Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel and arch pain, often making the first steps in the morning especially painful. At Raleigh Foot & Ankle Center, our podiatrists specialize in diagnosing and treating plantar fasciitis so you can return to walking, working, and exercising comfortably.

What Is Plantar Fasciitis?

Plantar fasciitis is inflammation of the plantar fascia, a strong band of tissue that runs along the bottom of the foot from the heel to the toes. When this ligament becomes irritated or overstressed, it can cause sharp or aching pain in the heel or along the arch.

Common Causes of Plantar Fasciitis

Plantar fasciitis can affect people of all ages and activity levels. Common contributing factors include:

Repetitive stress from walking, running, or standing for long periods
Sudden increases in activity or exercise
Poorly fitting or unsupportive footwear
Weight gain that increases strain on the foot
Tight calf muscles or Achilles tendon
Foot structure issues such as flat feet or high arches

Symptoms You May Notice

Sharp or aching pain in the heel or arch
Pain that is worst with the first steps in the morning or after rest
Discomfort that improves with movement but worsens after prolonged activity
Tenderness on the bottom of the heel

How Plantar Fasciitis Is Diagnosed

Your podiatrist will begin with a detailed discussion of your symptoms and a physical examination of your foot and ankle. Imaging such as X-rays or ultrasound may be used to rule out other causes of heel pain and assess the condition of the plantar fascia.

Treatment Options

Most cases of plantar fasciitis respond well to conservative treatment. Your care plan may include:

Custom orthotic shoe inserts for support and alignment
Stretching and strengthening exercises
Icing and activity modification
Anti-inflammatory medications
Night splints to reduce morning pain
Physical therapy
Supportive footwear recommendations

Advanced Treatment: Shockwave Therapy

For patients with chronic or stubborn plantar fasciitis, Extracorporeal Shockwave Therapy (ESWT) may be recommended. This FDA-approved, non-invasive treatment uses targeted sound waves to stimulate the body’s natural healing process, reduce inflammation, and promote tissue repair—without anesthesia or downtime.

When Is Surgery Considered?

Surgery is rarely needed and is typically reserved for severe cases that do not respond to conservative care. When required, surgical treatment aims to reduce tension on the plantar fascia and relieve persistent pain.

Get Back on Your Feet

Heel pain does not have to control your life. With proper diagnosis and individualized care, plantar fasciitis can be treated effectively. If you are experiencing ongoing heel or arch pain, early intervention can lead to faster relief and better long-term results.

Schedule an appointment today to take the first step toward pain-free movement.

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Expert Diagnosis and Relief for Heel & Arch Pain