Medically Reviewed by Thomas Batchelor, PA-C
Plantar fasciitis is one of the most common causes of heel pain, affecting people of all ages and activity levels. Whether you’re a runner, spend long hours on your feet, or simply experience discomfort when you first get up in the morning, understanding this condition is the first step toward relief.
At Raleigh Orthopaedic Clinic, our fellowship-trained foot and ankle specialists are experienced in diagnosing and treating plantar fasciitis using the latest techniques—both surgical and non-surgical—to help patients return to pain-free movement.
What Is Plantar Fasciitis?
Plantar fasciitis occurs when the plantar fascia—a thick band of tissue that runs along the bottom of your foot, connecting the heel bone to the toes—becomes inflamed or irritated. This tissue supports the arch of your foot and plays an important role in absorbing shock during walking or running.
Common Causes of Plantar Fasciitis
Repetitive Stress or Overuse
Activities that place a lot of stress on the heel and attached tissue, such as running or standing for long periods, can lead to small tears in the plantar fascia.
Foot Structure
Flat feet, high arches, or an abnormal walking pattern can increase tension on the plantar fascia.
Improper Footwear
Wearing shoes with poor arch support or cushioning—especially on hard surfaces—can increase strain on the heel and arch.
Age and Weight
Plantar fasciitis is more common in individuals between 40 and 60 years old and those who are overweight, due to added pressure on the plantar fascia.
Recognizing the Symptoms
Heel Pain
The most noticeable symptom is sharp pain in the bottom of the heel, especially with the first steps in the morning or after long periods of rest.
Stiffness and Tenderness
Many patients report stiffness that improves after a few minutes of walking but can worsen after long periods of standing or physical activity.
Localized Discomfort
Pain typically worsens with activity and may be focused near the heel or along the arch of the foot.
Diagnosing Plantar Fasciitis
A proper diagnosis begins with a clinical examination. Your provider may:
- Evaluate your foot mechanics
- Review your activity history
- Check for areas of tenderness
X-rays or imaging may be used to rule out other causes of heel pain, such as a heel spur or stress fracture.
At Raleigh Orthopaedic, our foot and ankle specialists offer expert evaluation and personalized treatment plans based on the latest clinical guidelines.
Treatment Options for Plantar Fasciitis
Conservative, Non-Surgical Approaches
In most cases, plantar fasciitis can be treated without surgery:
- Rest and Ice: Reducing activity and applying ice helps decrease inflammation.
- Stretching and Physical Therapy: Targeted exercises help improve flexibility in the calf and foot.
- Orthotics and Supportive Footwear: Custom orthotics or supportive shoes can relieve pressure on the plantar fascia.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and swelling.
- Night Splints: These hold the foot in a flexed position overnight to gently stretch the fascia.
Advanced Treatments
If symptoms persist after several months of conservative care, more advanced treatments may be recommended:
- Corticosteroid Injections: Reduce inflammation directly in the affected area.
- Shockwave Therapy: Stimulates healing through targeted sound waves.
- Platelet-Rich Plasma (PRP) Injections: Uses the body’s own healing factors to aid recovery.
- Minimally Invasive Surgery: In rare cases, surgical intervention may be necessary to release the tight fascia.
Expert Care from Raleigh Orthopaedic’s Foot and Ankle Specialists
At Raleigh Orthopaedic, our team includes fellowship-trained foot and ankle surgeons who specialize in treating complex foot and ankle conditions, including plantar fasciitis. Their advanced training ensures that patients receive expert care using the most current and effective treatment options available.
Whether you’re an athlete, a busy professional, or simply someone looking to move without pain, our team is committed to helping you regain comfort and mobility.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.