If you are one of the many people that suffer from plantar fasciitis, you have no doubt tried finding the proper support for your feet and used the recommended exercises to relieve the symptoms that go along with this condition. Typically, these are all the treatments you would need to relieve this condition; however, if the symptoms are not going away, you may be a candidate for a more aggressive treatment.

This aggressive treatment is not usually recommended immediately, but if you have suffered from plantar fasciitis for six to twelve months and have followed the recommended exercises, your podiatrist may recommend that you undergo cortisone injections, extracorporeal shock wave treatment or endoscopic plantar fascia release.

A cortisone injection is a powerful anti-inflammatory medicine. Your body naturally produces cortisone, which is a steroid, when your body is under stress. The cortisone injection that your doctor would give you is synthetically produced and designed to work stronger and last longer than the cortisone that your body produces.

Extracorporeal shock wave treatment delivers shock waves which cause a microtrauma to the injured area. This will jump start your body’s healing process to the injured area, thereby relieving the symptoms of plantar fasciitis.

Endoscopic plantar fascia release is a new surgical option for people that suffer ongoing symptoms of plantar fasciitis. In this procedure, the surgeon cuts the plantar fascia, which will release tension and relieve inflammation to the injured area. This surgery can be done as an “open” surgery, where the doctor cuts open the area, or endoscopically, where the doctor inserts instruments through small incisions.

It is important to note the risks that go along with this type of treatment. If too much of the plantar fascia is released, you foot can incur a flat foot deformity. If you elect to have endosopic surgery, you are at a higher risk for nerve damage to your foot. Your doctor can help you decide which treatment you will benefit from the most, and help you weigh the risks involved with each treatment.

As stated above, these options are last resort treatments for people that have found no other relief with more traditional methods of treatments for the condition.