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Plantar Fasciitis

Plantar fasciitis is irritation of the thick band of tissue that supports the arch. It is the most common cause of pain under the heel and is typically worst with the first steps after rest.

Symptoms of plantar fasciitis

  • Pain on the bottom of the heel, often sharp with the first steps after waking or after sitting
  • Pain that eases as you warm up, then returns after long periods on your feet
  • Tenderness along the inside of the heel or arch

Other causes of heel pain

Not all heel pain is plantar fasciitis, which is why an examination matters. Other possibilities include Achilles tendon problems, stress fractures of the heel bone, irritation of a nearby nerve, and loss of the natural cushioning under the heel. A heel spur may show up on an X-ray, but a spur is often not the actual source of the pain.

Why it happens

Plantar fasciitis is usually an overuse problem. Common contributors include a sudden increase in activity, long hours standing on hard surfaces, tight calf muscles, very flat or very high arches, unsupportive footwear, and added body weight.

Non-surgical treatment

Most people improve with non-surgical care, although recovery can take time. Treatment often combines several of the following:

  • Plantar fascia and calf stretching
  • Supportive shoes and avoiding barefoot walking on hard floors
  • Orthotics or heel supports
  • Activity changes, ice, and anti-inflammatory medication when appropriate for you
  • Night splints, physical therapy, or other in-office treatments if symptoms persist

When surgery is considered

Surgery is uncommon and is generally reserved for people who have not improved after a long, well-structured trial of non-surgical treatment. Your evaluation will also look at the mechanics of your foot and ankle, since correcting what keeps overloading the heel helps results last.

What to expect at your visit

A first visit typically includes a review of your symptoms and history, an examination of the foot and ankle (often including how you stand and walk), and imaging such as X-rays when needed. Dr. Ajdari will explain your options, including non-surgical care, so the two of you can choose a plan that fits your goals. Dr. Ajdari sees patients in Metairie on the Southshore and in Slidell on the Northshore, serving the Greater New Orleans area.

This page is for general education and is not a substitute for an examination and advice from a qualified clinician. Treatment recommendations depend on your individual situation. If you think you may have a medical emergency, call 911.