Do you have plantar fasciitis and want to learn more about it?
What is plantar fasciitis and how do you treat it?
Plantar fasciitis is one of the most common conditions that causes heel pain and can affect people from all walks of life, from elderly people to athletes. It is caused by chronic overloading of the plantar fascia either from lifestyle or exercise. Other conditions can cause heel pain such as heel spurs, so it’s important to have the correct diagnosis. At The Foot Hub we assess your feet to make sure that the correct diagnosis is made so we can provide the best treatment plan for managing your condition.
Most people who have plantar fasciitis present with pain in the heel when they stand or walk, especially with the first steps in the morning and after periods of rest. There are different stages to plantar fasciitis; acute or chronic. Symptoms can worsen in some people who are unable to bear weight on the affected foot. Treatment can vary for plantar fasciitis; however it’s mostly treated conservatively.
Read on to learn more about plantar fasciitis and all the different treatment solutions available.
what is plantar fasciitis?
Plantar fasciitis is the inflammation of the plantar fascia, a thick band of tissue that extends from the middle of the heel bone, where it then fans out and attaches to the toes. The plantar fascia is an important structure in the foot as it helps develop and reinforce the medial arch. Plantar fasciitis develops when repetitive pressure is applied to the plantar fascia and is overloaded. This results in swelling, tearing or bruising of the plantar fascia.
what causes plantar fasciitis?
The following can cause plantar fasciitis:
- Tension and stress on plantar fascia
- Repeated stretching and loading of the fascia
- High impact activities such as running or dancing


risk factor of plantar fasciitis
There are many risk factors that can contribute to plantar fasciitis. Here are a few factors:
- Age
- Extraneous physical activities
- Foot biomechanics such as flat feet, high-arched feet or tight calf muscles
- Obesity
- Long hours of standing on hard surfaces
- Weak intrinsic and extrinsic foot muscles
- Poor footwear
- Repetitive barefoot walking
symptoms of plantar fasciitis
Plantar fasciitis has the following main presentation:
A stabbing pain in the bottom of your foot near the heel. Pain is often intense with the first steps in the morning or after long periods of standing or rest. Pain can also occur when exercising.
As the condition progresses these symptoms can become more debilitating, reducing the person’s ability to bear weight on the affected foot.
assessment
At The Foot Hub our podiatrists will take a thorough patient history and physical examination to assess and diagnose. A typical symptom of plantar fasciitis is pain with the first few steps in the morning, which helps separate it from other causes of heel pain.
A referral for an ultrasound can also assist in assessing the plantar fascia, and your podiatrist may need to refer to an imaging centre. With ultrasound studies, we can assess the thickness and the texture of the plantar fascia. Plantar fasciitis which has only been present for 3 to 6 months will have increased thickening of the plantar fascia with inflammation present.
However, if plantar fasciitis is chronic there will be signs of degeneration such as micro tears and scar tissue in the plantar fascia. Chronic plantar fasciitis is often called plantar fasciopathy, with a pain that does not completely dissipate during the day after taking the first steps.

Not all heel pain is plantar fasciitis.
An assessment with a Podiatrist will help accurately diagnosis the cause and rule out any other conditions.
how can i treat my plantar fasciitis ?
Our feet are very important to us for everyday function. Having plantar fasciitis can deeply impact daily routines, work, sport, and play. But it can be treated with the following:
- Icing
- Rest
- Wear supportive footwear
- Exercises
- Pain medication
- Weight loss
- Physiotherapy
- Seeing a Podiatrist


free exercise guide
Do you have plantar fasciitis?
Download a curated list of plantar fasciitis exercises you can do at home to help reduce your symptoms and get you back doing the things you love doing.
podiatry treatment for plantar fasciitis
At The Foot Hub we lead with a patient-centred approach to treatment. We believe you should be involved at the centre of all decision making to help achieve the best outcomes for your condition.

There are many treatment options for plantar fasciitis and results can vary across patients. Depending on its severity plantar fasciitis can take from 6-18 months to treat. Most patients with plantar fasciitis are able to successfully treat it without surgery.
At our Sydney podiatry clinics, we provide the following treatment for plantar fasciitis:
- Education
- Exercises
- Activity Modification
- Footwear prescription
- Taping
- Orthotics
- Referral for surgery
cost
Biomechanical Assessment
common myths
Here are some common misconceptions we hear at The Foot Hub:
" I have a heel spur not plantar fasciitis"
Here’s our answer:
Plantar fasciitis is often confused with or called heel spurs. Both are two very different conditions with different treatments. When dealing with heel pain, it’s important to have the correct diagnosis. Yes, heel spurs can cause heel pain, however, not all heel pain is due to heel spurs.
"Orthotics dont work for plantar fasciitis"
Here is our answer:
Orthotics help reduce tension and pressure on structures in the feet. Plantar fasciitis is caused by chronic overloading the plantar fascia and using orthotics can help treat the condition. There are numerous treatment options for plantar fasciitis which don’t involve the use of orthotics.
faq
Plantar fasciitis can take up to 3-18 months to treat.
Yes you can get plantar fasciitis on both feet.
The goal of plantar fasciitis treatment is to reduce load and any extra stress to the plantar fascia to help treat it. Initially barefoot walking can exacerbate or be counteractive to treatment.
No it is not. Arthritis is a joint disease, plantar fasciitis can be inflammation or in some cases micro tears of the plantar fascia (soft tissue structure in the foot).
Research has shown a relationship with increased body weight and heel pain, with some evidence showing a reduction in symptoms with weight loss. Usually when you have plantar fasciitis, exercise is an important aspect to achieving weight loss. Consider consulting with a dietitian or taking a simple 4-week health challenge to help loss weight and reduce symptoms of plantar fasciitis.
- Alotaibi A, Petrofsky J, Daher NS, Lohman E, Syed HM, Lee H. The Effect of Monophasic Pulsed Current with Stretching Exercise on the Heel Pain and Plantar Fascia Thickness in Plantar Fasciitis: A Randomized Controlled Trial. Healthcare (Basel). 2020;8(2).
- Alvarez-Nemegyei J, Canoso JJ. Heel pain: diagnosis and treatment, step by step. Cleve Clin J Med. 2006;73(5):465-71.
- Digiovanni BF, Nawoczenski DA, Malay DP, Graci PA, Williams TT, Wilding GE, et al. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up. J Bone Joint Surg Am. 2006;88(8):1775-81.
- Gautham, P. et. al. Plantar fasciitis – an update. Bangladesh Journal of Medical Science, 2015; 14(1):3-8.
- Goff JD, Crawford R. Diagnosis and treatment of plantar fasciitis. Am Fam Physician. 2011;84(6):676-82.
- Healey K, Chen K. Plantar fasciitis: current diagnostic modalities and treatments. Clin Podiatr Med Surg. 2010;27(3):369-80.
- Huffer D, Hing W, Newton R, Clair M. Strength training for plantar fasciitis and the intrinsic foot musculature: A systematic review. Phys Ther Sport. 2017;24:44-52.
- Landorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med. 2006;166(12):1305-10.
- Landorf KB, Radford JA, Hudson S. Minimal Important Difference (MID) of two commonly used outcome measures for foot problems. J Foot Ankle Res. 2010;3:7.
- League AC. Current concepts review: plantar fasciitis. Foot Ankle Int. 2008;29(3):358-66.
- Martin JE, Hosch JC, Goforth WP, Murff RT, Lynch DM, Odom RD. Mechanical treatment of plantar fasciitis. A prospective study. J Am Podiatr Med Assoc. 2001;91(2):55-62.
- Martin RL, Davenport TE, Reischl SF, McPoil TG, Matheson JW, Wukich DK, et al. Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther. 2014;44(11):A1-33.
- May TJ, Judy TA, Conti M, Cowan JE. Current treatment of plantar fasciitis. Curr Sports Med Rep. 2002;1(5):278-84.
- McPoil TG, Martin RL, Cornwall MW, Wukich DK, Irrgang JJ, Godges JJ. Heel pain–plantar fasciitis: clinical practice guildelines linked to the international classification of function, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(4):A1-A18.
- Rathleff MS, Molgaard CM, Fredberg U, Kaalund S, Andersen KB, Jensen TT, et al. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports. 2015;25(3):e292-300.
- Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003;85(5):872-7.
- Roberts, A. Heel pain: how to treat plantar fasciitis fast. Occupational health & wellbeing. 2018
- Roxas M. Plantar fasciitis: diagnosis and therapeutic considerations. Altern Med Rev. 2005;10(2):83-93.
- Sadek, A.F. et. al. Lateral plantar nerve release with or without calcaneal drilling for resistant plantar fasciits. Journal of Orthopaedic Surgery. 2015; 23(2):237-40.
- Schwartz EN, Su J. Plantar fasciitis: a concise review. Perm J. 2014;18(1):e105-7.
- Thing J, Maruthappu M, Rogers J. Diagnosis and management of plantar fasciitis in primary care. Br J Gen Pract. 2012;62(601):443-4.
- Tong KB, Furia J. Economic burden of plantar fasciitis treatment in the United States. Am J Orthop (Belle Mead NJ). 2010;39(5):227-31.
- Tsai WC, Wang CL, Tang FT, Hsu TC, Hsu KH, Wong MK. Treatment of proximal plantar fasciitis with ultrasound-guided steroid injection. Arch Phys Med Rehabil. 2000;81(10):1416-21.
- Walther M, Kratschmer B, Verschl J, Volkering C, Altenberger S, Kriegelstein S, et al. Effect of different orthotic concepts as first line treatment of plantar fasciitis. Foot Ankle Surg. 2013;19(2):103-7.
- Werner RA, Gell N, Hartigan A, Wiggerman N, Keyserling WM. Risk factors for plantar fasciitis among assembly plant workers. PM R. 2010;2(2):110-6; quiz 1 p following 67.
- Young C. In the clinic. Plantar fasciitis. Ann Intern Med. 2012;156(1 Pt 1)
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