Live Pain-Free with Plantar Fasciitis | University Foot and Ankle Institute

Updated 10/30/2018

While the pain often manifests itself in the heel, the problem is rooted in the lower leg.

Dr. Bob Baravarian, M.D.

It's possible to be pain-free with plantar fasciitis

 

Dealing with plantar fasciitis is a big pain in the foot, but sufferers can alleviate much of the suffering through stretching and massage.

 

If you have heel pain when you get out of bed every morning, it could be plantar fasciitis. According to the American Academy of Orthopeadic Surgery, the condition affects about two million people per year. While it often can be successfully treated at home, it’s important to respond at the first signs of pain.

 

Benjamin Cullen, a podiatrist affiliated with Sharp Memorial Hospital in San Diego, Calif., says although the condition is more common in middle-aged people, it can happen “to anyone at any age.” Plantar fasciitis can affect everyone from sedentary, overweight people to athletes. Cullen says people with flat feet or hereditary foot structure problems can be more susceptible to developing the condition.

 

While the pain often manifests itself in the heel, the problem is rooted in the lower leg, says Bob Baravarian, a board certified podiatric foot and ankle specialist at Providence Saint John’s Health Center in Santa Monica, Calif. Baravarian says in many cases, a tight calf muscle or Achilles tendon can result in “pronation” and a collapse of the arch of the foot. This pulls on and inflames the plantar fascia, a thick band of tissue that runs on the bottom of the foot between the heel bone and the toes.

 

Pain from plantar fasciitis typically is worse in the morning and decreases as the person walks around and it becomes more limber. The condition usually is diagnosed by physical examination. In many cases, x-rays can reveal heel spurs, which are calcium build-ups on the heel bone that are caused by strains on foot muscles and ligaments.

 

Baravarian says most people can remain active in the early stages of plantar fasciitis. Patients should start by ensuring they’re wearing supportive shoes and may consider a small heel lift to decrease the pull of the Achilles. There are a number of inserts on the market specifically designed for plantar fasciitis as well as custom orthotics, which can be molded and conformed to the exact shape and size of the foot. Baravarian says most people can manage their plantar fasciitis if they take steps early on to reduce inflammation and continued agitation of the plantar fascia.

 

“As it becomes chronic, it becomes harder to stay active because it won’t go away after some minutes in the morning,” he says.

 

Dr. Ken Jung, a foot and ankle surgeon at Kerlan-Jobe Orthopaedic Clinic in Los Angeles, says it’s worth considering a variety of treatments “since there is no one-size-fits-all solution for plantar fasciitis.” Doctors also can prescribe anti-inflammatory medications, steroid shots and even extracorporeal shock wave therapy. Few patients need surgery, but it is a last resort when all other options have been exhausted.

 

Jung says that while plantar fasciitis can be resolved 90 percent of the time, he still instructs patients to maintain a regimen of stretching to maintain flexibility.

 

Once pain subsides and the plantar fasciitis is resolved, patients still could be susceptible to the condition if they do not continue to stretch and manage their plantar fascia. Effective exercises include calf raises, straight leg calf stretch, calf rolls with a foam roller and moderate foot stretching. Jung says regularly massaging the heel with an ice bottle and ball also can help maintain flexibility.

 

“It may take a combination of therapies, but I can’t emphasize enough how important stretching is. Symptoms may recur if the tissues become tight,” Jung says.

1816 Total 1st Party Reviews
4.9 out of 5 Stars
  • GatherUp
    Very nice service and friendly smile faces
    Ana S.
  • GatherUp
    Staff is very friendly. Dr Feldman does a great job explaining things and reviewing the options for treatment.
    Tamra F.
  • GatherUp
    Everyone from office staff to Dr. Kerman were wonderful! Thank you for the positive visit!
    Kimberly A.
  • GatherUp
    Staff and Doctors are very professional and I will continue to use this office
    Margaret C.
  • GatherUp
    Explained everything extensively
    Great Doctor
    Mark S.
  • GatherUp
    Very professional, warm care. I was seen promptly and my issues were addressed. Dr. Feldman was very kind. Recommend.
    Robert M.
  • GatherUp
    Dr Gerdman took care of my wife Christiane’s toe nails for past 10 years, she wasn’t an easy patient, doctor and his assistants...
    Christiane I.
  • GatherUp
    On time for my appointment and top line service..the best..Dick Kremer
    Richard K.
  • GatherUp
    Well run office and excellent doctor. Dr. Feldman is very skilled and is readily available to explain procedures. Have already ...
    Corinne F.
  • GatherUp
    I’m very happy with Dr. Kelman’s care. He has been my podiatrist for over 20 years.
    Vicki A.
Same Day Appointments
Now Available!

Or call 877-989-9110

24 hours a day, 7 days a week