Plantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation. Certain activities like running, high-impact exercises, and long periods of standing or walking can aggravate plantar fascitis.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures. The diagnosis is made by a patient history and physical exam, and x-rays may be needed to rule out other conditions. 

Our practice offers several options for conservative treatment of plantar fascitis. 

  • RICE. Rest, Ice, Compression, Elevation. 
  • Medical grade night splints which we always have available in each office. 
  • Physical therapy treatments. 
  • Prescription anti-inflammatory medication such as NSAID's or steroids.
  • Injectable medication (cortisone). 
  • Custom orthotics.
  • Special shoes.
  • Cast or Cam-Walker Immobilization.

When conservative measures for plantar fascitis fail, we also offer several surgical options:

  • Open plantar fasciotomy
  • Heel spur resection
  • Endoscopic plantar fasciotomy (EPF)
  • Instep fasciotomy
  • Fasciotomy combined with tarsal tunnel release

Your podiatrist will discuss the most appropriate procedure(s) with you for your case of plantar fascitis. Your activity level, lifestyle, occupation, and length of symptoms will guide your podiatrist in choosing the most appropriate procedure for you.