How much does it hurt and is it acute or chronic?
I depends how bad it is. I had it bad enough that I couldn't put any weight on my foot at all but that was years ago.
Occasionally it flares up when I've been doing something stupid (like going for long walks in the wrong shoes) and then it is just an irritaing ache rather than pain.
Why would you not want to use orthotics if they get rid of the pain?
I'd see a podiatrist as soon as you can and get a proper diagnosis. PF can be a chronic and unpredictable condition but it can clear up completely - mine did.
In most cases you shouldn't need orthotics forever. Orthotics help ease the pressure on the PF while it heals, in a similar way to using a support for other parts of the body. A good podiatrist will also show you how to strengthen the PF and other muscles and tendons in your lower leg and foot so that you aren't continuing to do whatever it was that caused it in the first place.
In a few cases people do need orthotics for prolonged periods of time (forever?) but there are also a lot of people who don't realise that they could get rid of them once the problem has gone away
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