Priority 20 from the Foot Health PSP

UNCERTAINTY: What are the best ways to treat pain that occurs under the heel (plantar heel pain)? (JLA PSP Priority 20)
Overall ranking 20
JLA question ID 0092/20
Explanatory note Whilst there is a relatively large body of research in respect of the non-surgical treatment of plantar heel pain, it is generally of low quality or inconclusive when compared with placebo. Heel pain is a common foot complaint and can be responsible for long lasting painful symptoms for many months for some patients (David et al, 2017).Therefore research to establish the most effective non-surgical management strategies and the most effective time to instigate interventions is essential, in order to ensure the most cost and clinically effective outcomes.  

CD009348 - David JA et al.  (2017) Injected corticosteroids for treating plantar heel pain in adults. Further research is required – low quality evidence found compared with use of placebo/no treatment – slightly reduced heel pain for up to 1 month only.                                    CD 010394 -.Lee S et al. (2013) Acupuncture and related interventions for treating plantar heel pain in adults.       
CD 012304.Rogers JA et al (2016) Physical Interventions (orthoses, splints, exercise and manual therapy) for treating plantar heel pain. 

Health Research Classification System category Generic health relevance 
Extra information provided by this PSP
Original uncertainty examples I had injections of something when I first hurt my foot and then two lots of surgery. How successful should these kind of treatments be for injuries like this? because it hasn't worked for me and it feels like its been a bit of trial and error to be honest. ~ How do you prevent planter fasciitis ~ How do you treat planter fascitis?
Submitted by Patient x 7
PSP information
PSP unique ID 0092
PSP name Foot Health
Total number of uncertainties identified by this PSP. 30  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 26 September 2019