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My wife has suffered from it for years. Every so often she'll get ultrasound guided cortisone injections right into the spot where the minute tear is.
Around 3 years ago she was suffering terribly and had 4 shots over 12 months and it's been pretty good since then. She does wear custom made insoles too and has to be careful what shoes to wear, particularly if she'll be on her feet for any length of time.
The cortisone really did help, but time I think overall was the greatest healer.
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