Therapeutic considerations for patients with chronic plantar fasciitis (Review)

Poenaru,Daniela; Badoiu,Silviu Constantin; Ionescu,Anca Mirela

doi:10.3892/mi.2021.9

Therapeutic considerations for patients with chronic plantar fasciitis (Review)

Authors:
- Daniela Poenaru
- Silviu Constantin Badoiu
- Anca Mirela Ionescu
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Affiliations: Department of Rehabilitation Medicine, ‘Carol Davila’ University of Medicine, Bucharest 020021, Romania, Department of Morphological Sciences, ‘Carol Davila’ University of Medicine, Bucharest 020021, Romania
Published online on: July 15, 2021 https://doi.org/10.3892/mi.2021.9
Article Number: 9
Copyright: © Poenaru et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Heel pain is a common complaint in the population, leading to a limitation in daily activities and a poor quality of life. Chronic plantar fasciitis is the most common cause of heal pain. Despite its name, which suggests inflammation, the underlying process is rather a degenerative one. The clinical course is often chronic or relapsing, as a challenge to physicians to find the most effective therapeutically approach. First‑line treatment consists of rest, shoe modification, orthosis and physiotherapy. Physical exercise is an important tool which can be combined with other therapeutic options. Medication is usually administered in acute cases, in the form of simple analgesics, non‑steroidal anti‑inflammatory drugs (NSAIDs) or opioids, in different regimens. For chronic evolution, the use of NSAIDs is controversial. Second‑line treatment includes extracorporeal shock wave therapy and corticosteroid local injection. New therapies have emerged, as autologous blood derivatives and prolotherapy, with growing evidence, to be included in clinical practice. The present review article discusses the therapeutic options for patients with chronic plantar fasciitis, to with an aim to shed light on the treatment strategies for this condition.

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