How to Say It: plan-tar fah-shee-eye-tis
by Cynthia M. Johnson, MA
Plantar fasciitis is inflammation of the thick band of tissue. The band runs the length of the bottom of the foot and connects to the heel bone.
The exact cause is not known. It is thought to be from repeat trauma from walking or running for long periods.
This problem is most common in people who are 40 to 60 years old. Other things that may raise the risk are:
Problems may be:
The doctor will ask about symptoms and past health. A foot exam will be done. This will usually be enough make the diagnosis.
That goal of treatment is to manage symptoms and give the foot time to heal. Options are:
People with severe problems may need:
To lower the risk of this problem:
American Academy of Physical Medicine and Rehabilitation
OrthoInfo—American Academy of Orthopaedic Surgeons
Ontario Podiatric Medical Association
David JA, Sankarapandian V, et al. Injected corticosteroids for treating plantar heel pain in adults. Cochrane Database of Syst Rev. 2017;(6):CD009348.
Derry S, Moore RA, et al. Topical NSAIDS for acute musculoskeletal pain in adults. Cochrane Database of Syst Rev. 2015;(6):CD007402.
Fraser JJ, Corbett R, et al. Does manual therapy improve pain and function in patients with plantar fasciitis? A systematic review. J Manual Manipul Ther.2017;0(0):1-11.
Ibrahim MI, Donatelli RA, et al. Long-term results of radial extracorporeal shock wave treatment for chronic plantar fasciopathy: A prospective, randomized, placebo-controlled trial with two years follow-up. J Orthop Res.2017;35:1532-1538.
Plantar fasciitis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/plantar-fasciitis. Accessed February 22, 2021.
Plantar fasciitis and bone spurs. American Academy of Orthopaedic Surgeons website. Available at:
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Accessed February 22, 2021.
Rasenberg N, Riel H, et al. Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis British J Sports Med 2018;52:1040-1046.
Schwartz EN, Su J. Plantar fasciitis: a concise review. Perm J. 2014 Winter;18(1):e105-107.
Last reviewed March 2021 by EBSCO Medical Review Board Laura Lei-Rivera, PT, DPT
Last Updated: 3/9/2021
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