Plantar fasciitis is a common cause of pain underneath the heel. It affects the plantar fascia, a strong band of tissue that runs along the sole of the foot and helps support its arch.
The condition is often caused by repeated strain rather than one single injury. The tissue can become sensitive when the demands placed upon it exceed its current ability to cope.
Book an Appointment — opens in a new tabThe most recognisable symptom is pain underneath or towards the inside of the heel.
You may notice:
The discomfort may ease after several minutes of movement before returning later in the day.
Several factors can increase the strain placed on the plantar fascia.
These may include:
Heel spurs may appear on an X-ray, but they are not usually considered the main cause of plantar fasciitis pain.
At Gav Noble Physiotherapy, we assess your foot, ankle and calf strength, mobility and walking pattern.
Treatment may include:
NICE recommends regular plantar fascia and calf stretching as part of the initial management of plantar fasciitis.
Shockwave therapy may be considered for persistent plantar fasciitis that has not improved with exercise, footwear changes and activity management.
It uses controlled sound waves applied to the painful area. Treatment is normally combined with an appropriate rehabilitation programme rather than used on its own.
Complete rest is rarely necessary. However, temporarily reducing long walks, running or prolonged standing may help settle an irritated heel.
Supportive footwear and a gradual return to activity are generally better than repeatedly pushing through increasing pain. We recommend comfortable cushioned shoes, insoles and gentle stretching.
Recovery varies. Some people improve within several weeks, while longstanding symptoms can take several months.
Yes. Insoles may reduce pressure on the heel and support the foot, particularly when combined with exercise and suitable footwear.
Barefoot walking may aggravate symptoms, especially on hard floors.
Arrange an assessment if your pain is severe, worsening, affecting normal walking or not improving with self-management.
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