Plantar Fasciitis heel pain refers to inflammation of the plantar fascia. The plantar fascia is a thick band of connective tissue beginning at heel and extending forward and under the ball of the foot. When excessive motion occurs about the foot (hyperpronation or hypersupination), the plantar fascia can be strained and results in micro-tears.

The most common symptoms associated with Plantar Fasciitis heel pain include:

• Pain where the heel and arch meet, with pain across the underside of the foot (predominantly on the inside of the foot (medial side).
• Exquisite pain with the first step after a night’s sleep or a prolonged rest period.

The most common causes of Plantar Fasciitis heel pain include:

• Overuse from walking and standing for long hours.
• Hyperpronation and hypersupination.
• Forefoot mal-alignment.
• Weight gain, physical condition, overall muscular conditioning and body weight relative to height.
• Pregnancy.
• Unsupportive footwear.

Foot Stretching and Icing

In mild cases, research has shown that very simple foot stretching techniques can often provide initial relief from Plantar Fasciitis heel pain. Icing is also strongly recommended to reduce inflammation. Watch Our Plantar Fasciitis Stretching Video.

Custom Orthotics (Orthoses)

Custom made orthotics support the skeleton, muscles and fascia in the correct position. Orthotics are a long-term solution to prevent reoccurrence by controlling and / or correcting the mechanics that cause the problem. Orthotics for plantar fasciitis heel pain should include:

• A cupped heel to distribute pressure evenly and away from the painful heel center.
• Arch support to stabilize and relieve muscles and soft tissue.
• Heel raise to lessen tension from gastrocnemius muscle tightening.
• Forefoot postings, often under medial 1st metatarsal phalangeal joint, to correct forefoot alignment (as necessary).

Learn more about Custom Orthotics here.