What lifestyle modifications should I advise to patients suffering from plantar fasciitis?

Lifestyle modifications for patients with plantar fasciitis include:

• Rest the foot as needed and avoid prolonged standing or walking where possible to reduce strain on the plantar fascia.
• Wear comfortable shoes with good arch support and a small heel, such as laced sports shoes, and avoid walking barefoot to provide adequate foot support.
• Consider using over-the-counter insoles or heel pads to cushion and lift the heel, which can help reduce pain.
• Advise weight loss if the patient is overweight or obese, as increased body mass index is a consistent risk factor for plantar fasciitis.
• Encourage regular plantar fascia and gastrocnemius muscle stretching exercises for 4–6 weeks to improve flexibility and reduce symptoms.
• Consider the application of ice packs (covered with a towel) to the painful area for 15–20 minutes every few hours to relieve symptoms.

These lifestyle changes should be tailored to the individual's symptoms, lifestyle, and activity level for optimal engagement and prevention of recurrence.

Referral to a podiatrist, orthotist, or physiotherapist may be considered if self-care measures and home exercises are ineffective.

Patient education and support resources, such as NHS and Versus Arthritis information, should be provided to enhance self-management.

All recommendations are based on UK best practice guidelines and expert consensus.

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