Plantar Fasciitis

Plantar fasciitis: Causes, prevention and treatment

Plantar fasciitis is one of the most common causes of heel pain, affecting nearly three million people in the United States each year. It occurs when the plantar fascia—a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes—becomes inflamed. This condition is especially common in individuals who spend long hours on their feet, engage in high-impact activities or wear improper footwear.

Many people with plantar fasciitis experience stabbing heel pain, particularly when taking their first steps in the morning or after prolonged periods of sitting. In severe cases, the pain can become so intense that it interferes with walking and daily activities. At St. Joseph’s/Candler’s podiatry practice, our specialists can evaluate your condition and provide an individualized treatment plan to help you heal and return to your normal routine.

What causes plantar fasciitis?

Plantar fasciitis develops when repetitive strain is placed on the plantar fascia, leading to small tears in the ligament. Over time, these tears cause pain, inflammation and weakness in the foot. Several factors increase the risk of developing plantar fasciitis, including:

• Improper footwear – Lack of arch support or worn-out shoes
• High-impact activities – Running, jumping, or prolonged standing
• Tight calf muscles or Achilles tendon – Reducing flexibility in the foot
• Obesity or sudden weight gain – Adding extra stress on the feet
• Flat feet or high arches – Altering the natural foot mechanics

Preventing plantar fasciitis

Plantar fasciitis can be a challenging cycle to break, but it is preventable with proper foot care. Our podiatrists recommend the following strategies to reduce your risk:

• Wear proper arch support – Avoid walking barefoot, even at home
• Stretch regularly – Especially before and after exercise
• Choose supportive footwear – Opt for shoes with cushioning and good arch support
• Maintain a healthy weight – Reducing stress on the plantar fascia
  

If you are experiencing persistent heel pain, our specialists at St. Joseph’s/Candler’s podiatry practice can evaluate your condition and recommend solutions tailored to your needs.

Effective treatment options

The good news is that most cases of plantar fasciitis can be treated without surgery. Our podiatrists at St. Joseph’s/Candler focus on a comprehensive, step-by-step approach to healing:

• Stretching exercises to improve flexibility and relieve tension
• Anti-inflammatory medications to reduce pain and swelling
• Ice therapy to help control inflammation
• Orthotic inserts or arch support to provide stability
• Physical therapy for strengthening and mobility
• Corticosteroid injections for severe pain relief

Surgical intervention may be considered in rare cases where conservative treatments do not provide relief. However, only 5-10% of plantar fasciitis patients require surgery, which typically involves releasing or lengthening the plantar fascia to relieve tension. Our podiatrists will work closely with you to explore all non-surgical options before considering surgical treatment.