Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain, especially in adults who spend long hours on their feet. It occurs when the thick band of tissue (plantar fascia) that connects your heel bone to your toes becomes inflamed or strained.
At The Medical Group of New Jersey, our podiatrists diagnose plantar fasciitis using a detailed foot examination and imaging when needed, then develop a personalized plan that may include stretching, orthotics, medications, or injections to relieve pain and restore function.
Symptom Onset & Initial Evaluation
Plantar fasciitis typically begins with heel pain during the first few steps in the morning or after long periods of sitting. The pain often eases with movement but may worsen again after prolonged standing or physical activity. Common symptoms include:
- Sharp, stabbing pain in the heel or arch
- Stiffness after rest or upon waking
- Pain that increases after exercise rather than during it
During your visit, your podiatrist will ask about your activity level, footwear, and work habits. A physical exam will help identify tenderness along the plantar fascia and rule out other causes of heel pain, such as stress fractures or nerve irritation.
Diagnosis
Plantar fasciitis is usually diagnosed clinically based on your symptoms and exam findings.1 If pain persists or another condition is suspected, your podiatrist may order:
- X-rays or ultrasound to detect bone spurs or tissue thickening
- MRI (rarely needed) to evaluate chronic or resistant cases
1. Buchanan, Benjamin K., and Donald Kushner. “Plantar Fasciitis.” PubMed, StatPearls Publishing, 7 Jan. 2024.
Treatment
Most patients improve with conservative (non-surgical) treatment within a few months.
Lifestyle & Home Care
- Stretch your calves and plantar fascia regularly, especially before getting out of bed
- Wear supportive shoes with cushioning or arch support
- Avoid walking barefoot on hard surfaces
Medical Management
- NSAIDs (such as ibuprofen) reduce pain and inflammation
- Custom orthotics or heel cups relieve pressure on the plantar fascia
- Corticosteroid injections may be recommended for persistent pain
Advanced & Surgical Options
If symptoms don’t improve after several months, your podiatrist may consider:
- Night splints to stretch the fascia during sleep
- Extracorporeal shockwave therapy (ESWT) to stimulate healing
- Surgery to release the tight fascia (rarely needed)
Ongoing Management & Prevention
Your podiatrist will work with you to maintain foot health and prevent recurrence by:
- Replacing worn-out shoes regularly
- Maintaining a healthy weight to reduce pressure on the feet
- Continuing flexibility and strengthening exercises
With consistent treatment, most patients achieve full pain relief and return to normal activity.