Initial evaluation includes x-rays to assess for a plantar heel spur. It is not necessary, however, to have a heel spur to have the diagnosis of plantar fasciitis. Instead, it is the inflammation of the plantar fascia and micro-tears at the insertion point on day to day basis which cause pain.
Initial treatment includes stretching of the plantar ligament and the posterior heel cord (Achilles Tendon), anti-inflammatory medications (NSAIDs), and application of ice. Up to three steroid injections to the local area may help with the inflammatory process. Physical therapy may be helpful as well.
Surgical intervention is indicated for patients in which conservative treatment has failed. It may include less invasive surgical intervention such as the Topaz procedure. More advanced procedures include Endoscopic Plantar Fasciotomy and open plantar fasciotomy/fasciectomy.
Surgical recovery varies according to level of invasive intervention. Weight-bearing may be indicated immediately after the surgery for less invasive surgeries. However, for more invasive surgical intervention patients may be non-weightbearing for 3 weeks, until sutures are removed.
If you are suffering from daily heel pain, feel free to contact us and schedule an appointment at