Heat or cold therapy for plantar fasciitis

NewsBot · Aug 26, 2014

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Evidence Based use of Heat, Cold and NSAIDS for Plantar Fasciitis
Jerrold S. Petrofsky, Michael S. Laymon, Faris Alshammari and Iman Akef Khowailed
Clin Res Foot Ankle 2014, 2:3

Plantar Fasciitis is a possible complication in runners and even people who walk a lot. There have been
numerous proposed therapies to treat this disorder but the independent effect of heat, cold and NSAIDS have not
been examined without the concomitant use of other modalities. Here we examined the effect of heat, cold and Advil
independently of other therapies on plantar fasciitis.
Objective: Subjects with plantar fasciitis either had no intervention, cold applied 20 minutes at night before bed,
or 20 minutes in the morning upon wakening or either moist heat at night or in the morning (1 hour) or dry heat (4
hours) at night for 1 day or 3 days with and without Advil. Plantar fascia swelling, tenderness and pain were
evaluated.
Methods: Visual analog pain scale, plantar facial thickness was measured by ultrasound as a measure of
inflammation, the pressure tolerated by force on the plantar fascia from an algometer were measured first thing in
the morning. An activity of Daily Living Subscale of the Foot and Ankle Ability Measure (FAAM-ADL) questionnaire
was used for assessing disability. There were 99 subjects in 9 groups. All post intervention measurements were
taken first thing in the morning before activity.
Results: The greatest relief of symptoms was with the application of cold used at bedtime the night before the
measurements, cold used in the morning was not as effective as was heat. Cold use reduced the thickness of the
plantar fascia and pain. Cold plus Ibuprofen were significantly better at reducing plantar fascia symptoms than cold
alone.
Conclusion: Cold applied for 20 minutes prior bedtime was the most effective treatment for reduced
symptomology caused by plantar fascia inflammation. Advil further reduces pain when used with cold.
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jacquia · Sep 4, 2014

I use heat when stretching and finish with cold.
The colder something is the more brittle it gets and less likely to stretch.

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