Plantar Fasciitis

The fascia is a thick band of tissue that runs across the bottom of the foot. It connects the heel bone to the toes. Plantar fasciitis is a condition resulting from inflammation of the fascia. It can be extremely painful, and it is the most common type of heel pain in adults.

What causes plantar fasciitis?

Plantar fasciitis is most often experienced by those between the ages of 40 and 60, but it is more than twice as prevalent in women as in men. Also, it is more common among runners (and at younger ages), as the repetitive microtrauma to the heel caused by running is thought to be the cause. Additional causes may include being overweight, having flat feet, prolonged standing and type II diabetes.

plantar fasciitis

What are my treatment options for plantar fasciitis?

For most, conservative treatment such as icing, massage, taping, stretching, medication or orthotics will help manage the pain until it resolves on its own. Up to 20% of those with plantar fasciitis will require more aggressive treatment, as well as those who cannot wait up to 12 months it may take to heal itself.

Surgery to “release” the fascia is sometimes recommended to relieve pressure and restore blood flow to the heel. However, up to 44% of patients may still experience swelling and tenderness up to 10 years after the surgery.1 In addition, complications such as nerve injury, biomechanical instability and recurrent heel pain can occur.

Other, less invasive options such as extracorporeal shock wave therapy (ESWT) or high intensity laser therapy (HILT)/low-level laser therapy (LLLT) are available. However, these require multiple treatment sessions and have a success rate between 74-76% (ESWT)2 and 51-73% (laser therapy).3 Additionally, healing from these procedures may be slowed with the use of anti-inflammatory medications4 and patients who have had a recent corticosteroid injection, those with implanted devices or hormones, and those with open wounds around the treatment site are not eligible for the ESWT procedure. Other treatments, such as botulinum toxin injections, have very little evidence to support their effectiveness.

A new treatment for plantar fasciitis is available from the doctors at North Star Vascular & Interventional. Called Plantar Fasciitis Embolization or PFE, this minimally invasive procedure may be the alternative you’re looking for. To learn more about PFE, click here.

For more information about plantar fasciitis embolization and other treatments at North Star Vascular please contact us.

  1. References
    Rebekah Gibbons et al. Evaluation of Long-Term Outcomes Following Plantar Fasciotomy. Foot Ankle Int. 2018 Nov; 39(11):1312-1319.
  2. R. Scheuer et al. Approaches to optimize focused extracorporeal shockwave therapy (ESWT) based on an observational study of 363 feet with recalcitrant plantar fasciitis. International Journal of Surgery Volume 27, March 2016, Pages 1-7.
  3. Dovile Naruseviciute et al. The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: randomized participant blind controlled trial. Clin Rehabil. 2020 Aug; 34(8): 1072-1082.
  4. Reilly JM, Bluman E, Tenforde AS. Effect of shockwave treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: a narrative review. PM R. 2018;10(12):1385‐1403