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woman holding her foot in pain from plantar fasciitis

Core Pieces of Advice When it Comes to Plantar Fasciitis

When dealing with plantar fasciitis, one of the most important things to understand from a patient perspective is that it’s extremely common. One out of 10 people get the condition at some point in their life, however, it is possible that this foot complication will go away without any significant intervention. My best word of advice for plantar fasciitis is always trying to approach it conservatively. Only rarely are aggressive surgical procedures necessary. 

The majority of patients will get better with a very simple plantar fasciitis stretching exercise program. Performing runner’s stretches directly targets bottom foot tissues and tight Achilles tendons to help alleviate pain. In addition, avoiding repetitive, high-impact activities such as running can be very helpful – particularly during times of acute inflammation or pain. Shoewear modifications are another progressive option to treat plantar fasciitis. Using a good shoe with a cushioned heel, over the counter inserts, or custom orthotics, and trying to avoid walking around on hard surfaces barefoot.

Ultimately, 95% of people will get better without any significant intervention. For those who require extra medical attention, additional treatments in the form of cortisone injections, physical therapy, and platelet-rich plasma are available. In a small subset of patients who have continued pain that doesn’t get better, there are some minimally invasive solutions that the plantar fascia can be addressed surgically to try and expedite and allow for a quick recovery.

Is There a Relationship Between Plantar Fasciitis and Insertional Tendinitis of the Achilles?

There is approximately a 15% possibility of a relationship in patients that do have insertional Achilles tendonitis and plantar fasciitis. The reasoning, most likely, anatomically goes back to having a tight Achilles tendon. That’s why we have patients experiencing both of those conditions are treated with an Achilles tendon stretching program. The second issue is that the fascia, or the soft tissue lining around the Achilles tendon that plugs into the heel bone, is continuous.

The two issues actually derive from a purely anatomic standpoint, so there’s a significant relationship between the two. That’s why so many of our conservative treatments are focused in the same manner as addressing those issues conservatively with the Achilles tendon instructing protocols.

Podiatry and Plantar Fasciitis Treatment in Chicago

Plantar Fasciitis is a painful condition to handle through day to day endeavors, but very treatable. If you’re looking for more advice on chronic foot pain or seeking relief, please contact Dr. Vora at a location nearest you to begin treatment today.

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