Foot pain can be extremely uncomfortable. Plantar fasciosis is a common cause.  Weight bearing on the feet can make this uncomfortable and, in some cases, almost impossible to walk or stand. Being flat footed, overweight, having tight calf muscles, and standing for long periods of time are causes of plantar fasciosis. Symptoms can result in discomfort when stretching the foot, when walking or standing after a long period of sitting, or after exercise.

The Indian Journal of Orthopaedics recently published a first-of-its-kind study comparing four proven treatment approaches to plantar fasciosis (previously referred to as plantar fasciitis). They took 140 patients and divided them into four groups. Each group received a different form of treatment: analgesics, hot water fomentation and silicon heel pads, plantar fascia stretching, or calf stretching exercises. They were checked weekly up to four months, and then checked every two months for the duration of one year.

At the one year follow up, each group showed improvements in pain. The most effective strategy proved to be the plantar fascia stretching. Heat & silicone heel pad and calf stretching were also effective, but less so. The least effective strategy was analgesics.

We do also know that programs supervised by a physical therapist achieve better results than programs that patients conduct independently after initial consultation. Most insurances don’t require a physician’s referral for physical therapy treatment. Give us a call or click here to schedule a new evaluation!  


Gupta R, Malhotra A, Masih GD, Khanna T, Kaur H, Gupta P, Kashyap S. Comparing the role of different treatment modalities for plantar fasciitis: a double blind randomized controlled trial. Indian Journal of Orthopaedics. 2020 Feb;54(1):31-7

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