
Plantar fasciitis causes pain where a band of tissue runs along the bottom of the foot, from the heel toward the toes. This tissue supports the arch and absorbs pressure. Repeated strain can irritate it and lead to sharp heel pain. Discomfort is usually strongest with the first steps after getting out of bed or standing after a long rest. It can ease once the foot begins moving, then return after extended standing or activity. Tight calf muscles, changes in activity, and excess body weight can increase strain. Shoes that lack proper support can add stress to the heel and arch.
A podiatrist can determine whether plantar fasciitis is causing the pain or another foot problem is responsible. The examination includes checking the tender area, the arch, and movement in the foot and ankle. The podiatrist may also watch how the patient stands and walks. X-rays can help rule out a fracture, arthritis, or another bone problem. Other imaging can be ordered when the source of pain remains unclear. An accurate diagnosis matters because heel pain can also result from a pinched nerve, damaged heel pad, or stress fracture.
Treatment focuses on reducing pressure, improving support, and allowing the irritated tissue to heal. A podiatrist can recommend fitted shoes and prescribe custom orthotics to improve how pressure moves across the foot. A night splint can hold the foot in a position that reduces morning pain. The podiatrist can also provide a guided stretching plan and monitor progress. Most cases improve without surgery, although recovery can take several months. Persistent pain may require further treatment. Surgery is rarely recommended and is reserved for severe symptoms that do not respond to other care. Follow-up visits help the podiatrist adjust treatment and address problems that could cause the pain to return. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat plantar fasciitis.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our providers from Advanced Foot & Ankle Care Centers. Our providers can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions, please feel free to contact our offices located in Nashville, Smyrna, Spring Hill, Columbia, Dickson, Fairview, Hohenwald, TN and Midtown, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.




