Plantar Fasciitis: Evidence-Based Management

Robert D. Glatter, MD, FAAEM


October 10, 2007

Plantar Fasciitis: Management Pearls

  • Allow an adequate trial of rest and stretching before instituting more aggressive or invasive therapies.

  • Corticosteroids increase the risk of rupture of the plantar fascia and provide only short-term relief in most cases.

  • The evidence for use of non-custom-made orthotics, night splints, or heel pads is minimal.

  • ESWT may be considered prior to resorting to a surgical approach. Its use is controversial, and there are conflicting reports in the literature.

  • Consider surgery as the last option for patients who fail to respond to conservative measures.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: