There are a number of methods which can be used to reduce the pain from plantar fasciitis. Treating plantar fasciitis usually involves medication to ease the pain. This is most commonly anti-inflammatory drugs (NSAID's) which are helpful in alleviating pain as well as reducing inflammation. Sometimes corticosteroids may be administered either topically or by injection into the plantar fascia directly, although this is usually reserved for only the most severe cases. Extracorporeal shock wave therapy (ESWT) can be used to good effect, with the treatment using painless sound waves to help the healing process. If your foot flattens or becomes unstable during critical times in the walking or running cycle, the attachment of the plantar fascia into your heel bone may begin to stretch and pull away from the heel bone. This will result in pain and possibly swelling. The pain is especially noticeable when you push off with your toes while walking. Since this movement stretches the already injured portion of the fascia. Without treatment the pain will usually spread around the heel. The pain is usually centeredat a location just in front of the heel toward the arch. This results in the development of a heel spur. This non-invasive treatment delivers high-energy sound waves to the heel which promotes normal tissue healing. This is an excellent method because it eliminates the possibility of complications that may be caused by traditional surgery. There are no incisions made, few side effects, and after the procedure, patients are usually able to return to their normal living. It is also good to know that in most cases, only one treatment is required. an inflamed bursa (bursitis), a small, irritated sac of fluid; a neuroma (a nerve growth); or other soft-tissue growth. Such heel pain may be associated with a heel spur or may mimic the pain of a heel spur; Local injection of corticosteroids often gives temporary or permanent relief, but may be painful, especially if not combined with a local anesthetic and injected slowly with a small-diameter needle. 17 Recurrence rates may be lower if injection is performed under ultrasound guidance. 18 Repeated steroid injections may result in rupture of the plantar fascia. Surgery edit In most cases when your podiatrist diagnosis you with plantar fasciitis, they will suggest a treatment regime which includes a recommendation for specialized shoes. These shoes will aim to provide stress relief and give your heels a chance to heal. Do not wait any longer to begin finding ways to stop the discomfort of heel spurs or an overstretched plantar fascia. Heel spurs do not go away by themselves, but the pain they cause can be controlled. Visit a podiatrist as soon as possible, and do all you can to stop the pain of an overstretched plantar fascia and/or heel spurs. You do not have to live with the pain. Ice - place an ice-pack on the affected area for about 15 minutes. Do not place bare ice directly onto skin. The plantar fascia is a strap-like band of tissue that roughly runs from the heel to the ball of the foot (bases of the toes) along the bottom. It has three distinct bands, and is a smooth, rubbery type of connective tissue that supports and covers the deeper structures in the bottom of the foot. The medial band (along the inner side of the foot) can usually be felt externally by touching the arch when one extends their big toe upward. Diagnosing heel pain and it's causes are best done by a podiatrist. Recognizing the cause is crucial because there may be different or similar treatment options for each condition. Fat pad atrophy may or may not improve over time, so it is important to allow the heel to rest while it is healing. This will allow the inflammation to decrease. Talk with your podiatrist about a heel cup, which is inserted in your shoes and provides cushioning in the heel area. If this does not work, a heel insert may be added to your shoes to keep the fat pad in place. Other treatment options include icing after exercise or activity, wearing well-cushioned shoes, and avoiding walking barefoot on hard surfaces.