Plantar Fasciitis: Evidence-Based Management

Robert D. Glatter, MD, FAAEM

Disclosures

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.

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