The case histories and outcomes presented here are for general information only and do not replace the advice of a health professional. You should always consult a health professional who can take your own particular circumstances into account and advise you on that basis.
Objective: On examination, pain was located to the medial-plantar heel (inside of the heel, towards the arch). The area was swollen and tender to palpate. The plantar fascia was tight to palpate.
Diagnosis: Plantar fasciitis. An ultrasound investigation was ordered which confirmed thickening of the plantar fascia with intrasubstance tearing.
Treatment: Repeated ultrasound therapy was performed and rigid strapping applied for a number of weeks. She was advised to wear supportive shoes as often as possible, and apply a heat/ice pack. Gentle calf stretches and massage for the plantar fascia was recommended on a daily basis. Custom orthotics was ordered to support the arch, whilst offloading the painful area. With each visit, she reported gradual improvement. A ultrasound guided cortisone injection was performed, and this provided further relief.
Outcome: Fortunately within a few months of treatment, she was symptom free and able to walk comfortably. Now (three years later) she remains pain free and active.