Clinical recommendation Evidence rating References Comment
Ultrasonography and magnetic resonance imaging are diagnostic options in patients with chronic heel pain despite conservative measures. C 3, 13, 14 Based on systematic reviews of disease-oriented evidence
Plantar fascia stretches are effective for reducing heel pain. B 17, 18 Based on small, limited-quality randomized controlled trials
Foot orthoses (prefabricated or custom) may reduce heel pain for up to 12 weeks, but the benefit is generally not clinically meaningful in the long term. B 21 Based on moderate-quality evidence from a systematic review and meta-analysis
The role of night splints in reducing plantar fasciitis pain is inconclusive. B 25, 26 Based on inconsistent, limited-quality studies
Extracorporeal shock wave therapy may have a role in chronic plantar fasciitis that does not respond to conservative therapies. B 27, 28 Based on inconsistent evidence and a meta-analysis
Corticosteroid injections may provide, at best, short-term relief for acute and chronic plantar fasciitis. B 29 Based on a Cochrane review of low-quality studies