How to completely cure plantar fasciitis?

Written by Wang Cheng Lin
Orthopedics
Updated on September 24, 2024
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Plantar fasciitis clinically has no method that can achieve a radical cure. Only through surgical treatment can the recurrence rate be reduced, but it cannot be completely cured. Of course, the effects of surgical treatment are definitely more significant than conservative treatment. The first step in surgical treatment is to release the plantar fascia, and the second step is to remove bone spurs, as a significant portion of patients with plantar fasciitis have concurrent bone spurs. Of course, during the surgical process, it is necessary to remove bone spurs. The third step involves drilling into the heel bone to decompress it, as some patients also suffer from high pressure in the heel bone. Therefore, the surgery aims to decompress the heel bone by drilling, thus further alleviating pain in the heel and foot. However, if rest is maintained post-surgery, and strenuous activities are avoided, it can significantly reduce the chances of recurrence of fasciitis, but surgical treatment is not a cure-all method.

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Written by Wang Cheng Lin
Orthopedics
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Do you need to take an X-ray for plantar fasciitis?

Patients with plantar fasciitis need to have imaging done, as many people with plantar fasciitis also develop heel spurs. Therefore, imaging can be used to check if the patient has heel spurs. In addition to imaging, it is also necessary to perform color ultrasound or MRI. These examinations can reveal local edema in the plantar fascia, indicating some damage to the plantar fascia, and even the presence of aseptic inflammation. It is also necessary to combine the patient's medical history, physical examination, and clinical signs to diagnose plantar fasciitis comprehensively. However, imaging is a very necessary part of the examination process.

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Written by Lv Yao
Orthopedics
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What department should I go to for plantar fasciitis?

Plantar fasciitis refers to the aseptic inflammatory reaction of the plantar fascia caused by prolonged exercise or activity, which results in pain and restricted movement. If plantar fasciitis occurs, it is recommended to seek treatment in the orthopedics department of a formal hospital. Based on the symptoms, an appropriate treatment method should be chosen. Initially, it is important to rest and avoid excessive activities. Additionally, the application of non-steroidal anti-inflammatory drugs can help relieve symptoms and reduce inflammation, facilitating the restoration of walking and functional abilities.

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Written by Cheng Bin
Orthopedics
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Causes of Plantar Fasciitis

Regarding the causes of plantar fasciitis, the most common cause observed clinically is prolonged and excessive weight-bearing walking. Local excessive stimulation, exposure to cold, or trauma can also trigger plantar fasciitis. The main symptom of plantar fasciitis is pain in the sole of the foot. The methods to manage it include reducing local stimuli. For a period of time in the near future, try to avoid weight-bearing walking as much as possible, persist in using topical Chinese herbal medicines that invigorate the blood and dispel stasis which are boiled and then used for fumigation washing daily. Oral non-steroidal anti-inflammatory and pain relief medications, and blood-activating stasis-dispelling medications should be taken for treatment. Topical plasters that invigorate the blood and dispel stasis can also be used locally. Gradually, recovery will be achieved.

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Written by Guan Jing Tao
Orthopedics
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Can plantar fasciitis be treated with acupuncture?

After the non-acute phase of plantar fasciitis, it is possible to combine local acupuncture, physiotherapy, and treatments that stimulate circulation and relieve blockages to promote the recovery of inflammation and local tissue damage. However, during the acute phase of plantar fasciitis, and if there is no significant improvement after acupuncture treatment during the non-acute phase, it may be necessary to combine oral non-steroidal anti-inflammatory and pain-relieving medications, along with daily local heat physiotherapy. Generally, improvement can be seen after two to four weeks. If there still is no obvious improvement, it is recommended to revisit the hospital for further examination. If significant localized tenderness is confirmed, local block therapy may be considered. (Medication should be used under the guidance of a doctor.)

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Written by Wang Cheng Lin
Orthopedics
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How is plantar fasciitis treated?

For the treatment of plantar fasciitis, there are currently two approaches clinically. The first is conservative treatment, which includes the following options: The first is rest, meaning to minimize weight-bearing walking and rest as much as possible. The second is to use heat application, such as applying a hot towel to the sole of the foot for 10-20 minutes each day, twice a day, which can help increase local blood circulation and alleviate pain. The third is the use of oral non-steroidal anti-inflammatory and pain-relief medications, as well as medications that promote blood circulation and remove blood stasis to relieve local pain. The fourth is extracorporeal shock wave therapy for relief. The fifth, and most commonly used, is injection therapy, but it is important to note that there are clear limits on the number of times injection therapy can be used. If conservative treatment does not work for over six months, or if the symptoms of plantar fasciitis progressively worsen, surgical treatment may be necessary.