Understanding Plantar Fasciitis

Plantar fasciitis is an inflammation of a thick band of tissue (called plantar fascia) that runs across the bottom of the foot and connects the heel bone to the toes. It is the most common heel injury podiatrists treat.

Plantar fasciitis affects nearly three million people in the United States, with four out of five getting plantar fasciitis at some point in their life.

Plantar fasciitis is caused by straining the plantar fascia that runs across the bottom of your foot and supports your arch. Repeated strain can cause tiny tears in the ligament, which can lead to weakness, pain and swelling. Some patients feel stabbing pain near the heel, especially in the morning or after sitting for a long time. For some, the injury can be so debilitating it causes trouble walking.

Preventing plantar fasciitis

Straining the plantar fascia can be a tough cycle to break, but getting plantar fasciitis is preventable.

To try to prevent plantar fasciitis, our podiatrists suggest proper arch support, stretching before and after athletic activity and always wearing proper shoe gear. That includes wearing shoes at home.

Treating the condition

To help treat plantar fasciitis, the first line of defense is stretching, anti-inflammatories, ice and arch support. Inserts, physical therapy or injections may also be needed. If all methods fail, surgery is an option. However, only between five and 10 percent of plantar fasciitis patients require surgery, which typically involves releasing or lengthening the plantar fascia.