Plantar Fasciitis

Sharp pain in your heel when you step out of bed or heel pain at the end of the day should not be lived with. Heel pain or plantar fasciitis is one of the most common problems that we treat at Greater Houston Foot & Ankle Specialists and we provide heel pain relief.

Heel pain is caused by inflammation of the plantar fascia. The plantar fascia is a band of tissue that connects the heel to the base of the toes. It acts as a shock absorber that stretches as you walk. It is a common misconception that a bone spur is what causes the pain. The pain comes from tearing of the plantar fascia at the heel bone.

Causes of Plantar Fasciitis

• Pes planus (flat feet)

• Pes cavus (high arch)

• Non-supportive shoes

• Obesity

Symptoms

Pain is most common to the bottom of the heel in the morning when you get out of bed or after sitting for a period of time. Spending long periods of time on your feet can also cause pain.

Why is the pain worse in the morning or after periods of rest? While you are resting, your body is starting to heal the small tears in the ligament. Once you put weight back on your foot, the ligament tears again, causing a sharp stabbing pain that may lessen as you take a few more steps.

Diagnosis

A thorough physical exam is needed to rule out other causes of heel pain. X-rays are performed to view the structure of your foot. Heel spurs can be seen in x-rays, though they are often not the cause of heel pain.

Treatments

• Anti-inflammatory drugs

• Good supportive shoes

• Icing

• Corticosteroid injections

• Strapping

• Inserts

• Orthotics

• Night splint

• Physical therapy

Heel pain is likely to continue if left untreated. If you are experiencing pain from plantar fasciitis, make an appointment with Greater Houston Foot & Ankle Specialists to eliminate your heel pain.

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