Plantar fasciitis is a common condition characterized by pain in the heel and arch of the foot, due to inflammation of the plantar fascia, a thick band of tissue running along the bottom of the foot from the heel to the toes. This tissue supports the foot’s arch and absorbs shock during movement. Night splints are a non-invasive treatment often recommended to address the morning pain associated with this condition, working by gently stretching the plantar fascia and Achilles tendon overnight.
Typical Duration of Night Splint Use
The duration for night splint use varies. Many find consistent use for 1 to 3 months leads to significant improvement in symptoms. Mild cases might see relief in 2 to 4 weeks, while moderate cases could require 6 to 8 weeks. Severe or persistent cases may require 10 to 12 weeks or longer.
Consistency in wearing the splint plays a role in the healing timeline. Night splints work by providing a continuous, gentle stretch to the plantar fascia while sleeping, preventing the tissue from tightening overnight. This helps reduce morning pain and promotes healing. Many may not experience immediate relief in the first month, emphasizing the importance of continued use. The splint is worn until symptoms noticeably improve or resolve, then usage can be gradually reduced.
Tips for Effective Night Splint Use
Proper fitting and consistent use maximize night splint benefits. The splint should hold the foot with the toes pointed upward, applying a gentle stretch to the plantar fascia and Achilles tendon. When starting, wear the splint for a limited duration, perhaps an hour, then gradually increase wear time each night to allow the foot to adapt. The goal is to wear it for most of the night, ideally five to six hours.
If discomfort arises, adjust the straps or the angle of the foot within the splint. The splint should provide a pain-free stretch; adjustable straps allow for a customized fit. Placing a pillow between the legs when sleeping on your side can enhance comfort. Combining night splint use with other treatments, such as daily stretching exercises for the calf and Achilles tendon, supportive footwear, and ice, can further support recovery and manage pain.
When to Seek Further Medical Advice
While night splints are helpful, professional medical consultation is sometimes necessary. Seek medical attention if heel pain persists despite consistent night splint use for two weeks, or if symptoms worsen. New or unusual pain, tingling, or loss of feeling in the foot also warrants a doctor’s visit. Individuals with diabetes should consult a healthcare professional for any foot pain, as foot problems can be more serious.
A doctor can assess the situation, confirm the diagnosis, and rule out other underlying conditions like a stress fracture through imaging tests. They can then recommend alternative or additional treatments, which might include:
Prescription medications
Physical therapy to teach specific stretching and strengthening exercises
Custom orthotics for better foot support
Injections
Surgical options