Medical Questions » Feet Questions » Question No. 356
Question:I have had plantar fasciitis for nine months, and have been treated with physiotherapy, arch supports, Orudis gel, cortisone injections and osteopathy. I still have foot pain with walking. Is there anything else that I can do?
Answer:The arch of the foot is maintained by a strong ligament along the outside of the foot and under the sole. If this ligament (the plantar fascia) becomes inflamed because of injury, the patient develops the painful condition of plantar fasciitis. The most common place for the inflammation to occur is the point where the ligament attaches to the heel bone, and the ligament may actually tear away from the bone by a fraction of a millimetre, resulting in considerable pain that may persist for months. You have tried all the recognised treatments for the condition with the possible exception of taking anti-inflammatory tablets, but these may upset your stomach. Many patients suffer for months with this problem, but most eventually settle with time. My advice at this stage would be to persist with the arch supports in good shoes, walk quietly and never run or jump, ride if you can avoid walking (even riding a bike or using roller skates is better!) and try using antiinflammatory tablets provided your stomach can tolerate them.
       
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