Plantar fasciitis (PF) is a prevalent musculoskeletal condition involving the plantar fascia, usually at the proximal insertion (connection to the heel bone). The nomenclature of this condition has evolved from what many know this condition as plantar fasciitis to plantar fasciopathy. Why? We are finding in the literature, thickening and age-related changes are more common than an actual inflammatory process (-itis).1 The etiology of PF is unclear and will often have an insidious onset (unknown cause).1,2 Typically, PF presents as a sharp pain when first walking in the morning or walking after a period of rest. The pain usually becomes better after walking but may worsen toward the end of the day or during impact activities. In this blog we will discuss potential risk factors and treatment options to help with plantar fascia pain.
Looking into the research, there may be some factors that increase the risk of PF onset, but again, the evidence supporting these factors is unclear. For the purposes of this blog, I will list a few intrinsic and extrinsic risk factors, and note, this is not an exhaustive list.
The good news is, about 90% of PF cases can be treated successfully without surgical intervention.1,2,3 Regarding orthoses/inserts, one study compared over the counter vs. customized shoe inserts and found no significant difference in pain relief at a 12-month follow up.1 Night splints have been well supported in the literature to help alleviate morning stiffness and pain because of the stretch applied to the fascia throughout the night.1 There is low quality evidence supporting the use of cortisone injections for a temporary pain relief (no more than one month), and when compared to a placebo there was no significant difference.1 Note, a few potential complications from multiple cortisone injections is fat pad atrophy and rupture of the plantar fascia.1 The above treatments are not your long-term solution, as these are shown to provide temporary relief. So, what is your long-term solution?
Physical therapy is shown to facilitate recovery and reduce the persistency of this condition. Physical therapy seems to be underutilized for this condition, but is very effective, and in most cases is recommended.3 Interestingly, only ~7% of individuals with plantar fascia pain are seen by a Physical Therapist.3 Physical therapy can help guide your path on improving mobility and strength and develop a long-term management plan, which includes workload management, to help you return to the activities you enjoy. If you are somebody who is dealing with foot pain, and have had difficulties managing this on your own, Nevada Physical Therapy is now offering FREE 20 minute phone consults as well as FREE 20 minute in-person discovery visit with one of our licensed Physical Therapist. We look forward to being a part of your rehabilitation process!
Written By: Dakota Ezell, PT, DPT
Nick was so attentive to my needs and he structured his schedule to fit mine. My therapy was focused on my strengths and weaknesses; therefore, my recovery time was much shorter than expected. I highly recommend Nevada Physical Therapy for any lingering pain you may be experiencing.Read More Reviews
I cannot say enough positive things about this place. Came in with an ACL injury. I spent a few weeks working with jonathan. His evidence-based approach and motivational ability was really really inspiring. He helped me get back to normal and then some!Read More Reviews
DAKOTA EZELL is at the top of MY list as a highly skilled, intuitive, present professional who values and treats me as a whole person, not just someone to fill a time slotRead More Reviews
The best Physical Therapy place I have ever visited. Rare to see an emphasis on finding the best method to improve injury instead of giving everyone the same plan. But the best part about this place is it's approach to well being during and after PT.Read More Reviews
I was referred to Brian Fearnley by someone with significant credibility. I consider working with Brian a huge stroke of luck. This specific 'PT' is increasing my recovery potential a hundred fold. Brian knows his stuff. He is well versed in PT. He has athletic history at UNR and is active in our local community. He is clearly in this profession to help people recover and get under their own power.Read More Reviews
After two plus years of hip pain, three other physical therapists, quarterly injections and no relief, Crista made the pain go away! If I could give her and this practice 10 stars I'd do it!Read More Reviews
As a professional athlete, injuries can make or break a career. Luckily, in my case, I had Nevada Physical Therapy on my side. Not only did they physically help me recover from a meniscus surgery, but they provided the best emotional support you could ask for in such a difficult time.Read More Reviews
Phenomenal. I had some brutal injuries that resulted in four surgeries and seriously disrupted my life. There can be no doubt that the quality of life I enjoy today was a direct result of working with Nevada Physical Therapy.Read More Reviews
I attended Nevada Physical Therapy for my post surgery physical therapy and have nothing but great things to say. For any of you reading this, this place is by far the best physical therapy place I have ever attended with exceptional staff. I had the pleasure to work with Dakota who is extremely knowledgeable, patient and would go above and beyond to make sure you're taken care of.Read More Reviews