Plantar Fasciitis is a pain in the bottom of the heel which is typically caused by overpronation (over flattening of the foot) increasing strain on the plantar fascia. The pain is typically on the inside of the heel or on the bottom of the heel, worse with the first steps in the morning or after rest, and worse when barefoot. This is due to strain, inflammation, and sometimes tears at the attachment site of the plantar fascia. The plantar fascia is a ligament which helps support the arch of the foot. Over the day as you walk, the plantar fascia is continually irritated and causes pain and inflammation.
When you see your foot doctor, they will obtain x-rays of your foot. Your foot doctor will then discuss the x-rays with you and perform a foot exam. While on the x-ray a heel spur may be seen, this is not the cause of the pain most of the time, but rather an indication that the plantar fascia is chronically being overstretched, which is what causes the pain. At that time, they will discuss multiple treatment options with you. These can include stretching exercises, appropriate shoe gear, orthotics, possible referral to physical therapy or possible injection. Most plantar fasciitis symptoms can be relatively quickly if the appropriate treatment regimen is instituted and followed. It uncommon that the pain will not resolve with non-surgical treatment.