Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain—and one of the most treatable. At Ankle & Foot Specialists of Puget Sound, we provide expert diagnosis and personalized treatment options to relieve pain, restore mobility, and prevent symptoms from returning.

What Is Plantar Fasciitis?

Plantar fasciitis occurs when the plantar fascia—a strong, fibrous ligament connecting your heel bone to your toes—becomes irritated or inflamed. This ligament supports the arch of your foot and absorbs impact with every step. When excessive strain is placed on it, tiny tears can develop, leading to inflammation and sharp heel pain.

Common Symptoms Include:

  • Heel pain with your first steps in the morning

  • Pain after sitting or resting

  • Sharp or stabbing pain in the heel or arch

  • Pain that worsens with prolonged standing or activity

  • Stiffness or tenderness along the bottom of the foot

Although runners frequently experience plantar fasciitis, the condition can affect anyone. People who stand for long hours, wear unsupportive footwear, or carry extra weight are also at increased risk.

What Causes Plantar Fasciitis?

Plantar fasciitis typically develops due to repetitive stress on the plantar fascia. Contributing factors include:

  • Flat feet or high arches

  • Overuse from running, walking, or prolonged standing

  • Obesity or recent weight gain

  • Tight calf muscles or Achilles tendon

  • Improper footwear with poor arch support

  • Sudden changes in activity level

Without treatment, plantar fasciitis can become chronic, making early diagnosis and intervention important.

How Plantar Fasciitis Is Diagnosed

During your visit, our podiatrists perform a thorough evaluation to locate the exact source of your heel pain and rule out similar conditions such as tendonitis, nerve compression, or stress fractures.

A complete diagnostic assessment may include:

  • Physical examination

  • Gait and foot mechanics evaluation

  • Stretching and movement tests

  • X-rays to rule out fractures or bone abnormalities

  • Ultrasound or additional imaging when needed

Accurate diagnosis allows us to create an effective, individualized treatment plan.

Plantar Fasciitis Treatment Options

Most cases of plantar fasciitis improve with conservative—not surgical—care. Our clinic offers a comprehensive range of treatments designed to reduce inflammation, relieve pain, and promote long-term healing.

Conservative Treatments

Rest & Activity Modification

Avoiding activities that aggravate the heel helps calm inflammation.

Ice Therapy

Applying ice reduces swelling and eases pain, especially after exercise or long periods on your feet.

Custom Orthotics & Padding

Custom orthotics and heel cushions provide support, realign the foot, and distribute pressure more evenly.

Stretching Exercises

Targeted stretches for the plantar fascia and calf muscles help relieve tension and improve flexibility.

Night Splints

Wearing a splint while sleeping keeps the foot in a neutral position to prevent the ligament from tightening overnight.

Anti-Inflammatory Injections

Corticosteroid injections may be recommended for severe inflammation and rapid pain relief.

Surgical Treatment for Severe Cases

If conservative treatments fail to provide relief after several months, surgery may be considered. The most common procedure is plantar fascia release, which involves cutting a small portion of the ligament to reduce tension and relieve persistent pain.

Surgery is typically reserved for chronic, unresolved cases and is performed by our experienced foot and ankle surgeons using advanced techniques to promote quick recovery.

When to See a Plantar Fasciitis Specialist

You should schedule an appointment if you experience:

  • Persistent heel or arch pain lasting more than two weeks

  • Pain that interferes with walking, work, or exercise

  • Limited flexibility in the foot or calf

  • Pain that worsens despite home care

  • Symptoms combined with swelling or numbness

Early treatment leads to better outcomes and faster healing.

Find Relief From Heel Pain Today

If plantar fasciitis is affecting your daily life, our specialists are here to help. We offer comprehensive diagnosis, personalized care, and long-lasting solutions tailored to your needs.

Contact Ankle & Foot Specialists of Puget Sound today to schedule your consultation and take the first step toward pain-free feet.

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