Question 1

Can plantar fasciitis be cured without surgery?

Accepted Answer

Yes. Over 90% of plantar fasciitis cases resolve with conservative care. At DakshinRehab, we use evidence-based shockwave therapy combined with custom orthotics and biomechanical correction. Surgery is rarely needed and only considered after 6-12 months of failed conservative treatment.

Question 2

How long does plantar fasciitis take to heal?

Accepted Answer

Acute cases respond in 6-8 weeks. Chronic plantar fasciitis (lasting >6 months) typically requires 8-12 weeks of structured treatment including shockwave therapy. The key is addressing the biomechanical cause—not just the symptoms.

Question 3

What is shockwave therapy for heel pain?

Accepted Answer

Radial Shockwave Therapy uses acoustic waves to create controlled microtrauma in the plantar fascia. This restarts the healing process in degenerative tissue and has an 85-90% success rate for chronic heel pain. It's non-invasive and clinically superior to steroid injections.

Question 4

Do custom orthotics really help foot pain?

Accepted Answer

Yes, when properly prescribed. Generic insoles provide cushioning but don't correct structure. Our 3D-scanned custom orthotics are medical devices that realign the foot, redistribute pressure, and address the root biomechanical fault causing your pain.

Question 5

Why does my heel hurt in the morning?

Accepted Answer

This is the classic sign of plantar fasciitis. During sleep, the plantar fascia shortens. When you take your first steps, the tight fascia is stretched rapidly, causing microtears and sharp pain. Night splints and proper stretching can prevent this.

Question 6

Can flat feet cause knee and back pain?

Accepted Answer

Absolutely. Flat feet cause overpronation, which creates a chain reaction up the kinetic chain—internal knee rotation, hip drop, and compensatory lower back strain. Correcting foot mechanics often resolves 'mysterious' knee and back pain.

Question 7

Are steroid injections good for heel spurs?

Accepted Answer

No. While steroid injections provide temporary pain relief, they don't address the biomechanical cause and can weaken the fascia, increasing rupture risk. We prefer regenerative shockwave therapy which stimulates actual tissue healing.

Question 8

How do I know if I need orthotics?

Accepted Answer

If you have chronic foot pain, visible arch collapse, wear patterns on shoe soles, or pain that worsens with walking/standing, you likely need biomechanical assessment. We use 3D gait analysis to determine if orthotics are indicated.

Question 9

What is the best exercise for plantar fasciitis?

Accepted Answer

Calf stretching and plantar fascia-specific stretching are essential. However, the most important intervention is eccentric calf strengthening to reduce fascial load. We teach a progression from gentle stretching to loaded strengthening.

Question 10

Can Achilles tendinopathy heal on its own?

Accepted Answer

Rarely. Achilles tendinopathy is a degenerative condition requiring structured eccentric loading (Alfredson protocol). Rest alone won't heal it. The tendon needs progressive mechanical stimulus to remodel properly.

Question 11

Why do my ankles keep spraining?

Accepted Answer

Recurrent ankle sprains indicate chronic instability from ligament laxity and proprioceptive deficit. Your ankle loses its ability to 'sense' position. This requires specific balance training and neuromuscular retraining, not just rest.

Question 12

Is walking good or bad for foot pain?

Accepted Answer

It depends. Controlled walking with proper footwear and orthotics is beneficial. However, walking with poor biomechanics perpetuates the problem. We analyze your gait first, then prescribe walking as therapeutic exercise.

Question 13

How many shockwave sessions do I need?

Accepted Answer

Most chronic conditions require 6-8 sessions performed weekly. You'll notice improvement after 3-4 sessions, but full tissue remodeling takes 8-12 weeks. We combine shockwave with biomechanical correction for optimal results.

Question 14

Can diabetics get foot physiotherapy?

Accepted Answer

Yes, but it requires specialized care. Diabetic neuropathy changes treatment protocols. We perform thorough sensory testing and modify techniques accordingly. Proper foot care is critical to prevent diabetic foot complications.

Question 15

Do you offer home physiotherapy for foot pain?

Accepted Answer

Yes, for immobile patients in Hyderabad. However, optimal outcomes require clinic visits to access our 3D gait lab, shockwave therapy, and custom orthotic fabrication—technologies not portable to home settings.

Non-Surgical Foot Pain Treatment in Hyderabad – Restoration Over Surgery

Targeted Programs for Every Foot Condition