Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of plantar fascia. The pain normally decreases on movements, but it might return after long periods of standing or after rising from sitting.
Medications:
- Tab. Ibugesic AP (Aceclofenac 100 mg, Paracetamol 325 mg) 1 tablet twice a day with food for 7 days.
- Tab. Pantakind 40 (Pantoprazole 40 mg) 1 tablet in the morning on empty stomach 30 mins before breakfast for 7 days.
- Surgery – few people need surgery to detach the plantar fascia from calcaneum. It’s generally reserved as a last option in severe cases. Side effects include a weakening of the arch of foot.
General advice:
- Advice cold compressions.
- Suggest physiotherapy and exercises that will stretch the plantar fascia and Achilles’ tendon.
- Night splint that can hold the plantar fascia and achilles tendon in a lengthened position overnight and facilitates stretching.
- Promote weight loss for obese patients.
- Refer patient to orthotics for custom-fitted arch supports.
Investigations:
- X ray foot – to rule out arthritis, tendon calcifications.
- MRI foot – to rule out calcaneal spur or other pathologies.
Referral:
Consider referral to podiatrist or orthopaedic surgeon for resistant cases.