Plantar Fasciitis

Plantar fasciitis is a common condition that causes debilitating heel pain, affecting your daily activities and overall quality of life. In this article, we’ll explore what plantar fasciitis is, its causes, and the symptoms you should watch for. Additionally, you’ll find valuable tips on how to prevent plantar fasciitis and avoid chronic pain. 

If you’re struggling with persistent heel pain, our expert team at Orthopedic Specialists & Sports Medicine is ready to provide the specialized care you need. Contact our office in Granville or Coshocton, OH, today for the quality care you’re looking for!

What is Plantar Fasciitis?

Plantar fasciitis is a common cause of heel pain. It occurs when the plantar fascia, a thick band of tissue that runs along the bottom of your foot, becomes inflamed. This tissue connects your heel bone to your toes and helps support the arch of your foot.

Heel pain from plantar fasciitis typically feels sharp and is usually worse in the morning or after long periods of rest. This is because the plantar fascia tightens while you sleep, and the sudden stretching of the tissue when you stand up can cause pain.

What Causes Plantar Fasciitis?

Plantar fasciitis develops when the plantar fascia, a tough band of tissue that supports the arch of your foot, becomes irritated and inflamed. Several factors contribute to this condition.

One common cause is the repetitive strain on the plantar fascia. Activities that involve a lot of standing, walking, or running can put stress on this tissue, leading to small tears and inflammation over time.

Tight calf muscles and Achilles tendon can also play a role. When these muscles and tendons are tight, they pull on the heel bone and increase tension on the plantar fascia. This makes it more susceptible to injury and inflammation.

Flat feet or high arches can contribute to plantar fasciitis as well. Flat feet may not provide enough support to properly distribute the body’s weight, putting more strain on the plantar fascia. Conversely, high arches can lead to tightness in the fascia due to the way weight is distributed across the foot.

Heel spurs, which are bony growths on the heel bone, are often associated with plantar fasciitis. Contrary to common belief, heel spurs themselves do not cause pain, but they can develop as a result of the ongoing irritation and inflammation of the plantar fascia.

Certain risk factors increase the likelihood of developing plantar fasciitis. These include being overweight, which puts extra stress on the feet, and wearing shoes with poor arch support or thin soles. Activities that involve sudden changes in intensity or duration, such as starting a new exercise regimen or increasing workout intensity too quickly, can also contribute to the condition.

Man with plantar fasciitis foot pain in Granville, Ohio.

What Are the Symptoms of Plantar Fasciitis?

Plantar fasciitis is known for causing a specific type of heel pain that can be quite bothersome. The most common symptom of plantar fasciitis is a sharp pain in the heel, especially noticeable when you take your first steps in the morning. This plantar heel pain occurs because the plantar fascia, a thick band of tissue supporting the arch of your foot, tightens while you sleep. When you stand up, this tissue suddenly stretches, causing discomfort.

Plantar fasciitis pain can also flare up after long periods of sitting or resting. The first few steps after being inactive can be quite painful, but the pain often decreases as you move around. However, it can return after prolonged standing, walking, or running. This is due to the ongoing strain on the plantar fascia, leading to inflammation and irritation.

Some people experience pain not just in the heel but also along the bottom of the foot, extending toward the toes. This type of foot pain can make everyday activities like walking or climbing stairs difficult. The pain is typically worse after exercise, not during it.

Plantar fasciitis symptoms can vary in intensity. For some, the pain might be mild and manageable, while for others, it can be severe and debilitating. Chronic plantar fasciitis occurs when the condition persists over a long period, causing constant heel pain that interferes with daily life.

Other signs of plantar fasciitis include swelling and tenderness around the heel and along the bottom of the foot. If left untreated, the pain can become more intense and frequent.

Recognizing these plantar fasciitis symptoms early and seeking appropriate treatment, such as stretching exercises, supportive footwear, and rest, can help manage the pain and prevent the condition from becoming chronic.

How to Treat Plantar Fasciitis

Treating plantar fasciitis involves a combination of methods to relieve pain and inflammation and promote healing. Here are some effective plantar fasciitis treatment options:

  1. Rest and Ice: Resting your foot and applying ice can reduce inflammation and relieve pain. Ice the affected area for 15-20 minutes several times a day.
  2. Stretching Exercises: Regularly stretching your calf muscles and the plantar fascia can help alleviate tension. A physical therapist can guide you through specific exercises to promote flexibility and healing.
  3. Supportive Shoes: Wearing supportive shoes with good arch support and cushioned soles can reduce stress on the plantar fascia. Avoid walking barefoot on hard surfaces.
  4. Orthotic Inserts: Using orthotic inserts or heel cups in your shoes can provide additional support and reduce heel pain.
  5. Night Splints: Wearing night splints keeps the foot in a dorsiflexed position overnight, stretching the plantar fascia and calf muscles. This helps prevent morning heel pain.
  6. Physical Therapy: A physical therapist can offer specialized treatments and exercises to strengthen the foot and improve flexibility, speeding up plantar fasciitis recovery.
  7. Medications: Over-the-counter pain relievers like ibuprofen or naproxen can help reduce pain and inflammation.
  8. Corticosteroid Injections: In severe cases, your doctor may recommend corticosteroid injections to reduce inflammation and pain.

Preventing plantar fasciitis involves taking proactive measures:

  • Stretch Regularly: Regularly stretch your calf muscles and plantar fascia, especially before and after exercise.
  • Wear Supportive Shoes: Always wear shoes with good arch support and cushioning. Replace worn-out shoes promptly.
  • Maintain a Healthy Weight: Excess weight puts additional stress on your feet, so maintaining a healthy weight can help prevent plantar fasciitis.
  • Gradual Exercise Increase: Avoid sudden increases in physical activity. Gradually increase the intensity and duration of your workouts to prevent strain on your feet.

By following these treatment methods and preventive tips, you can manage and reduce the risk of developing plantar fasciitis, ensuring healthier, pain-free feet.

Overcoming Plantar Fasciitis

If you’re experiencing heel pain and need expert care, don’t wait to seek help. The team at Orthopedic Specialists & Sports Medicine is here to assist you.

With locations in Granville and Coshocton, OH, we offer comprehensive care to help you recover from plantar fasciitis and maintain healthy feet. Schedule an appointment today and take the first step towards a pain-free life!


Medically reviewed by
Brad L. Bernacki, MD