8/22/2013 3:53:26 PM
I am the Outpatient Rehab Manager, who is a P.T. & an A.T.C. in response to the plantar facitis question. In most cases a conserative approach has worked over a 4 to 6 week period consisting of manual therapy with deep tissue procedures like Graston techniques in conjunction with home exercise,taping/orthosis, and medication to decrease inflammation. Need to look at repetitive trauma to the joint, as well as, weight loss to decrease stress forces at heel strike. If this is not sucessful next step maybe a cortisone injection, followed by surgery as the last option.