The Plantar Fascia is a ligament-like band running from your heel to the ball of your foot. This band pulls on the heel bone, raising the arch of your foot as it pushes off the ground. But if your foot moves incorrectly, the plantar fascia may become strained. The fascia may swell and its tiny fibers may begin to fray, causing plantar fasciitis.

Plantar fasciitis is often cause by poor foot mechanics. If your foot flattens too much, the fascia over-stretches and swells.  If your foot flattens too little, the fascia may become painful from being pulled to tightly.


  • With plantar fasciitis, you may feel pain on the bottom of your foot when standing, especially first thing in the morning.
  • Pain usually occurs on the inside of the foot, near the spot where your heel and arch meet. 
  • Pain may lessen after a few steps, but it comes back after rest or with prolonged movement. 
How can a podiatrist help?
Reducing symptoms is your podiatrist’s first goal. Then he or she works to correct the cause of your problem. 
Orthotics give the arch support
  • If your pain is due to poor foot mechanics, custom made orthotics may help
  • To reduce swelling, your doctor may prescribe you a non-steroidal anti-inflammatory drug
  • massaging the fascia by rolling a frozen water bottle beneath the arch will reduce swelling and pain.
  • To reduce symptoms caused by poor foot mechanics, your foot may be taped. This supports the arch and temporarily controls movement.
  • Your doctor may prescribe a night splint to help by stretching the fascia while you sleep. 
When is surgery needed? 
  • Your podiatrist may consider surgery if other types of treatment do not control your pain. 
  • Depending on the type of heel pain and the severity, your podiatrist will either utilize the TOPAZ procedure or consider an open plantar fascia release of the tendon. 
What can you do to reduce overuse of the fascia?
Every time your foot strikes the ground, the plantar fascia is stretched. You can reduce the strain on the plantar fascia by following these suggestions:
  • Lose any excess weight.
  • Avoid running on hard or uneven ground.
  • Wear shoes that support your arch. 
If you have any questions or would like to make an appointment, please contact us at Carmel Foot Specialsits! 
Have a Happy Feet Day! 

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