Plantar fasciitis is the most common cause of pain on the bottom of the heel and usually defined by pain during the first steps of the morning. Pain also occurs at the start of activity and goes away with use. It seems to returns after a long rest and then restarting activity.

Plantar Fasciitis is considered a chronic injury rather than an acute injury. It is common in runners performing repetitive plantar flexion and dorsiflexion of the toes. It is also common with sudden weight gain.

Symptoms

Heel pain during the first steps of the morning is a classic sign of plantar fasciitis. This pain is the result of the foot resting in plantar flexion overnight. This allows the fascia to shorten. When the shortened fascia is stretched pain occurs. Pain is also common at the start of exercise and when resuming activity after rest. A history of recent weight gain or a sudden change in exercise pattern also is a sign of plantar fasciitis.

Pain continues due to the chronic inflammation of the torn fascia. A heel spur can be a sign of fasciitis, but is typically not a cause. About half of patients with plantar fasciitis have spurs.

Predisposing factors:

• Flat feet
• High arches
• Excessive pronation
• Obesity or sudden weight gain
• Tight Achilles tendons
• Sudden increase in activity intensity, time or type
• Wearing shoes with poor cushioning
• Change in running or walking surface
• Occupation with prolonged standing / weight bearing

Treatment

Our doctors will perform an examination to find the source of your pain. Chiropractic, neurological, orthopedic and physical testing helps us to determine a treatment program.