Plantar fasciitis is a common cause of foot pain, and there are a number of effective things you can do at home to reduce pain and allow your plantar fascia to heal. We recommend that you try home treatments, including wearing semirigid arch supports and doing calf and plantar fascia stretches regularly, for several months. We may also arrange for you to attend a class about plantar fasciitis that explains the condition and the treatment options that are available. Deskbound individuals can get back to their work within 3-5 days though, they need to keep their foot propped up. Individuals who spend most of their time at work on their feet may require 6-8 weeks minimum. Individuals who needs to lift or carry heavy objects as part of their work may require as many as 3-6 months. However, it may take a complete year to regain full functionality of the treated heel. Since, procedures mentioned above are non-invasive, the recovery time is very less. In fact, these procedures can be performed with much ease and there is no need for the patient to get hospitalized. The sentences increase with the quantities of drugs in question. Having between a half ounce and an ounce of prescription pain pills can earn a seven-to-10-year sentence, while having more than an ounce garners between 19 and 23 years. A single pill bottle full of pain pills could be enough for that latter sentence. New Hanover County Assistant District Attorney Janet Coleman, who handles drug cases, said many people she has prosecuted for pain pills had no prior criminal record. "None, zero, not even a speeding ticket," she said. "They are otherwise law-abiding citizens who end up in this nightmare." Bruising and pain are not surprising for the heel, as the sole of the foot bears the whole body weight and is subjected to pressure during standing, walking and running. Heel bruise or periostitis is significant, while an individual jumps and hits the ground on his/her feet with a strong force. The same thing happens while falling from heights and some cases of motor accidents. In such situations, the calcaneus and surrounding bones absorb the shock of landing on the hard surface. As a consequence, bruising and swelling occur in the heel bone. Stretching the plantar fascia by pulling the toes towards the shin is effective in encouraging the tissue to recover its normal alignment. This may assist in the therapeutic process and can relieve the symptoms of plantar fasciitis. Extended stretching of the plantar fascia can be accomplished using a night splint, which is worn while sleeping. Research points that night splinting can importantly boil down plantar faciitis symptoms in over 75% of cases, particularly pain on the initial a couple of steps after up each morning. Only podiatrists can prescribe and dispense custom-made rigid orthotics. They are made from a plaster cast (foot impression) and they can be quite expensive. Foot Orthotics , is the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. There was no statistically significant reduction in pain, and there was no long-term effect when the patients were re-evaluated after 12 months. Another way to stretch is to sleep in a night splint, which holds your foot in a slight stretch all night. Don’t forget to stretch your great toe into extension; grab your big toe and gently pull back until you feel a stretch in your toe joint or foot, then hold for 30 seconds and perform three times. The big toe tendon slides under the plantar fascia. But I did give up the high heels and cut back on my running, and took large quantities of over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDS). These are things like aspirin, ibuprofen, naproxen and acetaminophen. But these can be dangerous too, with continued use. Heel pain is just one area where a patient can have pain. A 2013 study in the medical journal, Skeletal Radiology, found degenerative changes via diagnostic ultrasound in the plantar fascia at various areas of the foot including the insertion (heel) and non insertional sites (other attachment points on the foot). (3) The implications of this study is that pain location along with degenerative changes can vary. FDA approved extracorporeal shock wave therapy as a measure to treat heel spur. In this therapy focused waves of either high or low energy are exposed on the affected heel. These waves induce micro trauma that initiates the body's healing mechanism. Sometimes we dispense a splint, fitted to the calf of your leg and foot, to be worn at night, to keep your foot stretched during sleep. Another possible treatment is injection of cortisone in the heel. In extreme cases where pain is significant and you need to remain mobile, we utilize removable casts that come off to bathe, drive and sleep. Surgery is rarely necessary. If you are experiencing pain in your heels, from Plantar Fasciitis or a different cause, you have probably already given up on your usual everyday shoes. Every step you take probably ends up shooting mini lightning bolts through your foot and ankle.