Plantar Fasciitis Treatments

What is Plantar Fasciitis?

It is no surprise that plantar fasciitis is one of the most common causes of heel pain. Plantar fasciitis, while not life-threatening, can be very debilitating and painful to live with. It may seem like a minor issue but it can actually cause long term problems if left untreated.  It is important for all people who suffer from plantar fasciitis to know what causes this condition so they can take steps to avoid it in the future.

Causes of Plantar Fasciitis

The main cause of plantar fasciitis is an inflammation or irritation on the bottom surface of your foot (plantar side). There are several factors which contribute to this including overpronation, high arches, tight calf muscles and being overweight. Treatment of plantar fasciitis is essential to prevent the condition from worsening as well.

List of Plantar Fasciitis Causes

  • High-arched feet
  • Flat feet
  • Shoes that don’t support your feet for a long time
  • obesity (70% of patients with plantar fasciitis are also obese.)
  • Athleticism
  • Runner or Jumper
  • Exercise on a hard surface.
  • Standing for prolonged periods of time
  • Exercise without stretching the calves

Why Do I have Plantar Fasciitis?

Plantar fasciitis is a painful swelling of the thick tissue at the base of the foot, called the plantar fascia. It causes pain whenever a person tries to walk, especially in the morning. This can be very distressing and severely affect a person’s life.

Plantar fascitis can affect people of all ages but is more common with increased age where there is reduced elasticity of the plantar fascia and reduced padding of heel.

The plantar fascia becomes prone to injuries after repetitive stress from walking and exercises, causing swelling and pain in the heel.

Some foot conditions such as flat feet and high arched feet also make a person prone to suffer from plantar fascitis. Plantar fasciitis is seen commonly in athletes as well as in people with uncomfortable footwear.

Plantar Fasciitis Heel Pain Doctor Singapore Clinic

Do I Need To Do an X-ray or MRI?

With a good history and clinical examination, most doctors are able to make a diagnosis of plantar fasciitis.
X-rays are sometimes useful for assessing the severity of the condition and to exclude a plantar calcaneal (heel) spur.

In most patients, MRIs are usually not necessary in the early stages unless other underlying conditions are suspected.

How Can Plantar Fasciitis Be Treated?

Some self-help measures that can help include:

  • Avoid walking bare foot and on hard surfaces
  • Stretching exercises of the calf muscle
  • Use of good footwear and insoles
  • Freeze a golf ball and roll it under your foot
Plantar Fasciitis Foot Pain Shockwave Therapy Clinic

Most doctors can offer anti-inflammatory medications and possibly a steroidal injection as treatment for plantar fasciitis.

Physiotherapy is another well accepted treatment option for plantar fasciitis.
Using techniques such as manual therapy, stretches and muscle strengthening exercises, it can have a good result in many patients.

Can Traditional Treatments Treat Plantar Fasciitis?

Some people use traditional massage and acupuncture for the relief and treatment of plantar fasciitis. While the relief may not necessarily be last for long, it can still be helpful on a temporary basis.

Why Are My Treatments Not Working?

While treatments of plantar fasciitis can be very effective, patients may experience problems such as:

  • The inflammation is too severe
  • Thickened scar tissue might have developed., especially if your pain has been present for more than a few months.
  • You are unable to rest sufficiently because of work or sports training activity

In very severe cases, surgery might be a recommended option.
In most other cases, even where pain and stiffness are severe or have been present for a long time, there are multiple non-surgical options that a patient should first consider.
As surgery as a treatment for plantar fasciitis can have significant risks and cost, it is important to discuss the potential benefits expected in detail with your doctor.

What Is Your Doctor’s Experience Treating Plantar Fasciitis?

Dr Terence Tan has been treating heel pain at The Pain Relief Clinic since 2007. For the past 15 years, he has been using non-invasive technology to help patients recover from heel pain problems.

He is accredited with both the Family Physician Accreditation Board and the Singapore Medical Council. He is also a member of the Singapore Medical Association and The Pain Association of Singapore.

Committed to providing quick plantar fasciitis pain relief, his philosophy is to always offer patients the safest, most effective and least invasive technology driven treatments possible.

What New Treatment Options Can The Pain Relief Clinic Offer For My Plantar Fasciitis?

At The Pain Relief Clinic, we adopt a biomedical targeted approach that addresses the underlying causes of Plantar Fasciitis.
This allows us to provide treatment strategy using medical technology in a comprehensive and cost-effective way.

Depending on the severity of your condition, some of the useful options that can give very good results include:

  • Dietary Correction
  • Non-Invasive Indiba Therapy
  • Shockwave Therapy


In particular, Shockwave Therapy is an internationally established method of treating plantar fasciitis pain and inflammation through stimulating tissue repair.

Employing high energy acoustic waves, shockwave induces new blood vessel growth and tissue regeneration.

Although introduced to Singapore for well over a decade as one of the best treatment options available for pain relief, its use has up till recently been limited by the small number of doctors offering this option.

Treatment with earlier generation shockwave machines were also quite painful, usually requiring local anesthesia.

They were also very costly devices resulting in expensive treatments, which not many patients could afford.

Fortunately medical technology research in recent years has resulted in new devices which provide much more comfortable treatments and no longer require any local anesthesia injections.

They have also dramatically brought down treatment costs and made shockwave very affordable to patients with plantar fasciitis.
Clinical studies have demonstrated extremely high success rates, especially in cases which have failed to respond to other approaches.

What sets this treatment apart from traditional treatments is that it treats the musculoskeletal pathology instead of just offering symptomatic relief.

Approved by the US FDA and EU CE marked, the German Shockwave technology offered at The Pain Relief Clinic is recognized by doctors around the world.

If you are suffering from plantar fasciitis, or if your condition has not improved despite other treatments, we are able to help.

Simply call us at +65 6732 2397

or leave a message below for Dr Tan to discuss a customized non-invasive solution for you.

What To Expect When I Visit The Pain Relief Clinic

A typical visit will involve our doctor first understanding your medical history, concerns and previous experience with other pain treatments.

For patients who have consulted many people but have yet to receive a clear diagnosis, selecting an affordable imaging scan might be recommended to confirm the cause of your pain..

Some patients have already done scans with other doctors for their pain condition but are still not clearly told what they suffer from.

Dr Terence Tan is happy to offer you a second opinion and recommend how best to manage your condition.

We also see patients who already have a confirmed diagnosis from specialist pain doctors, but are "stuck” because treatment options offered are not practical or acceptable.

We can help by discussing options that you might have potentially never been told of.

A common experience is when a patient has already consulted a specialist doctor for pain management and is told to consider orthopaedic surgery which they find too aggressive.

Or they may have seen doctors for their pain and were prescribed painkillers with potential side effects which made them feel uncomfortable.

Many of our patients have also first tried complementary treatments or acupuncture with traditional Chinese pain doctors.

They look for a second opinion after finding any relief experienced from other treatments to be temporary or requiring repetitive treatments, which add up to time and cost.

Especially in such situations, we emphasize using non-invasive medical technology you likely have not been told about .

This can make a big difference to your results.