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Heel Pain With the First Step

Plantar fasciitis, one of the most common causes of heel pain, occurs when the thick band of tissue along the bottom of the foot becomes irritated. This band, called the plantar fascia, supports the arch and absorbs stress during walking. When it becomes strained, small tears and inflammation can develop. Many patients notice a sharp pain in the heel with the first steps in the morning or after periods of rest. The discomfort may improve slightly with movement but often returns after long periods of standing, walking, or exercise. The heel may feel tender to the touch and the bottom of the foot can feel tight or sore. Causes may include overuse, tight calf muscles, flat feet, or footwear that lacks support. A podiatrist can diagnose plantar fasciitis through examination and imaging when needed. Treatment may include supportive shoes, custom orthotics, anti-inflammatory care, and targeted exercises. When conservative care fails, surgery may be considered. Most patients can bear limited weight in a boot shortly after surgery, with gradual return to walking over several weeks. If you have symptoms of plantar fasciitis, it is suggested that you make an appointment with a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Steven Wolfington, DPM  from Sheboygan Foot Care, LLC. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Sheboygan, WI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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