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As such, short-term treatments such as muscle stretches are regularly used to alleviate symptoms during this interim period. One of the more common conservative treatments for plantar heel pain is foot orthoses, however due to the manufacturing process there is often a period of a few weeks between the initial consultation and issuing the devices.

The review found that although there is limited evidence for the effectiveness of local corticosteroid therapy, the effectiveness of other frequently employed treatments in altering the clinical course of plantar heel pain had not been established. At the time of the review, only heel pads, orthoses, steroid injections, night splints and extracorporeal shock wave therapy had been evaluated in randomised trials. A systematic review identified 26 different conservative treatments that have been recommended for the treatment of plantar heel pain. Ī wide variety of management strategies have been developed to treat the disorder. The condition is thought to be multifactorial in origin with factors such as increased age, decreased ankle and first metatarsophalangeal joint range of motion, obesity and excessive periods of weight-bearing activity commonly suggested to be involved. It is the third most common running injury behind patellofemoral pain and iliotibial band friction syndrome. It also makes up one quarter of all foot injuries in runners and up to 8% of all injuries to people participating in sporting activities. The disorder appears in sedentary populations with seven percent of adults aged 65 years or older found to have plantar heel pain. It is highly prevalent with one recent United States study estimating that one million patient visits each year at office-based physicians and hospital outpatient departments are for the diagnosis and treatment of plantar heel pain. Plantar heel pain (plantar fasciitis) can be a painful and debilitating condition.