Person-holding-foot-with-heel-in-red-plantar-fasciitis

Recurring heel pain is most often caused by plantar fasciitis, a condition involving inflammation at the point where the plantar fascia attaches to the heel bone. The plantar fascia is a thick, supportive band of connective tissue that runs along the bottom of the foot and plays a key role in shock absorption and stability with every step. At Neville Foot & Ankle Centers, we treat many patients frustrated by this condition. Here's what you should know.

What Causes Plantar Fasciitis Heel Pain?

This condition mostly affects adults—especially middle-aged men and women:

  • With increased activity levels.
  • Who stand for prolonged periods for work.
  • Have experienced recent weight gain.
  • Have a higher body mass index.

Foot structure is also a major factor in the development of plantar fasciitis. People with flat feet or high arches place abnormal stress on the plantar fascia, making it more prone to irritation and microtears. Wearing unsupportive footwear—particularly on hard, flat surfaces—can further increase strain, especially for people who spend long hours on their feet. 

Symptoms to watch for include:

  • Pain at the base of the heel
  • Pain in the arch of the foot
  • Pain that is usually worse when standing up
  • Pain that increases over many months
  • Swelling on the bottom of the heel

Additionally, many of our patients with plantar fasciitis commonly describe the pain getting worse when they first get up in the morning or after they have been sitting for long periods of time. After a few minutes of walking, the pain decreases because walking stretches the fascia, which helps alleviate it temporarily. 

Because heel pain can have multiple causes, one of our Montgomery County podiatrists will confirm whether plantar fasciitis is the source with a thorough exam and gait evaluation, then recommend targeted treatment to relieve pain and prevent recurrence.

Dr. Robert E. Neville
Board Certified, ABPS, Podiatric Physician and Surgeon helping patients throughout the Greater Houston Area.