Accessibility Tools

Already a Member? Login

Forgot Password

View Video LibraryVideos



Home » Orthopaedics » Foot & Ankle » Plantar Fasciitis

Plantar Fasciitis

The plantar fascia is a long, thin ligament present along the bottom of the foot that creates the arch of the foot. It extends from the heel bone, and then splits and fans out to attach itself to the toes.

Plantar fasciitis is a condition where the plantar fascia becomes inflamed from overstretching or overuse, causing pain in the heel and bottom of the foot. It can occur in one or both feet due to excessive standing and is one of the most common orthopedic complaints, especially in active men between 40 and 70 years of age.


Plantar fasciitis occurs when you strain or irritate the plantar fascia ligament. Repeated strain can result in tiny tears in the ligament, leading to pain and swelling, which can make walking difficult.

Strains can occur due to:

High or low foot arch

Obesity or sudden weight gain

Tight Achilles tendon which connects the calf muscles to the heel

Starting a new activity or increasing the intensity of an activity

Wearing improper shoes with soles that are too soft, do not fit well or offer poor arch support


The major complaint of plantar fasciitis is pain and stiffness in the heel and foot. The pain associated with this condition becomes more intense:

In the morning when you step out of bed

Walking after sitting or standing for some time

Climbing stairs

After exercise


Your doctor diagnoses plantar fasciitis after reviewing your medical history and conducting a physical examination of the foot to check for tenderness, stiffness or redness of the sole. Your doctor may watch how you stand and walk, and evaluate related conditions such as high arches.

X-rays of the foot can be taken if your doctor suspects a stress fracture, a hairline fracture in the bone, or other related conditions such as a heel spur, which is extra calcium deposit on the heel bone.


Treatment involves conservative measures to resolve the condition. Conservative treatment measures include:

Rest: Rest is the first step that is considered for reducing pain and preventing further damage to the ligament.

Ice: Rolling your foot over ice can be very effective in reducing swelling, and is recommended for 20 minutes, 3-4 times a day

Medications: NSAIDs (non-steroidal anti inflammatory drugs) may be prescribed for relief of pain and inflammation

Exercise: calf stretches and plantar fascia stretches are effective in relieving pain

A steroid injection may be administered into the plantar fascia for reducing pain and inflammation

Supportive shoes and orthotics may also be recommended to reduce the pain while walking or standing

Night splints can be suggested by your doctor to help stretch the plantar fascia while sleeping

Physical therapy may be recommended for instruction on stretching exercises, massage and ice treatments

PT may use extracorporeal shockwave therapy (ESWT), which uses high-energy shockwave impulses to stimulate healing of the damaged plantar fascia tissues


Surgical treatment is considered only if conservative treatment does not provide effective relief after 12 months. There are two surgeries your surgeon may perform and will depend on your particular situation.

Gastrocnemius recession- Tight calf muscles or gastrocnemius muscles can strain the plantar fascia. To release this stress, your surgeon will surgically lengthen the calf muscle, and increase the motion of the ankle. The surgery can be performed by open incision or endoscopically through a small incision by using an endoscope, which is a long instrument with a small camera attached.

Plantar fascia release- If you have normal range of ankle motion, but continue to have heel pain, a partial release procedure is recommended. Your surgeon will partially cut the plantar fascia ligament to relieve the tension. The surgery can be performed endoscopically but open incision is easier to perform and is associated with lower risk of nerve damage.

Risks and Complications

Complications are rare following surgery to treat plantar fasciitis, but as with any surgical procedure, they can occur. Some complications include:


Nerve Damage

Unresolved Pain

Plantar fasciitis is inflammation of the plantar fascia along the base of the foot resulting in pain and impaired movement of the foot. Pain can be relieved effectively by different non-surgical methods and usually resolves within 10 months. For severe cases that are unresolved, surgery may be considered.

Achilles Tendon Tear Repair

The achilles tendon is often injured during sports resulting in an inflammatory conditi..

Cartilage Restoration

Cartilage restoration is a surgical procedure where orthopedic surgeons stimulate the g..

Hip Bursitis

Hip bursitis is a painful condition caused by inflammation of a bursa in the hip. Bursa..

Hip Synovitis

Hip synovitis, also called transient hip synovitis or toxic synovitis is a condition in..

Juvenile Arthritis

Juvenile arthritis is the term used to describe arthritis in children younger than 16 y..

Minimally Invasive Total Hip Replacement

The hip joint is one of the body's largest weight-bearing joints and is the point w..

Pelvic Osteotomy

Pelvic osteotomy involves reorienting or restructuring the acetabulum or hip socket to ..

Severs Disease

Severs disease, also called calcaneal apophysitis, is a condition causing swelling and ..

View More