What is included in the typical treatment sequence for plantar fasciitis?

• A. Stretching, supportive footwear, heel cushions; NSAIDs; night splints; corticosteroid injections if refractory
• B. Immediate surgery
• C. Antibiotics
• D. Orthotics only, no stretching

Answer: (A)

Plantar fasciitis is managed first with conservative steps that reduce fascia strain and improve foot mechanics. Stretching programs for the plantar fascia and the calf–Achilles complex help lengthen the tissues and lower tension on first steps. Wearing supportive footwear and using heel cushions or orthotics helps align the foot and reduce abnormal load during standing and walking. NSAIDs can provide symptomatic relief for pain and inflammation. Night splints keep the ankle and foot in a dorsiflexed position overnight, maintaining a gentle stretch of the fascia to lessen morning pain. If pain remains after these measures, a corticosteroid injection may be considered for additional relief. Surgery is not part of the typical initial sequence and is reserved for cases that fail a substantial trial of conservative therapy over time. Antibiotics have no role here because this is not an infectious process, and relying on orthotics alone without stretching does not adequately address the underlying fascia tension.