Medically reviewed by Dr James Bristol, MD, PhD · Updated 2026-11-14
Plantar fasciitis causes pain under the heel, worst with the first steps in the morning, and most cases settle within a year with stretching, supportive shoes and insoles. Shockwave therapy helps some stubborn cases. Cortisone gives short-term relief but carries a small risk of fascia rupture and fat-pad thinning. Some trials found PRP gave longer-lasting relief than cortisone.
Treatment
- Calf and plantar fascia stretches, several times a day
- Supportive shoes, avoid flat shoes and barefoot walking
- Heel cups or insoles
- Night splint for morning pain
- Weight management
- Shockwave therapy after 3 to 6 months
- PRP for persistent cases
- Surgery is rarely needed