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Physical therapy for plantar fasciitis

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By Shannon Erstad, MBA/MPH

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Physical therapy can teach you the proper stretching and strengthening exercises and can provide the support and motivation you need to complete your treatment for plantar fasciitis.

Many therapists evaluate leg and foot alignment to find out whether problems in position caused the heel pain in the first place. They then treat the alignment problem either with specific muscle strengthening or by measuring for (and, in some cases, constructing) heel lifts or other inserts (orthotics) to wear inside the shoes.

Ultrasound is one common physical therapy treatment for plantar fasciitis. It uses high-pitched sound waves to create heat and reduce pain and inflammation.

  • Ultrasound is believed to reduce inflammation and promote healing. It may also decrease pain and protect against muscle spasm.
  • Treatment may consist of two 10- to 15-minute sessions a week for 4 to 6 weeks. Ultrasound may be used before exercise and may be done together with massage.

Although ultrasound has been a common treatment for plantar fasciitis, recent studies suggest that it may be no more effective than sham treatment.1 Ask your doctor about ultrasound for plantar fasciitis.

References

Citations

  1. Crawford F (2006). Plantar heel pain and fasciitis, search date October 2005. Online version of Clinical Evidence (15): 1–10.

Credits

Author Shannon Erstad, MBA/MPH
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer William M. Green, MD - Emergency Medicine
Primary Medical Reviewer Adam Husney, MD - Family Medicine
Specialist Medical Reviewer Barry L. Scurran, DPM - Podiatric Surgery
Last Updated July 23, 2007
Last Updated: 07/23/2007