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Plantar fasciitis is a condition in which the plantar fascia is inflamed. The plantar fascia is a thick ligament located across the bottom of your foot. It connects your toe with your heel bone. This condition is one of the most common orthopedic complaints and it causes pain at the bottom of your heel.
There are several types of treatment available to treat plantar fasciitis, including therapy, surgery, and other procedures. Your doctor will be able to determine the best type of treatment for you.
Physical therapy
Physical therapy is a key treatment for plantar fasciitis. During physical therapy, you will learn exercises to stretch your plantar fascia and strengthen your lower leg muscles, which will help stabilize your walking and lessen the workload on your plantar fascia. Your physical therapist may also use contrast baths, massage, or ultrasonography to help with your long-term healing.
Steroid injections
Your doctor may recommend steroid injections to relieve your pain temporarily, usually for about a month. It will also keep your inflammation down. The steroid medication is normally injected into the tender area or the most painful area of your plantar fascia. However, multiple shots are not recommended as they can weaken your plantar fascia, which can cause it to rupture.
Extracorporeal shock wave therapy
If physical therapy and other methods are not working, your doctor may suggest you undergo extracorporeal shock wave therapy. During this procedure, your doctor directs sound waves to the area of the heel where you experience pain to stimulate healing within the ligament. The sound waves literally “shock” your plantar fascia, which may reduce the pain you experience.
Surgery
Surgery is only performed where other methods have not worked, your pain is severe, or your pain lasts more than 6 to 12 months. There are two types of surgery that can be performed to treat plantar fasciitis:
Plantar fascia release involves partially detaching your plantar fascia from the heel bone to release tension and relieve inflammation.
Gastrocnemius recession is done to lengthen your calf muscle to release stress on the plantar fascia and increase your ankle motion. This procedure is typically recommended if you find it hard to flex your feet even though you consistently stretch.
Your length of stay depends on the type of treatment you underwent. For non-surgical treatments, you should be able to leave Nepal within 3 to 5 days. For surgical treatments, you may need to stay in the country for 7 days. For physical therapy, your length of stay depends on the frequency and how many appointments are needed. Your doctor/physical therapist/medical travel team will be able to advise you on this.
The recovery time will vary from person to person, depending on the severity of your condition and the type of treatment you have. With most types of treatments, you can go back to your normal routine within 1-2 weeks. With surgical procedures, you may need to wait for 3 to 6 weeks until you can go back to your normal routine. Whether you have a non-surgical or surgical procedure, it is important to increase the intensity and time of your activities gradually.
After all types of plantar fasciitis treatment, your doctor will give you instructions that you need to follow. These may include medications to take, diet plan to follow, exercises you can do, restrictions, and wound care (for surgical procedures).
After you have fully recovered, it is important that you maintain a healthy weight and you should also try to do low-impact exercises. It is also important that you wear shoes that fit well and support your arch.
Most types of plantar fasciitis treatment are generally effective and safe. However, extracorporeal shock wave therapy has not been shown to be consistently effective. Plantar fasciitis treatment, with the exception of physical therapy, carries some risks and side effects, such as nerve problems, neuroma, recurring heel pain, infection, chronic pain, bruises, numbness, and swelling.
In cases where your plantar fasciitis is not severe, you may be able to take pain relievers, such as ibuprofen and naproxen sodium, to ease your pain and inflammation. Your doctor may also recommend night splints or orthotics as the alternative. Night splints are used to stretch your calf and the arch of your foot while you sleep. Orthotics are custom-fitted arch supports that can help distribute pressure to your feet more evenly.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Nepal is a country in South Asia, sandwiched between India and China. Home to the mighty Mount Everest, this incredible country has diverse landscapes, from the Himalayan Mountains in the north to the sprawling plains in the south. Towering mountains, charming hill villages, golden mountains, and jungle wildlife, Nepal is truly one of the world’s best travel destinations. Beyond its nature and culture, this country is also increasingly popular for its healthcare. With its affordable high-quality medical facilities, Nepal is considered to have immense potential for medical tourism, due to the availability of good infrastructure, highly trained specialists, modern medical equipment, and relatively cheaper medical treatment. In fact, it’s currently the fastest-growing segment of the country’s tourism. Medical tourists coming to Nepal are usually seeking exceptionally high medical treatment at competitive rates. Some of the most sought after procedures are dental treatments, cardiac services, and neurological treatments.
Kathmandu, the capital and largest city in Nepal, is historic, enticing, spiritual, and vibrant. One of the most famous attractions in the city is the old town, where tourists can find the most popular Tibetan pilgrimage site, the Kathesimbhu Stupa. Another top attraction is Kumari Bahal, which is the home of the Kumari, the girl who is selected to be the town’s living symbol of Devi. Tourists looking to relax in a more laid-back vibe usually go to Pokhara. Stretching along the shore of an idyllic lake, it offers spectacular scenery. It also boasts a thriving adventure-sports industry, from paragliding to paddle boats. Anyone who wants to experience an ancient way of life should visit Bhaktapur, which is filled with artisan weave cloths, amazing cuisine, and beautiful temples.
The main international airport in Nepal is Tribhuvan International Airport, which serves flights to and from numerous cities in Asia, such as Delhi, Hong Kong, and Dubai. Getting around the country can be a challenge, but public transportation is available. Buses are affordable, however, they tend to be overloaded. Tourist buses are the best way to travel around as they are in good condition.
Citizens of India do not need a visa to enter Nepal without restrictions. Citizens of almost all nations, including the US and all EU countries, can obtain a visa on arrival that is valid for up to 90 days. Only holders of passports from 12 countries, need to have a visa in advance.
Nepal has five seasons. Spring starts in March until May, it offers pleasant weather that is not too cold nor too hot. Summer arrives in June and ends in August, bringing hot temperatures of around 28°C. Monsoon from June to September receives rain almost every day. Autumn and pre-winter bring sunny and pleasant weather, while winter can be very cold.
Local Currency: Nepali rupee (NPR) is the official currency. 1 USD converts to 115 NPR.
Money & Payments: ATMs are available in major cities, such as Kathmandu and Pokhara. Credit cards are accepted in major hotels and restaurants. Tipping is expected.
Local Language: The official language is Nepali. English is mainly spoken in tourism areas.
Local Culture and Religion: Hinduism and Buddhism coexist in Nepal peacefully. Islam, Kiratism, and Christianity are in the minority.
Public Holidays: Some of the most celebrated public holidays are Maha Shivaratri, Buddha Jayanti, Sambidhaan Diwas, and Bhaitika.