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.
American Academy of Emergency Medicine © 2007 American Academy of Emergency Medicine
Cite this: Plantar Fasciitis: Evidence-Based Management - Medscape - Oct 11, 2007.
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