Thick fibrous connective tissue band
Extends from the calcaneus (heel bone) to the toes
Supports the longitudinal arch
Functions as a shock absorber during gait


Sharp heel pain with first steps in the morning
Pain after prolonged sitting
Tenderness at the medial calcaneal tubercle
Increased pain after activity
Tight gastrocnemius/soleus complex
Limited ankle dorsiflexion
Excessive pronation
Poor footwear support
Prolonged standing
Sudden increase in activity
Running on hard surfaces
Elevated body weight


Detailed history
Palpation of the plantar fascia insertion
Functional gait assessment
Range of motion testing
Activity modification
Stretching protocols
Night splints
Orthotics
NSAIDs


Stimulates neovascularization
Enhances cellular repair
Promotes collagen remodeling
Improves local circulation
Symptoms lasting longer than 6–8 weeks
Recurrent plantar fasciitis
Patients wishing to avoid injections or surgery
Pain persists beyond 6–8 weeks
Pain interferes with daily function
Conservative care has failed
Symptoms are worsening


Evansville, Indiana
Newburgh, Indiana
Henderson, Kentucky