Night splints for plantar fasciitis: do they work, and which to buy

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Short answer

Yes, for the right person. The 2023 physical-therapy guideline gives night splints a strong (Grade A) recommendation for people whose heel pain is worst with the first steps in the morning, used for one to three months. A splint holds your ankle near 90° overnight so the plantar fascia and calf don't tighten. The Vive boot-style splint is the most adjustable; the Strassburg Sock is lighter if you can't sleep in a boot.

  1. Illustration: Vive gray boot-style night splint behind the calf and under the foot, with three straps
    Illustration

    Best overall (boot style)

    Vive Plantar Fasciitis Night Splint

    A boot-style (dorsal-and-back) splint that holds the ankle near 90° while you sleep, so the plantar fascia and calf don't tighten overnight. The foam wedges add a gentle extra stretch when you're ready for it.

    • Padded rigid shell
    • 2 removable stretch wedges
    • 3 adjustable straps
    • Left or right foot
    • 60-day guarantee

    Skip it if: you're a restless sleeper who hates rigid braces.

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  2. Illustration: white knee-high Strassburg Sock with a strap from the toes to a band below the knee
    Illustration

    Best soft alternative

    The Strassburg Sock

    A soft sock with a strap from the toes to below the knee that keeps the foot gently flexed. Lighter and cooler than a boot, but the stretch depends on how you set the strap.

    • Soft knee-high sock
    • Strap pulls toes up
    • Regular fits calves up to 15"
    • Large size for bigger calves

    Skip it if: you want a precise, repeatable angle; boots are more consistent.

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Boot style (Vive)Sock style (Strassburg)
Comfort in bedBulkierLight, cooler
Stretch controlFixed angle; wedges add moreDepends on strap tension
Best forConsistent overnight stretchPeople who can't tolerate a boot

How to use a night splint

  1. Start with a gentle angle; it should feel like a mild stretch, not pain.
  2. Wear it for a few hours, then build up to the whole night.
  3. Keep it up for one to three months, alongside daily stretching.
  4. Stop and see a clinician if you get numbness, tingling or skin irritation.
Ask a clinician first if you have diabetic neuropathy, reduced feeling in your feet, or poor circulation. A splint worn overnight can cause pressure sores you may not feel.

Common questions

Can I walk in a night splint?

Most aren't made for walking. Take it off before getting up, then put on supportive slippers.

Sources

  1. JOSPT/APTA Clinical Practice Guideline: Heel Pain–Plantar Fasciitis, 2023 revision
  2. AAOS OrthoInfo: Plantar Fasciitis and Bone Spurs
  3. Mayo Clinic: Plantar fasciitis, diagnosis and treatment
  4. NHS: Plantar fasciitis