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Current Concepts of Minimally Invasive Treatment Options for Plantar Fasciitis: a Comprehensive Review

Abstract

Purpose of Review

Chronic foot pain constitutes a large portion of the chronic pain burden in the overall population. Plantar fasciitis is one of the most common and most easily identifiable causes of chronic foot pain. The syndrome has been estimated to cause 11 to 15% of foot pain visits, requiring professional care. Moreover, studies have suggested that 1 in 10 people will develop plantar fasciitis at some point in their life. Conservative management has been shown to be effective and considered first-line treatment. Minimally invasive treatment options are typically reserved for those who fail conservative management. With the advent of new techniques and improvements in current therapeutic options, there has been an expansion of available minimally invasive treatment options. The purpose of this review is to provide a comprehensive update on the current understanding of minimally invasive treatments of plantar fasciitis.

Recent Findings

This review shows that conservative management continues to be the first-line therapy, whereas other treatment options were those who failed conservative management using modern techniques that have shown improving effectiveness, with successful restoration of patient functionality, recovery, and satisfaction. However, a multitude of these minimally invasive treatment options are evolving.

Conclusion

While conservative management continues to be the mainstay of treatment for plantar fasciitis, multiple minimally invasive treatment options are emerging with potential effectiveness in reducing pain and improving the function.

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Correspondence to Ivan Urits.

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Morgan Hasegawa, BS, Ivan Urits, MD, Vwaire Orhurhu, MD, MPH, Mariam Salisu Orhurhu, MD, MPH, Joseph Brinkman, BS, Stephen Giacomazzi, BS, Lukas Foster, BS, Laxmaiah Manchikanti, MD, Rachel J. Kaye, BA, and Omar Viswanath, MD, declare no conflict of interest. Alan Kaye, MD, PhD, is a speaker for Merck.

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Hasegawa, M., Urits, I., Orhurhu, V. et al. Current Concepts of Minimally Invasive Treatment Options for Plantar Fasciitis: a Comprehensive Review. Curr Pain Headache Rep 24, 55 (2020). https://doi.org/10.1007/s11916-020-00883-7

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Keywords

  • Ankle and foot pain
  • Plantar fasciitis
  • Manual therapy
  • Joint mobilization
  • Soft tissue mobilization
  • Corticosteroid injections
  • PRP injections