However, recent imaging studies are increasingly demonstrating that the condition affects more than just the plantar fascia (e.g., the heel bone and surrounding tissues), so the general term 'plantar heel pain' is more appropriate. Since then, some authors have also referred to the condition as 'plantar fasciopathy', which simply means pathology of the plantar fascia. As a result of this research, the term 'plantar fasciosis' was suggested, which means 'degeneration' of the plantar fascia. The condition has for many years been known as 'plantar fasciitis', but there was a move away from this name about 10 years ago because research indicated that it was not an inflammatory condition, particularly in its chronic form. This overview excludes clinically evident underlying disorders (e.g., calcaneal fracture and nerve entrapment, which may be distinguished clinically ). Severity may range from tenderness at the origin of the plantar fascia, which is noticeable on rising after rest, to an incapacitating pain. It often radiates from the central part of the heel pad or the medial tubercle of the calcaneus, but may extend along the plantar fascia into the medial longitudinal arch of the foot. Plantar heel pain, also known as plantar fasciitis, is soreness or tenderness of the heel that is restricted to the sole of the foot. Non-conservative treatments for plantar heel pain:Ĭorticosteroid injections may be more effective than placebo at reducing pain in the short term (4 and 6 weeks) in people with plantar heel pain, but we don’t know whether they are more effective at reducing pain in the longer term (8 and 12 weeks). We don't know whether stretching exercises are more effective than no treatment or taping at reducing pain or improving function in people with plantar heel pain as the evidence is weak and inconsistent. However, we don’t know whether it is effective in the longer term or whether it is effective at improving function. Taping may be more effective than no taping or sham taping at reducing pain in the short term (at 1 week) in people with plantar heel pain. We don't know whether heel pads and heel cups are effective in people with plantar heel pain as we found no evidence from RCTs meeting our inclusion criteria. We don’t know whether customised foot orthoses (alone or with taping) are more effective than night splints at reducing pain or improving function or health-related quality of life in people with plantar heel pain as the evidence is weak.
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