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.