Recommendations for treatment are manual therapy treat relevant lower extremity joint mobility and calf flexibility deficits. Treatment to decrease pain and improve function in individuals with heel pain/plantar fasciitis may be considered. The use of plantar fascia–specific and gastrocnemius/soleus stretching to provide pain relief for individuals with heel pain/plantar fasciitis. Strengthening exercises and movement training for muscles that control pronation and attenuate forces during weight-bearing activities should be prescribed.
Heel pads, foot orthoses supporting the medial arch may be used to decrease pain and improve function. Antipronation tape and therapeutic tape applied to the gastrocnemius and plantar fascia may be an option. A 1- to 3-month program of night splints has shown to be an option. Rocker-bottom shoe construction in conjunction with a foot orthosis, and shoe rotation during the work week for those who stand for long periods are options open to the therapist.
Manual therapy, stretching, and foot orthoses is preferred instead of electrotherapeutic modalities. Clinicians may or may not use iontophoresis to provide short-term pain relief and improved function, however phonophoresis with ketoprofen gel may reduce pain The use of low-level laser therapy to reduce pain and activity limitations is warranted
Education and counseling on exercise strategies to gain or maintain optimal lean body mass for individuals with heel pain/ plantar fasciitis.
The use of ultrasound , ESWT and trigger point dry needling cannot be recommended for individuals with heel pain/plantar fasciitis.