We treat a lot of heel pain, or plantar fasciitis, in our office. Many of the symptoms include pain when you first get up in the morning, burning, numbness, and increased symptoms by the end of the day. The pain is usually caused by tightening of the plantar fascia ligament, located on the bottom of the foot. The plantar fascia ligament supports the arch. When you are resting, the ligament contracts. As you start to walk, the ligament pulls and may tear slightly, causing pain. Heel pain can also be brought on by trauma, overexertion, illfitting shoes, or poor foot.
Alignment. We initially treat plantar fasciitis conservatively with icing, stretching, strapping, antiinflammatory medications, physical therapy, night splints, and possibly an injection. Proper foot support is one of the most important treatments we recommend. The purpose of foot support is to stop the ligament from tearing, thereby getting at the cause of the problem. We often prescribe a custom orthotic for the best possible foot support. Custom orthotics are inserts that fit into your shoes, which are custom molded specifically to your foot to correct the faulty foot alignment and bring your foot into a more natural position.