Heel pain is one of the most common foot complaints, and plantar fasciitis is often the culprit. At South Dublin Podiatry, we see patients every day who are frustrated by sharp heel pain that makes getting out of bed or walking uncomfortable. The good news? Plantar fasciitis is very treatable, especially when addressed early.

What Is Plantar Fasciitis?

Plantar fasciitis occurs when the plantar fascia, a thick band of tissue that runs along the bottom of your foot from your heel to your toes, becomes irritated or inflamed. This tissue plays a crucial role in supporting the arch of your foot and absorbing shock as you walk.

When the plantar fascia is overworked or strained, small tears can develop, leading to inflammation and pain, most commonly felt near the heel.

Common Symptoms of Plantar Fasciitis

The hallmark symptom of plantar fasciitis is heel pain, but the way it presents can vary. Common signs include:

• Sharp or stabbing pain in the bottom of the heel

• Pain that is worse with the first steps in the morning

• Discomfort after long periods of standing or walking

• Heel pain that returns after rest or inactivity

• Tightness in the arch or Achilles tendon

While the pain may ease as you move around, it often returns later in the day.

What Causes Plantar Fasciitis?

Plantar fasciitis usually develops due to repetitive stress on the foot. Several factors can increase your risk, including:

• Foot structure – Flat feet, high arches, or abnormal walking patterns

• Improper footwear – Shoes with poor arch support or inadequate cushioning

• Overuse – Running, prolonged standing, or sudden increases in activity

• Tight calf muscles or Achilles tendon

• Weight changes – Increased body weight adds stress to the plantar fascia

• Occupational demands – Jobs that require standing or walking on hard surfaces

Often, plantar fasciitis results from a combination of these factors rather than a single cause.

How Is Plantar Fasciitis Diagnosed?

A podiatrist can usually diagnose plantar fasciitis through a Biomechanical examination and discussion of your symptoms. They may gently press on the heel to locate the source of pain and assess foot mechanics, flexibility, and gait.

In some cases, imaging such as ultrasound may be used to rule out other conditions like stress fractures or nerve issues.

Treatment Options for Plantar Fasciitis

Most cases of plantar fasciitis respond well to conservative, non-surgical treatments. A personalised treatment plan may include:

1. Rest and Activity Modification

Reducing activities that aggravate heel pain allows the plantar fascia to heal.

2. Stretching and Strengthening Exercises

Targeted stretches for the plantar fascia, calves, and Achilles tendon can significantly reduce pain and improve flexibility.

3. Supportive Footwear and Orthotics

Wearing shoes with proper arch support and cushioning is essential. Custom or prefabricated orthotics can help distribute pressure evenly across the foot.

4. Ice and heat Therapy

Applying ice or heat to the heel can help reduce inflammation and relieve pain, especially after activity.

5. Advanced Treatments

For persistent cases, treatments such as shockwave therapy, or other regenerative options may be considered.

Why Early Treatment Matters

Ignoring heel pain can lead to chronic plantar fasciitis, which is more difficult to treat and may affect your walking pattern, knees, hips, or back. Early intervention not only speeds recovery but also helps prevent recurrence.

Preventing Plantar Fasciitis

While not all cases are preventable, you can reduce your risk by:

• Wearing supportive shoes, even at home

• Replacing worn-out footwear regularly

• Stretching your calves and feet daily

• Gradually increasing activity levels

• Maintaining a healthy weight

When to See a Podiatrist

If heel pain lasts more than a few weeks, worsens, or interferes with daily activities, it’s time to seek professional care. A podiatrist can identify the underlying cause and create a treatment plan tailored to your needs.

Heel pain doesn’t have to slow you down. With proper care and expert guidance, plantar fasciitis can be effectively treated, helping you return to comfortable, pain-free movement.

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