Getting the Best Treatment for Plantar Fasciitis

by David McCullough

Getting the best treatment for plantar fasciitis is most often dependent on a particular patient’s case, and the most effective plantar fasciitis treatments are almost always reliant on an individual’s response to certain therapies.

The severity of the case at hand is of course a major factor, and it is up to the medical professional involved with treating the patient whether or not to include certain kinds of therapy.

The vast majority of patients will respond to less-invasive, and more common and accessible treatment options such as shoe-inserts, and stretching, but there is a significant segment of the population that will require the consideration of other sorts of more involved procedures, such as extracorporeal shockwave therapy (ESWT), or plantar fascia release.

These patients are in the minority, however an understanding of these kinds of therapies can help cure and treat such patient populations as the prevalence of this condition continues to rise in accordance with increasing BMI indicators.

Common Forms of Treatment

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Perhaps the easiest and most accessible treatment options have to do with the patient getting the right type of footwear. Shoe inserts should be considered as a first-line option when the patient is experiencing lower, to mid-level symptoms, and the determination of the exact type of orthotics that should be used will depend on indicators such as pain, inflammation, and shoe arch.

If the patient is not able to go the route of custom orthotics, moldable orthotics can sometimes have the same effect, as long as the patient knows how and when to use such inserts. Getting the right kind of shoes is also essential if the patient is to experience the absolute quickest and most effective recovery possible, and it is vital that a selection is made for a shoe that can convey the maximal level of support that is needed.

When orthotics, and shoes for plantar fasciitis aren’t enough, other kinds of treatment should be considered. These should include exercises that can help stretch out the Achilles heal and the calf muscle, as this can be an easy way to relieve symptoms and the underlying mechanism of action. When the patient is still experiencing pain drugs may be used. Opiates typically aren’t used for lower, to mid-level of cases of plantar fasciitis, although they may be warranted on a case-by-case basis.


Drugs and Surgery

The most common class of drugs that are used for plantar fasciitis are NSAIDs, or non-steroidal anti-inflammatory drugs, as these can relieve the pain a patient may be experiencing, and at the same time convey some sort of anti-inflammatory effect. When the previous treatment options are no longer effective, surgery may be considered as a last resort.

The most common kind of surgery that is used is plantar fascia release, however other types of procedures have also been implemented to a lesser degree. Taking all of the aforementioned therapies into account when evaluating a patient will ensure the highest level of care possible, and will hopefully translate into the use of the best treatment for plantar fasciitis.

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