Plantar Fasciitis

Intense pain at the bottom of the heel, especially after long periods of rest or exercise, could be a sign of plantar fasciitis. At Michfoot Surgeons in Southfield, Michigan, Randy Leff, DPM, and the other skilled podiatric care providers provide both nonsurgical and surgical treatments for plantar fasciitis. Call the office to find relief from plantar fasciitis or book an appointment online today.

What is plantar fasciitis?

The plantar fascia is a strong, thick band of tissue that runs along the bottom of your foot and connects the heel bone to your toes. Plantar fasciitis is a leading cause of heel pain when this tissue becomes inflamed. The inflammation causes pain and stiffness in the sole of your foot near the heel.

What are the symptoms of plantar fasciitis?

Stabbing heel pain is the telltale sign of plantar fasciitis. Sometimes the pain may be closer to the midfoot area, but always at the bottom. Plantar fasciitis usually affects one foot at a time, but you can have it in both feet.

Pain from plantar fasciitis usually develops gradually. The pain is often worse with your first few steps in the morning or after prolonged exercise. Most people with plantar fasciitis experience pain after they stop an activity instead of during it. 

Many people with plantar fasciitis also develop heel spurs, which are bony protrusions on the heel bone. A heel spur doesn’t always cause pain. Larger heel spurs may be visible on an X-ray.

What causes plantar fasciitis?

The bowstring-shaped plantar fascia supports the arch of your foot and absorbs shock when you walk or run. Too much tension or stress can cause small tears in the plantar fascia. Repeated stretching continues to irritate and inflame the tissue. 

Certain factors may increase your risk of getting plantar fasciitis, including:

• Being between the ages of 40-60
• Being overweight or obese
• Engaging in activities that put a lot of stress on the heel, like distance running
• Having abnormal foot mechanics, such as flat feet or high arches
• Having an occupation that keeps you on your feet for long hours 

Starting a new activity or suddenly increasing the intensity of physical activity can also increase your risk of plantar fasciitis. 

How is plantar fasciitis diagnosed and treated?

First, the team at Michfoot Surgeons reviews your symptoms and medical history. They examine your foot, checking for areas of tenderness and limited motion. They may take an X-ray to rule out other causes of heel pain, such as arthritis or fractures. 

Then, your provider develops an individualized treatment plan. Most patients with plantar fasciitis experience significant improvement with nonsurgical treatment, such as:

• Physical therapy
• Resting, icing, and stretching the foot
• Wearing orthotic insoles and/or a night splint
• Taking nonsteroidal anti-inflammatory medication

If you continue to suffer from the pain and symptoms of plantar fasciitis after several months of treatment, the team may recommend surgery. 

For expert care of plantar fasciitis, call Michfoot Surgeons or book an appointment online today.