stretching (i recommend non weight bearing stretching) and icing: antiinflammatories, night splints, no barefoot, good shoes and supports at all times when ambulating and no weight bearing fitness activity. The less you are on your feet, the better. Visit apma. Org. Dr l.
A lot. There are quite a few treatments available for foot pain resulting from plantar fasciitis; namely corticosteroid injections, padding/strapping, custom orthotics, physical therapy, massage, ultrasound therapy etc. Several treatments can be used in combination depending on your specific issues.
Orhtotics. The most common cause of heel pain or plantar fasciitis is abnormal mechanics causing stress along the plantar fascia. The best way to control abnormal mechanics is by using a over the counter or custom orthotic. A semi-rigid device proves to be the most beneficial. Go to www. Eastpennfoot. Com and request a copy of our heel pain report or book heel pain 101.
Many things. Orthotics to take pressure off the plantar fascii. Cortisone injections' physical therapy extra corporeal activation therapy (epat).
Combo treatment.. If you have plantar fasciitis, and hurt most with the first few steps in the morning, the more you can do together, the better: #1: supportive shoes. #2: firm inserts or orthotics. #3: oral antiinflammatories (check with your doctor). #4: stretching your foot and calf. #5: icing (10 min at a time). You may also need physical therapy or cortisone injections, or eswt if available in your area.
Massage. Massage is another way to reduce pain and strain and help relieve inflammation.
Have seen dr for bilateral plantar fasciitis. 2 sets of cortisone shots/stretching/ice with little help. Could sjogrens be the cause?
Yes. See a rheumatologist if you are concerned about Sjogrens or other connective tissue disease. Most cases of plantar fasciitis take along time to resolve and can be very frustrating-stretch, stretch, stretch.
MRI. I suggest getting an MRI to evaluate soft tissue and internal bone in the heel. In addition physical therapy for plantar fasciitis might be beneficial.
NMS but. You will likely need orthotics to provide support to your feet. Cortisone shots and physical therapy would at most provide temporary relief. Consult an orthopedist specialist in feet or podiatrist.
Unlikely. Sjögren's syndrome in not the cause. This is typical of plantar fasciitis. You will need orthotics, ice, stretches, anti inflammatories and often several steroid shots. If this fails, sometimes temporary casting can help. Only resort to surgery as a last resort.
Plantar Fasciitis for 3 years, tried ice, rest, stretching and PT. Wear superfeet insoles everyday. Now have pttd. Would a walking cast help
It may help. A walking cast is a non surgical treatment for Plantar Fascitis and it can be used if ice, rest, streching and others are not successful. Havivg acast can cause some weakening of muscles and one may need may need rehab PT to gain the strength back Talk to your Podiatrist if it will work for you.
MRI. If you have not had an MRI, I would recommend one. Many drs. Say they don't need one. True, but I would like to know the tendon's integrity-swollen? Small tear? Large tear? Completely torn? You can also look at the plantar fascia at the same time. Normal thickness is around 2 mm; it thickens with plantar fasciitis. Good luck. Dr. Latva.
I have plantar fasciitis and ice, stretch, brace, orthotic. Can cortisone shot cause further damage? Pain is gone so you could overdo it and not know?
See podiatrist. Or orthopedic surgeon. Not sure why the use of steroids was suggested here and it may be needed based on findings of exam or imaging studies. Good luck and walk pain free.
Heel injections. Yes an injection with steroid could mask symptoms and you could over do it. Best to rest after an injection and use an orthotic to prevent further strain.
Cortisone very helpf. Cortisone does not cause 'damage' to the plantar fascia whereas chronic inflammation, can. Cortisone will reduce the swelling and help you return to normal activities. Based upon how long it lasts, should dictate what you and your podiatrist do next. Stop living in pain.
Why treat further? If the pain is gone, there is no need for further treatment... except for preventative - which the orthotics will give you.
My podiatrist recommends a cortisone shot for my plantar fasciitis after 4 weeks and 2 weeks on naids. Are cortisone shots safe or should I continue with stretching?
Stretching. I would personally exhaust all other treatments before doing that. Stretching especially overnight is crucial to get plantar fasciitis under control (even if you decide to get the shot). Have you been working with a physical therapist? If not consider doing so. Hope you get some relief soon.
Avoid them. I would suggest avoiding cortisone shots for this issue. Cortisone liquifies fats and a misplaced injection can damage the fat that forms your heel pad. Stay with stretching and try orthotics. Plantar fasciitis take 3-6 months to resolve.
Cortisone is safe. The amount of cortisone that will be injected is insignificant and is really the gold standard in reducing symptoms from plantar fasciitis. Four weeks is long enough to wait before injection. Continue stretching nd use ice. Make sure you are wearing supportive foot gear.
Think. The advice you have been given is good. I inject then another spaced 2weeks later. I have found this to be extremely helpful in reducing symptoms.
Would you recommend PRP or surgery for chronic plantar fasciitis/fasciosis & a spur that hasn't responded to orthotics, PT, steroid injection, taping, stretching?
$$$. Although prp has been recommended, there are mixed clinical papers regarding it's effectiveness. It's popular in europe because it's covered by their healthcare system, but in the us it's hard to shell out $$$ for something that isn't clinically agreed upon as an effective treatment. Surgery, although isn't 100%, has been a mainstay as a last resort. If you have the $$$, go for prp. Good luck.
PRP? At the hospital where I work prp has not been successful for plantar fasciitis. (i haven't used it for pf). If all conservative treatment has been unsuccessful a plantr fasciotomy amy be right for you. Usually only the medial band (the big toe side)needs to be released.
I have used. Prp and traditional surgery for fascitis that doesn't respond. Prp is expensive and not covered. May try endoscopic plantar fasciotomy.
Plantar fasciitis. When all else fails, surgery is the right answer. However as with the other clinicians, prp is not covered here. Conventional surgery is very effective with the release of the medial band. Your podiatrist will guide you through this. Good luck.
Try prp. Prp has amazing results for pain.
PRP. If you have a doctor with experience and a good success rate with the PRP injections, then I would suggest you have the injections. Another conservative treatment would be a series of MLS Laser treatments. I am a surgeon and have performed well over 500 heel surgeries, but I still would try all available non-surgical options first. But, you may still need the surgery anyway.
Try PRP first. Hopefully will allow you to avoid surgery.
Swollen and painful sole from arch to heel. Seems plantar fasciitis. Icing and stretching helped. Is hiking / walking recommended? What else?
Wearing. Night foot splints that keep the toes in a bent position. Plantar fasciitis is a chronic stretch injury and the last thing it wants is to be stretched even more.
Plantar fascitis. Most common cause of heel pain is from plantar fasciitis, a pull/sprain of the plantar fascia from where it attaches to the heel bone on the btm of the foot. Txs include rigid arch support to decrease the pull of the fascia, combined with antiinflammatory medication (oral and/or injectable) to reduce the inflammation. Non weight bearing activity while recovering.