Plantar fasciitis is a common cause of heel pain, resulting from inflammation of the thick band of tissue (the plantar fascia) that runs along the bottom of the foot. This condition often develops due to repetitive strain, poor foot mechanics, or excessive stress on the heel. A podiatrist can help diagnose plantar fasciitis through a physical exam and imaging, then recommend treatments such as stretching, orthotics, physical therapy, or other interventions to relieve pain and promote healing.
At The Foot Institute, podiatrists specialize in diagnosing and managing plantar fasciitis for patients across Texas. With a focus on evidence-based care, they provide personalized treatment plans to address the root cause of heel pain and prevent long-term complications. Whether through conservative therapies or advanced interventions, their goal is to restore mobility and comfort.
Understanding Plantar Fasciitis
The plantar fascia is a ligament-like structure that connects the heel bone to the toes, supporting the arch and absorbing shock during movement. When this tissue becomes irritated or overstretched, small tears can develop, leading to inflammation and pain. Plantar fasciitis is one of the most frequent causes of heel pain, particularly among runners, people who stand for long hours, and those with certain foot structures.
Common Symptoms of Plantar Fasciitis
People with plantar fasciitis often experience:
- Sharp heel pain. Typically worst with the first steps in the morning or after long periods of rest.
- Gradual pain increase. Discomfort may worsen after prolonged standing or physical activity.
- Tenderness along the arch. Pressing on the inside of the heel or midfoot may trigger pain.
- Stiffness. The foot may feel tight, especially after inactivity.
If left untreated, plantar fasciitis can lead to chronic pain and altered walking patterns, potentially causing secondary issues in the knees, hips, or back.
What Causes Plantar Fasciitis?
Several factors contribute to the development of plantar fasciitis. Understanding these causes can help prevent or manage the condition effectively.
Biomechanical and Structural Factors
- Flat feet or high arches. Both extremely low and high arches can place additional stress on the plantar fascia, increasing the risk of inflammation.
- Tight calf muscles. Limited flexibility in the Achilles tendon and calf muscles can strain the plantar fascia during movement.
- Abnormal walking patterns. Overpronation (excessive inward rolling of the foot) or supination (outward rolling) can unevenly distribute pressure on the plantar fascia.
Lifestyle and Activity-Related Causes
- Prolonged standing or walking on hard surfaces. Occupations that require long hours on hard floors (e.g., teachers, nurses, retail workers) increase strain on the heel.
- Sudden increase in physical activity. Runners or athletes who rapidly intensify training without proper conditioning may overload the plantar fascia.
- Improper footwear. Shoes with poor arch support, thin soles, or inadequate cushioning fail to absorb shock effectively, worsening heel stress.
Weight and Age Factors
- Excess body weight. Additional pounds place greater force on the plantar fascia with each step.
- Aging. The plantar fascia loses elasticity over time, making middle-aged and older adults more susceptible to injury.
How a Podiatrist Diagnoses Plantar Fasciitis
Podiatrists specialize in diagnosing and treating foot conditions, including plantar fasciitis. The diagnostic process typically includes:
Medical History and Physical Examination
The podiatrist will ask about symptoms, activity levels, footwear, and any prior injuries. They may palpate the foot to pinpoint tender areas and assess foot structure.
Gait Analysis
Observing how a patient walks or runs helps identify abnormal mechanics contributing to plantar fascia strain.
Imaging Tests (If Necessary)
- X-rays. Rule out fractures or heel spurs.
- Ultrasound or MRI. Assess soft tissue damage if the diagnosis is unclear.
- Once diagnosed, the podiatrist will recommend a personalized treatment plan.
How a Podiatrist Can Help Treat Plantar Fasciitis
Treatment for plantar fasciitis focuses on reducing inflammation, relieving pain, and addressing underlying causes. Podiatrists offer a range of evidence-based interventions.
Non-Surgical Treatments
- Stretching and physical therapy. Targeted exercises improve flexibility in the calf muscles and plantar fascia.
- Orthotic devices. Custom or over-the-counter shoe inserts provide arch support and redistribute pressure.
- Night splints. Wearing a splint keeps the plantar fascia stretched overnight, reducing morning pain.
- Anti-inflammatory measures. Ice application, NSAIDs, or corticosteroid injections may be used to reduce swelling.
- Extracorporeal shockwave therapy (ESWT). Sound waves stimulate healing in chronic cases.
Lifestyle and Footwear Recommendations
- Switching to supportive, cushioned shoes with good arch support
- Avoiding walking barefoot on hard surfaces
- Modifying activities to reduce repetitive heel impact
Surgical Options (Rarely Needed)
If conservative treatments fail after several months, a podiatrist may recommend surgical options, such as:
- Plantar fascia release. A minor procedure to partially detach the fascia from the heel bone.
- Gastrocnemius recession. Lengthening the calf muscle to reduce tension on the plantar fascia.
Preventing Plantar Fasciitis
While not all cases are avoidable, these strategies can lower the risk:
- Wearing proper footwear. Choose shoes with arch support and replace them regularly.
- Maintaining a healthy weight. Reduces stress on the feet.
- Stretching regularly. Focus on calves and plantar fascia.
- Gradually increasing activity levels. Avoid sudden spikes in running or standing.
When to See a Podiatrist in Texas
While mild heel pain may improve with rest and home care, persistent or worsening symptoms warrant professional evaluation. The podiatrists at The Foot Institute recommend scheduling an appointment if you experience:
- Pain lasting more than 2–3 weeks despite self-care measures like ice, stretching, and supportive footwear
- Severe discomfort that interferes with daily activities, such as walking or standing for short periods
- Swelling, redness, or warmth in the heel, which could indicate a more serious condition
- Numbness or tingling, suggesting possible nerve involvement
- Difficulty bending the foot or bearing weight, which may signal a partial tear or other structural issue
Early intervention can prevent chronic pain and complications like gait abnormalities or secondary injuries. The Foot Institute’s podiatrists use advanced diagnostic tools to pinpoint the cause of heel pain and tailor treatment to each patient’s needs.
Plantar fasciitis is a painful but treatable condition. A podiatrist can accurately diagnose the issue and recommend effective therapies tailored to individual needs. With proper care, most people experience significant improvement and return to their normal activities.