Yes. Most plantar fasciitis improves within several months with consistent treatment, but a minority of cases last a year or longer. Chronic cases usually involve degenerative change in the fascia and often respond to a more structured treatment plan.
Why some cases linger
Ongoing overload, tight calves, unsupportive shoes, and returning to activity too fast keep the tissue irritated. Over time the problem becomes more degenerative than inflammatory.
What helps stubborn cases
Confirming the diagnosis — sometimes with ultrasound — then a combination of targeted stretching, orthotics, night splints, physical therapy, and in selected cases shockwave therapy or injections.
When surgery is considered
Only after many months of consistent conservative care. Procedures include lengthening a tight calf muscle or partially releasing the fascia.
From Professional Podiatry Services of New York. General information only; it does not replace an examination.