Brief Answer:
Plantar fasciitis; hot and cold fomentation helps

Detailed Answer:
Hello
Thanks for writing.
I Dr.chugh, Orthopaedic surgeon. The problem you are having is medically known as plantar fasciitis, it is very common. I hope you are medically fit (non diabetic) and have normal weight. In this earlier you start the treatment better the prognosis.
As far as treatment is concerned my advice for you would be-
1.Rest your feet. Limit or, if possible, stop daily activities that are causing your heel pain. Try to avoid running or walking on hard surfaces, such as concrete. Never walk bare foot that is put on your shoes as soon as you get out of bed.
2.Wear shoes with good shock absorption and the right arch support for your foot. Athletic shoes or shoes with a well-cushioned sole are usually good choices.
3.You may use silicon heel cups to cushion your heel. Use them in both shoes, even if only one foot hurts.
4.The usual medicines you may have are Ibuprofen/naproxen to relieve pain along with tablet tendocare under medical guidance.
5.You may do exercises like toe stretches, calf stretches and towel stretches, several times a day especially in the morning. For towel stretches, you pull on both ends of a rolled towel placed under the balls of foot.
6.Avoid using only heat on your foot, such as from a heating pad or a heat pack for at least the first 2 or 3 days. Use hot and cold fomentation (alternate hot and cold water, make sure you end with a soak in cold water).

Hope this helps.
Take care and I shall be glad to answer any further query.
Regards
Dr. Chugh, Orthopaedic surgeon
Virtual clinic http://bit.ly/drmchugh

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Brief Answer:
Non weight bearing and cast helps in healing

Detailed Answer:
Hello
It’s good to see you
After going through the whole discussion I hope you had MRI to confirm the ruptured plantar fascia along with clinical sign’s of skin discoloration, swelling at heel and arch area of foot.
The usual treatment for a true rupture of the plantar fascia is immobilization. This can be done with a cast. The cast provides the most reliable way of immobilization. You should use crutches/walker to decrease the pain in the heel and arch, and let the rupture heal. Physical therapy and custom orthotics can also help a great deal once the ligament healing starts to take place.
To get over pain I prefer pain relievers (such as Tylenol and narcotic pain medicines) can make the heel and arch feel much better without interfering with the healing process as may occur with Ibuprofen, naproxen (NSAIDS) so avoid them. Avoid weight bearing on that foot and use crutches/walker to perform necessary activities.

It usually takes 6-8 weeks time to heal.

A new way of treating this injury is by platelet therapy Injection. This is also referred to as “Platelet Rich Plasma (PRP) Injections “Therapy. This advanced treatment involves the injection of your body’s own concentrated healing factors right into the area of injury. It has shown promising results and early healing.

Fortunately, surgery to directly the repair the plantar fascia is rarely needed. One word of caution avoid steroid injection which help heal plantar fasciitis, but in rupture it can prevent healing in fascia and even make it much, much worse so avoid it.

Hope this information helps.
Wish you early recovery
Dr.chugh

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