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Pain and injuries · 5 min read

Plantar fasciitis: why your heel hurts and what may help

Pain under the foot or around the heel may appear with the first steps of the day, after resting or when activity increases. Plantar fasciitis is one possibility, but not the only cause of heel pain.

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What plantar fasciitis is

The plantar fascia is tissue running along the bottom of the foot that helps transmit load during walking and running. When the area does not tolerate loading well, pain and tenderness may develop, often near the heel.

Common symptoms

Many people report pain with the first steps after getting up or after sitting. It may also increase with prolonged walking, standing or returning to activity after several quieter days.

Factors that may contribute

Sudden training changes, time spent standing, footwear, ankle mobility, leg strength and recovery between sessions may all play a role. There is no single cause or universal solution.

What treatment may include

Physiotherapy may focus on temporarily adjusting load, restoring mobility, improving foot and leg strength and planning a gradual return to activity. Habits and exercises that you can realistically maintain are also considered.

When to ask for help

Ask for an assessment if pain persists, changes the way you walk, follows trauma, comes with tingling or affects sleep and daily activity. Examination helps determine whether the source appears plantar or another structure should be considered.

Frequently asked questions about pain and injuries

Does plantar fasciitis go away on its own?

Some cases improve by adjusting load and allowing recovery, but persistent pain deserves an assessment to choose an appropriate approach.

Should I stop walking if I have plantar fasciitis?

Stopping completely is not always necessary. Temporarily adapting amount and intensity is often more useful than continuing activities that sharply increase pain.

Which exercises are good for plantar fasciitis?

It depends on your mobility, strength, symptoms and activity. An appropriate exercise should be progressed without a sustained increase in pain.

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Plantar fasciitis: heel pain, causes and physiotherapy | Los Fresnos Physiotherapy