Plantar Fasciitis (Heel Pain)

Plantar fasciitis is a common cause of heel pain that occurs when the plantar fascia, a thick band of connective tissue running along the bottom of the foot, becomes irritated. This tissue supports the arch of the foot and helps absorb stress during walking and running. Pain is typically felt near the bottom of the heel and is often most noticeable with the first few steps in the morning or after sitting for a prolonged period.

Causes & Risk Factors

• Plantar fasciitis commonly develops due to repetitive stress and excessive loading of the plantar fascia. Contributing factors include:
• Prolonged standing or walking: Repeated pressure on the heel and sole, particularly on hard surfaces.
• Running and high-impact activities: Repetitive loading during sports or exercise.
• Tight calf muscles or Achilles tendon: Reduced ankle flexibility can increase strain on the plantar fascia.
• Foot structure: High arches or flat feet may alter how pressure is distributed across the foot.
• Inappropriate footwear: Shoes with inadequate cushioning or arch support.
• Excess body weight: Increased mechanical stress on the plantar fascia.
• Sudden increase in activity: Rapidly increasing walking, running or exercise intensity.

Symptoms

• Common symptoms of plantar fasciitis include:
• Sharp or stabbing pain at the bottom of the heel.
• Pain during the first few steps after waking up in the morning.
• Pain when standing or walking after prolonged sitting.
• Tenderness near the heel attachment of the plantar fascia.
• Pain that worsens after prolonged standing, walking or physical activity.
• Stiffness or tightness in the sole of the foot or calf muscles.

High-Resolution Musculoskeletal Ultrasound of Plantar Fascia

Image-Guided Regenerative PRP & Corticosteroid Injection Suite

How Plantar Fasciitis (Heel Pain) is Diagnosed?

1. Diagnosis is usually based on the patient's symptoms and a physical examination. The clinician assesses the location of heel tenderness, foot structure, ankle flexibility and pain during movement or stretching of the plantar fascia. X-rays may be used when another cause of heel pain is suspected, while ultrasound or MRI may be considered in persistent or atypical cases.

Treatment Options for Plantar Fasciitis (Heel Pain)