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Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes and supports the arch of the foot. The condition causes stabbing pain that is usually worst with the first steps in the morning. It is common in runners, overweight individuals, and people who wear shoes with inadequate support.

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Symptoms

  • Stabbing pain in the bottom of the heel
  • Pain worst with first steps in the morning
  • Pain that increases after standing or sitting for long periods
  • Pain that worsens after exercise (not during)
  • Stiffness in the bottom of the foot
  • Tenderness when pressing on the heel

When to See a Doctor

See a foot and ankle specialist if heel pain persists for more than 2-3 weeks despite rest, icing, and over-the-counter pain relievers, or if the pain is severe enough to limit your walking.

Treatment Options

Stretching and physical therapy

Calf stretches, plantar fascia stretches, and strengthening exercises. The most important treatment for long-term relief.

Night splints and orthotics

Night splints maintain the stretch while sleeping. Custom orthotics support the arch and distribute pressure evenly.

Cortisone injection

Reduces inflammation and pain. Limited to 2-3 injections to avoid weakening the fascia.

Extracorporeal shock wave therapy (ESWT)

Sound waves stimulate healing in chronic cases. Non-invasive option when conservative treatment fails.

Recovery Timeline

Most patients improve within 6-12 months with consistent stretching and conservative care. About 90% of cases resolve without surgery. Chronic cases may require 12-18 months of treatment.

Frequently Asked Questions

Does plantar fasciitis go away on its own?

Plantar fasciitis can improve on its own, but it often takes 6-12 months without treatment. Consistent stretching, proper footwear, and icing significantly speed recovery. About 90% of patients improve with conservative treatment alone.

What is the fastest way to cure plantar fasciitis?

There is no instant cure, but the fastest improvement comes from consistent calf and plantar fascia stretching (especially before getting out of bed), wearing supportive shoes, using heel cups or orthotics, and icing after activity. Most patients see significant improvement within 2-3 months with this approach.

What type of doctor treats plantar fasciitis?

Orthopaedic foot and ankle surgeons, podiatrists, and sports medicine doctors all treat plantar fasciitis. An orthopaedic specialist is recommended if conservative treatment fails or if surgery may be needed.

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This information is for educational purposes only and is not a substitute for professional medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.