Plantar Fasciitis

Heel Pain Caused by Inflammation of the Plantar Fascia — Treatable With Guided Care

About Foot and Ankle Fractures

Plantar fasciitis is one of the most common causes of heel pain.
It occurs when the plantar fascia — a strong band of tissue running from your heel to your toes — becomes inflamed, irritated, or overstretched.

This condition can cause sharp, stabbing pain, especially during the first steps in the morning or after long periods of rest.

Symptoms

  • Sharp pain at the bottom of the heel

  • Pain with first steps in the morning

  • Pain after long standing or walking

  • Heel stiffness or tightness

  • Increased pain after exercise (not during)

  • Mild swelling around the heel

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Causes

  • Prolonged standing or walking

  • Flat feet or high arches

  • Tight calf muscles

  • Sudden increase in activity

  • Hard or uneven walking surfaces

  • Poor footwear without arch support

  • Being overweight

Who is at Risk?

  • Runners and athletes

  • Teachers, retail workers, security staff — jobs requiring long standing

  • Individuals aged 30–60

  • People with foot deformities

  • Those wearing unsupportive footwear

  • Diabetics

How We Diagnose Plantar Fasciitis

Diagnosis includes:

  • Physical examination

  • Heel pressure point assessment

  • Gait & posture analysis

  • Range-of-motion testing

  • Digital X-ray (to rule out heel spur, fracture)

Treatment Options

Non-Surgical Treatment

Most patients recover fully with structured conservative care:

  • Physiotherapy — stretching & strengthening exercises

  • Plantar fascia & calf stretches

  • Ice therapy to reduce inflammation

  • Orthotic insoles for arch support

  • Night splints to reduce morning pain

  • Activity modification

  • Anti-inflammatory medications

  • Footwear correction

  • Tapping or strapping techniques

Advanced Options

If initial treatments don’t help:

  • Shockwave therapy (ESWT)

  • Platelet-Rich Plasma (PRP) injections

  • Ultrasound-guided injections

  • Orthobiologics for tissue healing

Surgical Treatment

Surgery is rarely needed and only considered when pain persists after 6–12 months of consistent treatment.

Recovery & Results

With proper treatment:

  • Most patients improve within 6–12 weeks

  • Full recovery can take 3–6 months

  • Supportive footwear + physiotherapy = best long-term outcome

Patients typically experience:

  • Reduced heel pain

  • Improved walking ability

  • Better mobility in the morning

  • Long-term prevention of recurrence

Frequently Asked Questions (FAQ)

Is plantar fasciitis the same as heel spur?

No, but they can occur together. A heel spur is a bone growth; plantar fasciitis is soft-tissue inflammation.

It may improve with rest, but structured treatment ensures faster and complete recovery.

High-impact activities should be reduced, but low-impact exercises are safe.

Yes. Shoes with good arch support and cushioning significantly reduce pain and recurrence.

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