What is plantar fasciitis?

Plantar fasciitis is a painful condition that occurs when the strong band of tissue that extends from the heel to the base of the toes becomes weakened where it attaches to the heel. This tissue is called the plantar fascia, and its primary purpose is to support the arch, so the foot remains flexible and resilient. The pain of plantar fasciitis is most intense in the morning or after other long periods of inactivity, becoming less intense as the plantar fascia “warms up” during activity. Commonly, plantar fasciitis is characterized by “pain on first steps in the morning”.

What causes plantar fasciitis?

Plantar fasciitis is common among people who are middle-aged and older. However, there are issues that can make the condition more common; including being obese or overweight, having high arches or flat feet, having a tight or short Achilles tendon (the tendon that connects the calf muscle to the heel), wearing shoes with poor or no arch support, and participating in certain sports like running.

How is plantar fasciitis diagnosed?

Diagnosis can usually be confirmed with an examination of the foot to look for areas of tenderness, mild swelling or redness, arch problems like flat or high arches, and stiffness or tightness in the bottom of the foot. Passive and active movements will be used to assess the pain and determine its source. X-rays may also be taken to rule out other potential causes of pain like a midfoot fracture or arthritis.

How is plantar fasciitis treated?

Plantar fasciitis is usually treated nonsurgically with splints and exercises to help stretch the foot and Achilles tendon and to relieve inflammation, combined with custom orthotics designed to provide better support for the arch of the foot and the heel, and to relieve excess pressure on the heel. Orthotics are available for many different types of shoes, including dress shoes and athletic shoes.

Custom Orthotics

Our custom orthotics help with the pain associated with plantar fasciitis by providing comfortable support for your feet. They are available for men’s dress shoes, women’s heels, sneakers, ice skates, skis, and athletic cleats. They are molded to your feet to treat your problem! An example of our custom orthotics can be found here.