Plantar Fasciitis: Causes, Symptoms, and Treatment Options

Plantar fasciitis is one of the most common causes of heel pain, affecting millions of people each year. It occurs due to inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot, connecting the heel bone to the toes. This condition can cause severe discomfort, especially in the morning or after long periods of inactivity. Fortunately, with proper treatment, about 90% of people recover within a few months using conservative therapies.

Who is at Risk?

Plantar fasciitis can affect anyone, but it is most commonly seen in:
✔ Runners and athletes due to repetitive foot stress.
✔ Pregnant women because of weight gain and changes in posture.
✔ Overweight individuals, as excess weight increases pressure on the feet.
✔ People who wear unsupportive footwear, such as flip-flops or high heels.
✔ Adults between 40 and 70 years old, as the plantar fascia naturally loses elasticity with age.

Symptoms of Plantar Fasciitis

The most common symptom is stabbing heel pain, which is usually worst when taking the first few steps in the morning. Other symptoms include:

• Pain after long periods of rest, such as sitting or standing.
• Discomfort after exercise, rather than during activity.
• Pain that improves with movement but worsens again later in the day.
• Tenderness or swelling at the bottom of the heel.

Most cases affect only one foot, but some individuals may develop plantar fasciitis in both feet simultaneously.

Diagnosis

A doctor or chiropractor will diagnose plantar fasciitis through a physical examination, assessing reflexes, muscle strength, coordination, and flexibility. Imaging tests such as X-rays or MRIs may be recommended to rule out other conditions like:

• Heel spurs
• Stress fractures
• Pinched nerves

Treatment Options

1. Chiropractic Care & Physical Therapy

Chiropractors can help improve foot and ankle alignment, reducing strain on the plantar fascia. Physical therapy may also be prescribed to improve flexibility and strengthen surrounding muscles.

✔ Stretching exercises for the plantar fascia and Achilles tendon.
✔ Massage therapy to improve circulation and reduce tension.
✔ Athletic taping for additional foot support.
✔ Night splints to gently stretch the foot overnight.

2. Medications for Pain Relief

Over-the-counter NSAIDs (ibuprofen, naproxen) can help manage inflammation, but they do not treat the root cause. In more severe cases, corticosteroid injections may be used to reduce pain and swelling.

3. Orthotics & Supportive Footwear

Using arch supports or custom orthotics helps distribute pressure evenly, reducing stress on the plantar fascia. Supportive shoes with cushioned soles are also recommended to absorb shock while walking.

4. Advanced Treatments

For chronic plantar fasciitis, more advanced treatments may be necessary:
✔ Shock wave therapy: Uses sound waves to stimulate healing.
✔ Surgery: In extreme cases, the plantar fascia may be surgically detached from the heel bone. However, surgery is rarely needed.

Home Remedies for Faster Recovery

• Stretch daily: Simple stretches can prevent stiffness and pain.
• Use ice therapy: Applying an ice massage for 15–20 minutes several times a day reduces inflammation.
• Rest your feet: Avoid excessive standing or running until symptoms improve.
• Maintain a healthy weight: Reducing excess body weight can alleviate foot pressure.

Get Back on Your Feet

Plantar fasciitis can be frustrating, but with proper care, most people recover without needing invasive procedures. If you’re experiencing heel pain, chiropractic care and conservative treatments can provide lasting relief. Contact us today to learn how we can help you stay active and pain-free!