Causes and Risk Factors

Plantar fasciitis develops due to repeated strain on the plantar fascia. High-impact activities like running, jumping, or prolonged standing can place excessive stress on this tissue. Improper footwear that lacks adequate support or cushioning increases the likelihood of irritation. Structural issues such as flat feet, high arches, or an abnormal gait pattern can further contribute to the condition. Age and weight are also factors, with adults between 40 and 60 and those carrying extra weight being at higher risk. Certain professions, including teaching, nursing, or retail, often require extended time on the feet, which can increase the likelihood of developing plantar fasciitis.

Diagnosis at McVay Foot & Ankle

Our specialists take a comprehensive approach to evaluating heel pain. The assessment begins with a detailed physical exam, including an evaluation of foot structure and pressure points. We review your medical history and activity levels to identify factors that may contribute to your symptoms. In some cases, imaging tests such as X-rays or ultrasounds are used to rule out heel spurs or fractures. This thorough evaluation allows us to create a personalized treatment plan tailored specifically to your needs.

Treatment Options

At McVay Foot & Ankle, treatment for plantar fasciitis is customized to each patient. Reducing stress on the plantar fascia and allowing it to rest is often the first step. Targeted stretching and strengthening exercises can improve flexibility and support the surrounding muscles. Custom orthotics may be recommended to redistribute pressure and provide proper arch support, reducing strain on the fascia. Medications or corticosteroid injections can help control inflammation and relieve pain. For chronic cases, advanced therapies such as shockwave treatment or regenerative medicine may be appropriate. Surgery is rarely required and is only considered when all other options have been exhausted.