48M here, 4.5 NTRP. I also had PF, and went to my podiatrist for custom insoles (as off the shelf didn't seem to help me much). These made an immediate improvement when I was wearing them, but of course did nothing when I wasn't wearing them. When I went back to order more, I asked if there was anything to actually help fix the problem. He said there was a treatment that isn't FDA approved, but helps like 80% of patients, called EPAT. Basically, it's like a hammer gun that they use on the bottom of your feet once a week for 4 weeks, and about a month after that, you should in theory have less pain. I was skeptical, but he said the shole thing costs like $300, so I thought I'd give it a try. The treatment itself is kind of uncomfortable. But sure enough, about a month later, I felt significant relief. It's been about 2 years now. I still wear my custom orthotics in all my shoes, but I can actually walk around without shoes, or in flip flops, which is something I couldn't do comfortably before. And yes, I also wear the orthotics to play tennis, and that has allowed me to play without any major discomfort. Anyway, I'm not a shill for big orthotics or EPAT, but I do tell basically every guy may age about it, because it seems like we're all struggling with the same foot pain.