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Plantar fasciitis

Fasciitis plantaris · Plantární fasciitida

What it is

The foot's arch band degenerates at the heel attachment.

Symptoms & signs

  • Stabbing heel pain on the first steps in the morning
  • worse after rest
  • better with initial walking
  • tender heel

🚩 Get help if…

  • see a doctor soon Heel pain after a fall or a jump from a height
  • see a doctor soon Hot, red, swollen heel, or fever
  • see a doctor soon Numbness, tingling or burning in the sole
  • see a doctor soon Pain worse at night or at rest, not on the first steps

Where it strikes

Medical treatment

  • Calf and fascia stretching
  • orthotic insoles
  • night splints
  • shockwave therapy
  • steroid injection (limited)
  • rarely surgery

Natural & lifestyle

  • Plantar fascia-specific stretching
  • calf stretching
  • high-load strength training (one small trial)
  • supportive shoes
  • weight loss
  • ice bottle rolling

Emerging & experimental

  • PRP injections
  • radiofrequency microtenotomy
  • customised 3D-printed orthoses

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Dry needling — a trial showed benefit mixed evidence
  • Magnetic insoles — a controlled trial found no effect not confirmed in trials
  • Toe separators and barefoot shoes — popular; untested anecdotal / traditional

ICD codes