In a previous video we discussed what plantar fasciitis and heel spurs actually are. If you missed that video, watch it here:
http://youtu.be/WRFlV6G6SVw

Now let's discuss the different treatment options for this common foot problem.

First and foremost are the plethora of conservative, non surgical options for plantar fasciitis and heel spur pain. About 70% of the patients in our office will have immediate relief with injection therapy and then permanent relief from both heel and arch pain with Custom Molded Orthotics. On that note, make sure that the casting technique and foot specialist has been trained in biomechanics of the lower extremity. The material of the orthotic is also important. Thermo-molded polypropylene, fiberglass, and other flexible materials are tolerated better and can be used for both work and exercise.

Injection therapy is most common the first visit utilizing cortisone to decrease the morning pain or 'pain with the first steps out of bed'. Other 'healing' injections like PRP and the new human amnionic cellular implants can be used also. Make no mistake though, rest is the most effective treatment and top athletes will use crutches for a severe case or injury. Plantar fasciitis is, especially the chronic form, an overuse syndrome or injury, arch strain, sprain, etc.

Rest, ice, and stretching are all very important. Stretching the plantar fascia with one leg back and the knee straight in the morning (30 seconds each leg) and before bedtime is now the standard treatment as well as for treating nocturnal 'night cramping'. Longer periods of stretching can be achieved with night splints that can be ordered online, and a removable cam walker at times can minimize both the amount of stress on the foot and propulsion portion during a normal walking gait.

On the more aggressive side, many new treatments have sprung up over the last 20 years. High intensity sound waves, radio-frequency, and deep tissue manipulation are options before surgery and have a decent success rate. Surgical procedures have a high success rate, but this varies of course with the surgeon and variety of minimal invasive vs. 'open' procedures. The good news is that they are usually performed in a small procedure room or out patient surgical center under a light anesthesia. The procedures are relatively short and post operative period averages 1-2 weeks with partial weight bearing with or without a cam walker - post operative shoe.

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Plantar Fasciitis info:
https://mfaspecialists.com/plantar-fasciitis/

Heel Spur info:
https://mfaspecialists.com/heel-spur/

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Watch the ‘Ask Dr. Moore’ series where he answers commonly asked questions from our viewers. Add a question in the comments and he may answer your question too!
https://www.youtube.com/watch?v=RVi7h0fh6GA&list=PLxXUadNi5A9CqbX35USx4_WB1ZozR_UWD

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Visit our website or give us a call to make an appointment:
https://mfaspecialists.com/
281-444-6300

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Dr. Moore is a board certified foot and ankle surgical specialist / podiatrist in Houston, Texas delivering care for complex foot and ankle disorders as well as cosmetic or reconstructive procedures, problems related to sports injuries and other medical conditions in the Houston, TX area.

Check out Dr. Moore's blog: www.Dr-Robert-J-Moore-III.com

Stay Healthy and One Step Ahead!