Medications and Aids

Pain medications (analgesics) and non-steroidal anti-inflammatory drugs (NSAIDs) can be used if required to help manage your plantar fasciitis pain. However, these medications will not cure your condition; they will merely treat some of your symptoms.

These drugs aren't recommended for everyone or for long term use, as pain medications can cause liver damage, and NSAIDs can cause gastrointestinal difficulties (such as upset stomach, diarrhea, ulcers and intestinal bleeding). They can also trigger other serious side effects, and even inhibit the body's natural ability to heal itself. COX-2 Inhibitors (prescription NSAIDs like Celebrex, Bextra or Vioxx, block the COX-2 enzyme involved with prostaglandin production responsible for inflammation) have been linked with risks of heart attack, stroke and in some cases death. The US Food & Drug Administration (FDA) asked manufacturers to withdraw some COX-2 Inhibitors (Vioxx and Bextra) from the market as well as put a big black warning label on the packaging outlining the risks

Cortisone/steroid injections may initially help reduce inflammation and swelling of your plantar fasciitis. However they are very controversial, as they can trigger a plantar fascia tear and can decrease the thickness of your plantar fat pad (this is influenced by the severity of injury and frequency of injections). Botox injections have also been used to relieve pain and tension. Ask your doctor if any of these are options for your condition. Corticosteroids should be used with caution and never in conjunction with ultrasound therapy.

Some health professionals have also recommended natural supplements such as Glucosamine, MSM, Chondritin, Capsaicin, Devil's Claw, or Yucca Leaf to help relieve pain and/or strengthen your tissues. Hyaluronic Acid (Hyalgan) injections have also had some success.

Corrective footwear, orthotics, or inserts provide arch support and help to align your muscles and bones so they work together. These will also help keep your foot in a more comfortable position and provide relief. They can be custom made with the help of a chiropodist, podiatrist, or a chiropractor. Or, if you prefer you can purchase general heel cups, pads or donut shaped inserts to help cushion and elevate your heel transferring pressure away from your plantar fascia.

Night splints prevent contraction and stretch your plantar fascia and calf while sleeping to help with pain; as do short leg walking casts during day activities.