Brief Answer:
Treatment depends upon severity

Detailed Answer:
Hello

Thank You for contacting HCM. My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. Most patients who have plantar fasciitis recover with conservative treatments in just a few months. Treatment options include medical, therapies & surgical. As you have mentioned that you have severe disease so surgical therapy will be the option.

a. Medical therapy includes: Pain & anti-inflammatory medicines.

b. Therapies:
It includes stretching and strengthening exercises including use of night splints & orthotics.

c. Surgical & other options:

1. Injecting a steroid medication into the tender area which can provide temporary pain relief.
2. Extracorporeal shock wave therapy:
In this procedure sound waves are directed at the area of heel pain to stimulate healing.

3. Surgery to detach the plantar fascia from the heel bone. It is generally an option only when the pain is severe and no other management is helping.

> Lifestyle modifications:
- Maintain a healthy weight.
- Choose supportive shoes. Avoid high heels.
- Apply ice. Hold a cloth-covered ice pack over the area of pain for 15 to 20 minutes three or four times a day or after activity. Regular ice massage can help reduce pain and inflammation.

Hope I have answered your query. If you have any further questions I will be happy to help.
Wishing you good health !!

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