Current Concepts of Minimally Invasive Treatment Options for Plantar Fasciitis: a Comprehensive Review

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OTHER PAIN (N VADIVELU AND AD KAYE, SECTION EDITORS)

Current Concepts of Minimally Invasive Treatment Options for Plantar Fasciitis: a Comprehensive Review Morgan Hasegawa 1 & Ivan Urits 2 & Vwaire Orhurhu 3 & Mariam Salisu Orhurhu 4 & Joseph Brinkman 1 & Stephen Giacomazzi 1 & Lukas Foster 1 & Laxmaiah Manchikanti 5 & Alan D. Kaye 6 & Rachel J. Kaye 7 & Omar Viswanath 7,8,9,10

# Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose of Review Chronic foot pain constitutes a large portion of the chronic pain burden in the overall population. Plantar fasciitis is one of the most common and most easily identifiable causes of chronic foot pain. The syndrome has been estimated to cause 11 to 15% of foot pain visits, requiring professional care. Moreover, studies have suggested that 1 in 10 people will develop plantar fasciitis at some point in their life. Conservative management has been shown to be effective and considered first-line treatment. Minimally invasive treatment options are typically reserved for those who fail conservative management. With the advent of new techniques and improvements in current therapeutic options, there has been an expansion of available minimally invasive treatment options. The purpose of this review is to provide a comprehensive update on the current understanding of minimally invasive treatments of plantar fasciitis. Recent Findings This review shows that conservative management continues to be the first-line therapy, whereas other treatment options were those who failed conservative management using modern techniques that have shown improving effectiveness, with successful restoration of patient functionality, recovery, and satisfaction. However, a multitude of these minimally invasive treatment options are evolving. Conclusion While conservative management continues to be the mainstay of treatment for plantar fasciitis, multiple minimally invasive treatment options are emerging with potential effectiveness in reducing pain and improving the function. Keywords Ankle and foot pain . Plantar fasciitis . Manual therapy . Joint mobilization . Soft tissue mobilization . Corticosteroid injections . PRP injections

This article is part of the Topical Collection on Other Pain * Ivan Urits [email protected] 1

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Pain Management Centers of America, Paducah, KY, USA

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Louisiana State University Health Science Center, Shreveport, LA, USA

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Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA

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Valley Anesthesiology and Pain Consultants, Phoenix, AZ, USA

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

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Department of Anesthesiology, University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA

Department of Anesthesia, Critical Care, and Pain Medicine, Johns Hopkins Hospital, Baltimore, MD, USA

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Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA

Creighton Univer