BEST TREATMENTS for PLANTAR FASCIITIS

Plantar fasciitis is the biggest cause of heel pain. This video explains the 4 best treatments for plantar fasciitis by Harley Street podiatrist, Steven Thomas. Treatments include stretches, orthotics (insoles/orthoses), shockwave therapy (ESWT), therapeutic injections (PRP and corticosteroid).
Links to scientific papers below:
Injected corticosteroids for treating plantar heel pain in adults
doi.org/10.1002/14651858.cd00...
Platelet-Rich Plasma Versus Corticosteroids for Plantar Fasciitis: A Systematic Review of Randomized Controlled Trials
doi.org/10.1177/2325967120915704
Foot orthoses for plantar heel pain: a systematic review and meta-analysis
doi.org/10.1136/bjsports-2016-
097355
The effectiveness of corticosteroid injection in the treatment of plantar fasciitis
doi.org/10.11622/smedj.2015118
Existing Evidence on Ultrasound-Guided Injections in Sports Medicine
doi.org/10.1177/2325967118756576
Platelet-rich plasma or extracorporeal shockwave therapy for plantar fasciitis
pubmed.ncbi.nlm.nih.gov/33824...
0:00 - Intro
0:35 - Recap on plantar fasciitis
1:05 - Principles of the treatments
1:28 - Plantar fascia stretches
2:01 - How tight calf muscles affect plantar fasciitis
2:25 - Calf stretches for plantar fasciitis
3:05 - Orthotics for plantar fasciitis
4:00 - Shockwave therapy ESWT for plantar fasciitis
5:10 - Coming up: remember to like, comment and share
5:41 - Therapeutic injections for plantar fasciitis
6:10 - Corticosteroid / steroid shot for plantar fasciitis
6:40 - Platelet rich plasma (PRP) for plantar fasciitis
7:22 - Tips to improve recovery from plantar fasciitis
8:05 - Thank you
thelondonpodiatrist.co.uk
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#plantarfasciitis #plantarfasciitistreatment #heelpaintreatment
The video content is the view and opinion of the creator and is made available for informational and educational purposes. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider. Never disregard professional health care advice or delay in seeking it because of something you have read or seen on this channel.

[@akramarts4228]

Excellent video. Well done!

[@thelondonpodiatrist]

Thank you so much! 🙏

[@fincocoffee5335]

Great insight thanks Steve. I’ve got it or had for a long time now in my left foot. I put my therapy massage gun in the arch and heal for as long as I can bare and it gives me relief for a minute or so. Hope you’re all well and good and enjoying your Christmas. Take Care, ❤️❤️👍👍

[@thelondonpodiatrist]

Thanks Alex. Hope you guys are well too. Hope to see you in the New Year. All the best 👍

[@grahfkarate1799]

I was suffering so bad after every run or workout. Switched to zero drop/wide toe box shoes and problems solved!

[@thelondonpodiatrist]

That's great to hear! Thanks for commenting 😎

[@AC-tn1cy]

Yes, worked for me. I can't have any arch in my shoes or it comes back

[@CarolCattle]

Hi Dr- Very informative, thank you! Can you tell me, does ibuprofen help with the inflammation? I read that it does not, but that seems counterintuitive. Thank you so much for this video!

[@thelondonpodiatrist]

Hi, Ibuprofen can help reduce inflammation. Thanks for the comment!

[@mumtazahmed-zh8yd]

Great Steeve I have numbness in my right foot base and leg below knee. Please advise treatment

[@thelondonpodiatrist]

Hi! Thanks for commenting. Could be a good subject for another video. Usually, numbness is related to nerves. Unfortunately I am unable to give a diagnosis and treatment without assessing an individual. Please see your local practitioner who can examine you thoroughly. Wishing you well!

[@JG-fg1ye]

I see a substantial amount of bone stress injury to the calcaneus misdiagnosed ad PF by referrers, always check for this before providing a diagnosis of PF

[@thelondonpodiatrist]

Thanks for your comment!

[@JG-fg1ye]

@@thelondonpodiatrist you can just do a medio-lateral compression of the calcaneus as in severs disease for positive clinic test, i worked this out after 10 clients all sent for private MRI identified the oedema and inflammation and medio-lateral compression was always positive - had a nightmare with one as the physio had sent them for 5 sessions of shockwave ...

[@bella1312009]

What you think of dry needling, Graston, cupping and Kinesology taping??

[@thelondonpodiatrist]

Hi, and great question! I use zinc oxide taping, but I don't have much experience with these other treatments. I can see there are some recent studies showing some benefits of Graston and kinesiology taping for PF but the literature seems thin? Do you provide any of these treatments, and if so, how do you find them? I would be excited to learn of any new treatments that could make it into my top 4 for PF! Thanks again for the good question!

[@barrieford3522]

Hi can you help? I've had heel pain for almost 2 years which is not improving. I have tried ice rest stretches heel inserts naproxen etc etc I've had 3 different diagnosis the latest after a 2 hour mri is that it is planter the other diagnosis both said it was my high arch and gait I'm 60 and have had no issues throughout my life with foot pain.its now ruining my life as I don't know who to believe !! I am soon to be booked in for shock therapy 3 sessions. The pain is in both heels and by early afternoon if I've walked a few thousand steps I'm virtually unable to put any weight on my feet at all.😮

[@thelondonpodiatrist]

Hi! Sorry to hear about the problem. MRI is very sensitive, so it usually helps with a diagnosis. It sounds like in your case you finally have an accurate diagnosis which is a good start. Shockwave is one of the best treatments for this condition, so I would expect it to help. Consider combining this treatment with orthotics (custom insoles). Hope you're feeling better soon!

[@cecillilly6189]

I have chronic plantar fasciitis with constant pain in foot and calves? What would you suggest?

[@thelondonpodiatrist]

Hi, see a podiatrist for a full examination and maybe some imaging to confirm diagnosis if required.

[@SuperCedricks]

Shockwave really help me. I do several months of physio but no luck and almost do alot of massage ball and tent but still no the same. Then i try shockwave then i fell better than no luck. If this PRP are ok in Polycystic Kidneys.

[@thelondonpodiatrist]

Thanks for sharing your journey. Wishing a quick full recovery 🙌

[@poojajaisingh8415]

Dr I have heel spur which is very painful on the side of heels.Is there a difference between plantar fasciitis and heel spurs.And does the above video apply for both .

[@thelondonpodiatrist]

Hi, spurs and plantar fasciitis are sometimes seen together, but spurs usually are not the source of symptoms. See your local podiatrist to examine you well and give some appropriate treatment! Thanks for commenting and good luck with it!

[@poojajaisingh8415]

@@thelondonpodiatrist Thank u so much

[@thelondonpodiatrist]

You're welcome!

[@luvjerry889]

Hi, my 3rd toe have this feeling like a needle pricking. At times it gives a sharp pain which makes me having difficulty to walk. Is this sign of PF or Morton Neuroma. I visited a neurology but the medicine does not help.

[@thelondonpodiatrist]

Hi, more likely neuroma/bursa than PF. Can you see a podiatrist? Examination and ultrasound scan should identify it! Thanks for the comment, and I hope you get it fixed.

[@luvjerry889]

Thank you for your advice

[@magnno12]

Hi, im facing extreme pain (mostly when i go to bed to sleep) for the last 15 days in both my feet and legs, the pain is mostly 80% on the sole of the foot starting in the smaller finger and ending in the heel and 20% starting below the calf going to the foot. Initially i thought it was cold feet but nothing worked, not sock, blankets, nothing. Today i think or feel that is a nerve or a tendon, its like a burning sensation. At the beggining the doctors thought several things like thyroid and they did a lot of test, everything its normal. Im starting to think its plantar fascitis, it started 15 days ago when I did a huge effort for 15 continuous days (a work situation), the pain started 1 hour after I woke up but I did had to work for 12 more hours, more than 20.000 steps more daily after the pain starts, I did this crazy effort for 15 days. Can you give me and advice? Help me to figure it out what can it be? How to solve it?

[@thelondonpodiatrist]

Hi Jaime, it sounds like it probably is a tendon from the history you've given. See your local Podiatrist or foot specialist near you for a detailed examination though, and they can give you a diagnosis and appropriate treatment plan. Hope you feel better soon.

[@magnno12]

@@thelondonpodiatrist Hi, thats what im going to do. Last night (12 of the night here) i did some exercises for plantar fasciitis, some massage and a lot of streching from the calf to the foot and GUESS WHAT ??? Finally i could sleep !!! i just wake up and pain is 65% off !!. Ill go today to a Podiatrist. Really thanks a lot for answering !!! Regards from Colombia ... Happy new year

[@thelondonpodiatrist]

@@magnno12 that's great news. Sounds like you have already made a good improvement. Wishing you a wonderful new year.

[@darraghkane18]

What is the best treatment when your plantar fasciitis is caused by an autoimmune disease. I have suffered from Plantar fasciitis for 2 years now. I have been diagnosed with psoriatic arthritis and have been told it’s causing inflammation in my plantar fascia. I have been doing physio, had two sets of steroid injections, been prescribed methotrexate and now I am on a biological. My pain is still chronic.

[@thelondonpodiatrist]

Hi Darragh, a combination approach would be a good strategy. Get the psoriatic arthritis under control as much as possible, and then target the plantar fascia from multiple approaches as I discuss in the video. As it's chronic, imaging to confirm the diagnosis and then treat it from different approaches - reducing the load, the symptoms and promoting healing. Good luck with it, and thanks for messaging!

[@darraghkane18]

@@thelondonpodiatrist thank you for your response. It’s unusual on KZbin. I really appreciate it. Do you know if PRP injection will work if I am on autoimmune meds. It’s very difficult to get a straight answer. I was told the electro shockwave therapy won’t work. Pain is at ridiculous levels. Thank you again.

[@thelondonpodiatrist]

@Darragh Kane PRP may help. It's a relatively new treatment, and some studies show it may be better than steroid. In my practice, I find it works best with tears. I would get some imaging for a definitive diagnosis, and if it is the fascia, you can see the thickness and if there are any tears. You can then tailor treatments. Best of luck with it!

[@darraghkane18]

@@thelondonpodiatrist Thank you again. I really appreciate you taking the time to respond. I will get another MRI. Kindest regards. Darragh K

[@nusratjahan-lo7tw]

Sir foot curve streching is good or bad?

[@thelondonpodiatrist]

It shouldn't cause any harm but will depend on the individual. See your local podiatrist. Thanks for the comment.

[@encikbaszh7480]

Fleet foot is a caused platar fasciitis ? (Sorry if my English not good)

[@thelondonpodiatrist]

Hi! Plantar fasciitis is seen more commonly in people with flat feet. Thank you for your question!

[@encikbaszh7480]

@@thelondonpodiatrist ya.. thank you to sir , give information

[@shubamsharma9868]

Want to ask u something about this

[@thelondonpodiatrist]

Hi. what would you like to ask?

[@nouhaaoun]

I have rupture in the tendon

[@thelondonpodiatrist]

Ouch! I hope you recover quickly! 🙏

[@lindamcgough3645]

how to cure a groin pull

[@thelondonpodiatrist]

Unfortunately, it's not my area of expertise 😇

[@user-ik3ll2go5j]

I am Arabian, I hope if YOU translate

[@thelondonpodiatrist]

Hello and thank you. I have completed subtitles in English. I hope that KZbin will allow automatic translation for you. If not, I will try to make a translation in subtitles. Thank you for your comment. Wishing you the best.

[@jeffwishes]

PRO TIP!!! Fold your toes & foot forward!!!! Stretch opposite of calf first!!! It’s aggravated and counter stretching is actually more beneficial!!!!

[@thelondonpodiatrist]

Thanks for the comment. Is this something that worked for you personally, or have you read some published studies with this conclusion? Thanks!

[@jeffwishes]

No study, I know, linked to the tip, you’re probably better at navigating the journals. But, personally I get relief, I recently developed a case. I get relief instantly with these stretches, just now resting enough to practice it enough to maybe take it away forever. I’ll let you know, and gotta be on it fr. But I believe it’ll help immensely. Stretching the opposite muscles, gives those inflamed tendons and muscles a much needed break. And not cramping your big toe inward, letting it be spread away from the foot kinda provides relief too.

[@thelondonpodiatrist]

Thanks very much for the info!

[@lordjesussavehealus.3505]

Why would I bend my foot and toes backwards to stretch the fascia since the pain is caused from a stretched and/or partially torn fascia? I bend my toes forward and downward and inward to relieve the pain. I walk in shoes without arch supports for I cut them out so as to not rub and support the fascia and to mimic walking barefoot on a flat and smooth tiled surface. I walk barefoot as soon as I get home. My walking is easier and the pain is slowly going away!

[@thelondonpodiatrist]

Hi, bending the foot up, stretches calf muscles, and toes back stretches the fascia. People with plantar fasciitis report it feeling tight. The stretch is gentle on the fascia in comparison to body weight load. Flat hard surfaces are usually worse for this condition. I'm glad yours is improving. 🙌