Plantar Fasciitis Treatment
Treatment for heel pain caused by plantar fasciitis.
Plantar fasciitis is inflammation of the thick band of tissue running along the bottom of the foot from the heel to the toes, and is one of the most common causes of heel pain. It typically develops gradually from repetitive strain, and while it can be persistent and frustrating, the large majority of cases improve fully with consistent non-surgical treatment.
Types
Acute Plantar Fasciitis
Recently developed heel pain, often responding well to early treatment.
Chronic Plantar Fasciitis
Longer-standing symptoms, sometimes present for many months despite initial treatment attempts.
Plantar Fasciitis with Heel Spur
Cases where a bony spur has also developed at the heel, though the spur itself is often not the actual source of pain.
Common Causes
Plantar fasciitis develops from repetitive strain on the plantar fascia, often related to foot mechanics, activity levels, or footwear.
- Prolonged standing or walking, particularly on hard surfaces.
- Running or high-impact activity, especially with a sudden increase in training volume.
- Tight calf muscles or Achilles tendon, which increase strain on the plantar fascia.
- Flat feet or high arches, both of which can alter normal foot mechanics.
- Excess body weight, adding extra load to the plantar fascia.
- Unsupportive footwear worn for extended periods.
Signs and Symptoms
- Heel pain that is often most severe with the first steps in the morning
- Pain that eases somewhat with activity but can return after prolonged standing or walking
- Tenderness directly under the heel when pressed
- Pain that gradually builds over weeks rather than appearing suddenly
- Stiffness in the sole of the foot, particularly after periods of rest
Diagnosis
Diagnosis is usually clinical, based on the characteristic pattern of heel pain and tenderness on examination. Imaging is not usually necessary but may be used in persistent cases to rule out other causes of heel pain or to check for an associated heel spur.
Treatment Approach
Most cases improve with rest from aggravating activity, calf and foot stretching exercises, supportive footwear or orthotic inserts, and sometimes a night splint to maintain stretch overnight. Persistent cases may benefit from targeted injections or other adjunct treatments, with surgery reserved as a rare last resort for cases that do not improve after a sustained period of conservative treatment. Dr. K. G. Gopalakrishna reviews the response to initial treatment and adjusts the approach for cases that take longer than usual to settle.
Please note: This page is for general information only and does not replace a proper medical evaluation. Every case is different, and the underlying cause of your symptoms may not match what is described here. Please do not use this page to self-diagnose - consult Dr. K. G. Gopalakrishna or another qualified orthopaedic specialist for an accurate diagnosis specific to you.
Last reviewed: August 2026