Plantar fasciitis is the most common cause of heel pain. The plantar fascia is a large ligament like structure that originates from the heel bone and inserts in the ball of the foot. Plantar fasciitis develops when this ligament begins to develop small micro tears, resulting in painful inflammation. There are a variety of factors that may lead to this including a lowered or elevated arch, trauma, overuse or poor foot mechanics. The pain associated with this condition is most pronounced with the first step in the morning or after prolonged sitting. Classically, one will experience a sharp pain with the first few steps which does diminish but not completely resolve after several steps.
Treatment may include stretching exercises, anti-inflammatory medications, cortisone injections, supportive shoes, custom inserts and surgery.