An assessment by a practitioner is often enough for a diagnosis to be made. it is important to determine the reasons that have led to the plantar fasciiitis, such as training errors, calf tightness, or poor movement patterns.
Generally, imaging assists in the diagnosis. Usually, ultrasound is the first choice to detect typical swelling changes and thickening of the plantar fascia. Sometimes an MRI maybe required to rule out other conditions such as stress fracture or plantar fibroma

Plantar fasciitis can be a chronic condition that is known to be a difficult condition to treat . It is important to get a diagnosis early and seek the correct advice and treatment.

In some cases, ultrasound-guided plantar fascia injections are performed. However, shockwave therapy is normally the best first choice as injections can be painful and sometimes risk damaging the fat pad.

This will dependant on the chronicity of the condition and the diagnostic ultrasound findings. Generally patients will need 5-8 sessions of shockwave and 12-week course of stretches and exercise