A sharp, stabbing pain in the heel with the first steps of the morning often points to a common condition known as plantar fasciitis. It is a common condition and affects a range of people, from athletes to those who spend long hours on their feet. Understanding this condition is the first step toward finding relief and returning to daily activities without pain.
What Is Plantar Fasciitis?
The plantar fascia is a ligament that connects the toes to the heel under the foot and supports the arch of the foot. When this ligament is subjected to excessive tension and stress, small tears can develop. Repeated stretching and tearing may cause the fascia to become irritated or inflamed, which leads to the condition known as plantar fasciitis.
Several factors can increase the likelihood of developing this condition. Foot mechanics play a large role; individuals with flat feet, high arches, or an abnormal walking pattern may experience added stress on the plantar fascia. Occupations that require long periods of standing or walking on hard surfaces may contribute to the problem. Certain types of exercise, such as long-distance running, can place significant strain on the heel and attached tissue. Being overweight may also increase stress on the plantar fascia.
What Are the Symptoms?
The primary symptom of plantar fasciitis is pain on the bottom of the foot, near the heel. This pain is typically most intense with the first few steps after waking up. It can also be triggered by long periods of standing or after getting up from a seated position. The discomfort usually decreases during the day with activity but may return after extended periods of movement or standing. While the pain is generally located in the heel, it may sometimes radiate into the arch of the foot. The condition usually affects only one foot, but it is possible for it to occur in both feet simultaneously.
How Is It Treated?
Managing plantar fasciitis can involve a combination of at-home care and conservative treatments aimed at reducing inflammation and supporting the foot. Rest is a primary component of recovery. Reducing or modifying activities that aggravate the foot may help prevent further strain on the ligament. Applying ice to the affected area several times a day can help reduce inflammation, helping to alleviate pain.
Supportive footwear can make a significant difference. Custom-fitted orthotics may provide extra cushioning and correct foot alignment issues, distributing pressure more evenly across the foot. For some individuals, a night splint that stretches the calf and the arch of the foot during sleep can be beneficial.
Speak With a Podiatrist
While many people find relief through these conservative measures, persistent or severe heel pain warrants a consultation with a podiatrist. A podiatrist can provide an accurate diagnosis and rule out other potential causes of heel pain. A specialist can develop a tailored treatment plan based on a thorough examination of your foot and an understanding of your lifestyle. Working with a podiatrist offers a clear path toward managing symptoms and recovering function.
