The Definitive Answer: ‘How Long Does Plantar Fasciitis Last?’

April

19

by Joe Armeli | Doctor of Physical Therapy

Find out the answer to the question "How long does plantar fasciitis last?" in this article.

Ever wondered, "How long does plantar fasciitis last?"

Well, the answer isn't the same for everyone, as numerous factors influence the duration of this foot ailment.

In this guide, we'll explore key elements affecting the persistence of plantar fasciitis, including its severity, lifestyle, underlying health conditions, treatment timeliness, and effectiveness.

By understanding these aspects, you can bounce back to a pain-free existence more quickly and ensure your feet stay in tip-top shape. So, let's dive in and discover what it takes to kick plantar fasciitis to the curb!

Factors Affecting How Long Plantar Fasciitis Lasts 

Factors that determine how long plantar fasciitis last are; the severity of your plantar fasciitis, your activity level, and how healthy you are.

If you're wondering, "How long does plantar fasciitis stick around?" remember that the answer isn't one-size-fits-all. Just as in the broader world of healthcare, each person's experience with plantar fasciitis can vary significantly, influenced by an array of factors. Let's dive into some key elements that play a role in determining the persistence of your plantar fasciitis.

By understanding these aspects, you'll be better equipped to shorten the lifespan of your plantar fasciitis, allowing you to bounce back to a pain-free existence more quickly.

The Severity of Your Plantar Fasciitis: 

The main factor influencing the length of your plantar fasciitis healing process is the condition's severity, or more specifically, the stage of plantar fasciitis you're experiencing. Picture these phases as a spectrum with three distinct levels. 

The initial phase is the mildest, where morning discomfort is present but subsides as you go about your day. The second phase kicks in when pain interferes with your daily activities. Lastly, the third and most severe phase occurs when you can't carry out everyday tasks and need to take a break.

The more advanced your plantar fasciitis is, the longer it will take to bounce back.

Individual lifestyle and activity levels: 

A significant aspect influencing the duration of plantar fasciitis recovery is your level of physical activity. Generally, people who can afford to take a break for a few weeks tend to heal faster from plantar fasciitis. However, let's face it – taking a week off to stay off your feet isn't feasible for most of us.

For those constantly on the go, it's reasonable to anticipate a longer recovery period compared to someone with a desk job who can take it easy. So, be prepared for more extended healing if you're always on your feet.

Underlying health conditions: 

Your overall well-being has a considerable influence on how quickly you can bounce back from plantar fasciitis. Various factors can hinder your recovery, making it essential to address them for a smoother healing process.

  1. Excess weight: Carrying extra pounds puts added strain on your plantar fascia, exacerbating the condition and prolonging the healing period. Adopting a healthy lifestyle with balanced nutrition and regular exercise can help shed those extra pounds and alleviate the pressure on your feet.
  2. Smoking: Lighting up that cigarette doesn't just harm your lungs; it can also impede your body's natural healing process. The toxins from smoking constrict blood vessels, reducing blood flow and oxygen supply to the affected tissues. Kicking the habit can significantly improve your recovery time from plantar fasciitis.
  3. Diabetes: Living with diabetes can cause complications in the healing process due to reduced blood flow and nerve damage in the feet. Properly managing your blood sugar levels and working closely with your healthcare provider can help mitigate these issues and promote a faster recovery.
  4. Poor nutrition: A well-balanced diet is crucial for overall health and healing from injuries like plantar fasciitis. Consuming foods rich in vitamins, minerals, and anti-inflammatory properties can support your body's ability to repair damaged tissues and speed up the recovery process.

Timeliness of treatment: 

Finally, initiating treatment for plantar fasciitis at the right time can greatly influence the duration of the healing process.

You should begin addressing plantar fasciitis as soon as you spot the symptoms. However, that's not how it usually plays out for most folks. Like many others, you might hope for improvement and decide to "give it a few more months" to see if things change. Then, when no progress is made, you wait yet another month.

Doing this delays not only the time you can be used to recover but also makes a recovery longer because your plantar fasciitis becomes more severe.

Effectiveness of Treatment: 

As you address your plantar fasciitis, it's crucial to understand that the selected treatment strategy will greatly influence the duration of your recovery process.

There are numerous treatment options for plantar fasciitis, and the effectiveness of each varies depending on individual circumstances and commitment to the recovery plan.

For instance, someone who relies solely on icing their plantar fasciitis may not experience as speedy a recovery as another person who combines icing with massage therapy and adheres to a well-structured rehabilitation program. The latter approach is more comprehensive and targets multiple aspects of the healing process.

Plantar fasciitis rehab program

Moreover, those that undergo more invasive procedures, such as surgical intervention or use a supportive walking boot. These methods have their own pros and cons and will lead to different recovery timelines.

Typical Duration of Plantar Fasciitis

As mentioned earlier, the healing period for plantar fasciitis isn't exactly cut and dried since numerous elements contribute to the recovery process. Nevertheless, let me give you a rough estimate of the expected timeframe. First, I will give you the time frame based on the type of treatment, then second, I will give you the time frame based on the severity as these are the two major factors. 

Duration of Plantar Fasciitis Based on Treatment Type

How long it takes for plantar fasciitis to heal based on the treatment type you choose.

The road to recovery from plantar fasciitis is paved with various treatment options, and the healing time can vary significantly. Lets go over the different treatment options and what they mean for recovery time.

Conservative Treatment: 

For most individuals, tackling plantar fasciitis begins with non-invasive approaches, which serve as the primary line of defense. This entails stretching tight calf muscles, and plantar fascia, using a night brace, applying ice after extended activities, and using heat on your arch before engaging in physical exertion.

Studies reveal that 90% of those who opt for non-invasive remedies experience improvement within a year, with significant progress within the initial 2-3 months.

It's worth noting, however, that research indicates a mere 50% of individuals truly dedicate themselves to at-home rehabilitation.

Since 90% of people recover while only half commit to home-based rehab, your odds of overcoming plantar fasciitis can be substantially boosted through a consistent home exercise regimen.

If you would like to avoid surgery and fix your plantar fasciitis, I have a program aimed to do just that. 

Plantar fasciitis rehab program

Semi-Conservative Treatments: 

After 6 months of commitment to conservative treatment with no improvement in plantar fasciitis, more advanced treatments are often recommended. 

I call these semi-conservative treatments, and each one takes a different amount of time to heal:

Corticosteroid injections - a non-surgical treatment option that involves injecting a potent anti-inflammatory medication, corticosteroid, directly into the affected area to reduce inflammation and pain. Studies show pain relief from plantar fasciitis after corticosteroid injections almost immediately, with around a 50% reduction in pain in 6 months on average.

PRP injections - another non-surgical treatment for plantar fasciitis where an injection of a concentrated solution of your platelets into the plantar fasciitis, you're giving your body a helping hand in repairing the damaged tissue. Studies show people treated for plantar fasciitis with PRP injections take around 6 months to heal. 

Shockwave therapy - a non-invasive treatment that uses high-energy sound waves to encourage healing in the plantar fascia.  The research has found patients show improvement around 3-6 months after treatment.

Surgery for plantar fasciitis 

If our group of semi-conservative treatments falls short, surgical intervention for plantar fasciitis comes into play. Typically, individuals contemplate this option after enduring plantar fasciitis pain for over a year while actively trying to treat their pain.

Surgical procedures include:

Gastroc Recession:

Aiming to loosen taut calf muscles, gastroc recession surgery for plantar fasciitis helps alleviate pressure on the plantar fascia.

Post-surgery, the recovery timeline can differ based on the treatment plan prescribed by the surgeon, as indicated in five studies. Although patients were permitted to bear weight on their feet as they felt at ease, recovery duration spans roughly 4 weeks to 2 months.

Plantar Fasciotomy:

The primary objective of plantar fasciotomy surgery is to ease the plantar fascia's tension. This is achieved by making a minor incision and slicing through the constricted, inflamed tissue. By releasing the tension, the strain on the neighboring plantar fascia is diminished, thereby relieving pain and inflammation.

The recuperation period following plantar fascia release surgery generally varies from 6 to 10 weeks before patients can walk unaided with comfort. It might take up to 3 months before participating in demanding activities and workouts can be contemplated.

Plantar Fasciitis Healing Time Based on the Severity

How long it takes for plantar fasciitis to heal based on which stage of plantar fasciitis you have.

The duration of your  recovery hinges on which stage of plantar fasciitis your, so it's crucial to address the issue promptly. With timely intervention, you'll likely bounce back sooner from this pesky foot ailment.

Mild cases

When dealing with mild episodes of plantar fasciitis, recovery is often relatively smooth. By being mindful of your activities and aiming to maintain your pain levels below a 4/10 threshold, you can actively contribute to the healing process. In combination with this approach, implementing gentle, non-invasive treatments can work wonders in alleviating discomfort.

For instance, incorporating regular stretches targeting the calf muscles, Achilles tendon, and plantar fascia, as well as exercises to strengthen your feet, can promote flexibility and support. 

Plantar fasciitis rehab program

Additionally, paying attention to footwear choices and opting for well-cushioned shoes with proper arch support can further reduce strain on the plantar fascia.

By consistently following these measures and keeping your pain in check, you'll be on the path to recovery. Within a couple of months, you may find that the nagging pain of plantar fasciitis has become a distant memory.

Moderate severity cases 

When dealing with plantar fasciitis of moderate severity, it begins to impact your daily life. At this point, it's crucial to monitor your condition closely and prevent it from deteriorating further. 

Make sure to proactively engage in plantar fasciitis treatments to halt its progression. It's wise to take a breather from any rigorous activities until your symptoms subside. Typically, addressing moderate plantar fasciitis through conservative methods takes 2 to 4 months.

When you're grappling with moderately severe plantar fasciitis, you'll start to notice its impact on your day-to-day activities. It's essential to keep a watchful eye on your condition to avoid any further decline. Proactively engaging in treatments designed for plantar fasciitis is key to stopping it in its tracks.

Severe cases 

Severe plantar fasciitis can be a real thorn in the side for those who suffer from it. Recovery isn't exactly a piece of cake, as it often takes a considerable amount of time and effort to bounce back. In the most stubborn cases, the healing process may call for using a walking boot or even more rigorous treatments, going beyond basic conservative care.

These severe instances of plantar fasciitis can throw a wrench in the works of daily life. Sufferers often need to pump the brakes on their activities multiple times throughout the day. This can be frustrating and exhausting, to say the least.

As if that wasn't enough, the road to recovery can be long and winding, with the most severe cases of plantar fasciitis taking up to an entire year to fully heal. During this time, it's crucial for those affected to remain patient, diligent, and consistent with their treatment plans. 

Severe cases of plantar fasciitis can take up to and over a year to heal.

Preventing Plantar Fasciitis From Reoccurring 

How to prevent plantar fasciitis from re-occuring includes: using good orthotic and shoes, stretching, strengthening the foot , keeping body weight low, and making sure you don't spend too much time on your feet.

Once you've bid farewell to plantar fasciitis, the last thing you want is a comeback. To keep it at bay, follow these tips that'll keep your feet feeling great.

  1. Maintain a healthy weight: Excess weight can put additional stress on your plantar fascia, so maintaining a healthy weight can help alleviate strain.
  2. Choose supportive footwear: Wear shoes with proper arch support, cushioning, and a slightly raised heel. This can help to distribute pressure more evenly and reduce stress on the plantar fascia. Avoid high heels and flip-flops, which can exacerbate the issue.
  3. Stretch regularly: Stretch your calf muscles, Achilles tendon, and plantar fascia to maintain flexibility and prevent tightness. Stretching can be done throughout the day and especially before and after physical activity.
  4. Strengthen your foot muscles: Perform exercises that target the muscles in your feet and lower legs. This can provide additional support to your plantar fascia and reduce the risk of recurrence.
  5. Avoid overloading your feet: Gradually increase your physical activity, and avoid sudden increases in intensity or duration. This will help prevent overuse injuries and give your plantar fascia time to recover.
  6. Use orthotic inserts: If you have flat feet, high arches, or an uneven gait, consider using custom or over-the-counter orthotic inserts. These can help correct biomechanical issues and redistribute pressure on your feet.

Conclusion

In conclusion, the healing time for plantar fasciitis can vary greatly depending on factors like the severity of the condition, your lifestyle, underlying health issues, the timeliness and the effectiveness of treatment, and the type of treatment you choose. Recovery can range from a couple of months to over a year, but staying proactive and consistent with your treatment plan is the key to a successful recovery.

About the author, Joe Armeli DPT

I'm Joe Armeli, a Doctor of Physical Therapy, Certified Athletic Trainer and Certified Strength and Conditioning Specialist, a movement enthusiast, and a fellow runner. I'm here to help you achieve your physical health and performance goals, whether you're just starting to run or are a seasoned vet. For questions or concerns, email me at joe.armeli.dpt@gmail.com. Look forward to hearing from you!

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