From the Research
For plantar fasciitis pain, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) or naproxen (Aleve) are typically most effective, as stated in the most recent study 1.
Key Points to Consider
- Ibuprofen can be taken at 400-600mg every 6-8 hours (not exceeding 3200mg daily), while naproxen can be taken at 220-440mg every 8-12 hours (not exceeding 1000mg daily) 1.
- These medications work by reducing inflammation in the plantar fascia, the thick band of tissue that runs across the bottom of your foot.
- Take these medications with food to minimize stomach irritation, and limit use to 7-10 days unless directed otherwise by a healthcare provider.
- For topical relief, diclofenac gel (Voltaren) can be applied directly to the painful area 3-4 times daily.
- NSAIDs should complement other treatments like stretching exercises, proper footwear, ice application, and rest.
- People with kidney problems, heart conditions, or a history of stomach ulcers should consult their doctor before using NSAIDs, as alternative pain management strategies may be more appropriate.
Additional Considerations
- The diagnosis of plantar fasciitis is primarily based on history and physical examination, with symptoms including heel pain with the first steps in the morning or after prolonged sitting, and sharp pain with palpation of the medial plantar calcaneal region 2.
- Conservative management, including rest, activity modification, ice massage, oral analgesics, and stretching techniques, is the first-line treatment for plantar fasciitis, with 90% of patients improving with these conservative techniques 2.
- Minimally invasive treatment options, such as platelet-rich plasma injections and therapeutic ultrasound, may be considered for patients who fail conservative management 3, 4.