Condition
Plantar fasciitis and heel pain
Plantar fasciitis is the most common cause of heel pain, felt as a sharp or aching pain under the heel that is often worst with the first steps in the morning.
Plantar fasciitis usually settles with the right loading, footwear and, in some cases, orthotics, but it can drag on for months if the underlying cause is not addressed. A proper assessment is what shortens it.
Common symptoms
- Sharp heel pain with the first steps in the morning or after sitting
- Pain that eases as you warm up but returns after activity
- Tenderness under the heel or along the arch
Common causes
- A sudden increase in running, walking or standing load
- Tight calves and reduced ankle range
- Footwear that no longer supports your feet
- Your foot structure and how you move
How it's treated
Treatment starts by confirming the diagnosis, ruling out other causes of heel pain, and working out why it started. It may include a calf and foot loading programme, footwear changes, activity guidance, and orthotics where they will offload the painful tissue. The plan aims to get you back to your activity, not just quieten the pain short term.
Do you need orthotics for plantar fasciitis?
Not always. Orthotics can help by offloading the sore tissue, especially where your foot structure is a factor, but many cases settle with loading and footwear changes alone. You'll get an honest view on whether orthotics are worth it in your case.
Common questions
How long does plantar fasciitis take to heal?
Many cases improve over a few months with the right plan, though stubborn cases take longer. Early, correct treatment shortens it.
Can I keep running with it?
Sometimes, with modified load. You'll get clear guidance rather than a blanket stop or go.
Is heel pain always plantar fasciitis?
No. Other causes exist, which is why an assessment matters before you self-treat.
