Running sport injury. Female athlete jogger wearing pink sneakers touching her twisted or sprained a

Understanding  Symptoms of Plantar Fasciitis

By James Kirkpatrick

Plantar fasciitis is a common condition that affects the foot’s plantar fascia, leading to pain and discomfort, particularly in the heel area. I’ve compiled this comprehensive guide to help you recognise the symptoms of plantar fasciitis and understand the importance of treatment

Symptoms of Plantar Fasciitis

The hallmark symptom of plantar fasciitis is a sharp, stabbing pain in the bottom of your foot, near the heel. This pain is typically most severe with the first steps after waking up, although it can also be triggered by long periods of standing or when standing up after sitting.

Common Symptoms

  • Sharp, stabbing pain in the heel: The most distinctive sign of plantar fasciitis.
  • Pain that worsens in the morning: Often described as stepping on a nail when getting out of bed.
  • Pain triggered by long periods of standing: Especially after extended periods without movement.
  • Discomfort after exercise, not during: Pain usually flares up after physical activity, not while it’s happening.

The Impact of Ignoring Symptoms

Neglecting the symptoms of plantar fasciitis can lead to chronic heel pain that hinders your daily activities. Over time, this can change the way you walk, causing foot, knee, hip, or back problems.

Why Early Intervention Matters

Seeking early treatment for plantar fasciitis can prevent the condition from worsening. In my practice, I emphasise the importance of addressing symptoms promptly to avoid long-term complications.

The First Step to Recovery

Diagnosis is crucial for effective treatment. As part of the diagnostic process, I conduct a thorough assessment of the foot, considering your medical history and lifestyle factors that may contribute to the condition.

Diagnostic Techniques

  • Physical examination: Assessing the foot for tenderness, swelling, and specific areas of pain.
  • Imaging tests: While not always necessary, imaging tests like X-rays or MRIs can rule out other causes of heel pain.

Tailored Treatment Plans

Based on the diagnosis, I develop a personalised treatment plan that may include, Shockwave Therapy, physical therapy, stretching exercises, and recommendations for supportive footwear. 

In some cases, more advanced treatments like orthotic devices or corticosteroid injections may be necessary.

Prevention: Key to Long-Term Foot Health

Preventive measures play a crucial role in maintaining foot health and avoiding the recurrence of plantar fasciitis. I provide guidance on proper footwear, lifestyle modifications, and exercises that promote foot strength and flexibility.

‘Understanding the advanced symptoms of plantar fasciitis is crucial for managing the condition effectively and preventing further complications’



Advanced Symptoms

As plantar fasciitis progresses, the symptoms can become more severe and persistent, affecting daily activities and quality of life. Here are some advanced symptoms of plantar fasciitis:

Persistent Pain

Unlike the initial stages, where pain might be more acute in the morning or after rest, advanced plantar fasciitis can lead to constant pain throughout the day. The pain might also escalate with prolonged periods of standing or after intense activities.

Increased Heel Pain

The pain can intensify, becoming sharper and more focused around the heel area. Some individuals might experience a sensation akin to walking on pebbles or having a bruise on the heel of their foot.

Swelling and Redness

In more severe cases, the heel and surrounding area can become swollen and show signs of redness, indicating inflammation.

Limited Ankle Mobility

The inflammation and pain can restrict the movement of the ankle, particularly the ability to flex the foot upwards. This limitation can affect one’s gait and lead to compensatory movements that might cause other musculoskeletal issues.

Heel Spurs

Long-term strain and inflammation of the plantar fascia can lead to the development of heel spurs—small, bony growths on the heel bone. While they may not always cause pain themselves, they are indicative of the chronic nature of plantar fasciitis in advanced stages.

Numbness or Tingling In rare cases, advanced plantar fasciitis can cause sensations of numbness or tingling in the foot, indicating possible nerve involvement.

Increased Sensitivity The affected area might become more sensitive to touch or pressure, making the wearing of certain types of footwear uncomfortable or even painful.

Management and Treatment

Effective management of advanced plantar fasciitis involves a combination of conservative treatment methods, lifestyle modifications, and, in some cases, medical procedures:

Physical Therapy

Customised exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles, which stabilize your ankle and heel.

Night Splint Wearing 

A splint at night can stretch your calf and the arch of your foot, keeping the plantar fascia and Achilles tendon in a lengthened position overnight.

Shockwave Therapy 

Non-invasive sound waves can stimulate healing within the plantar fascia.

Care for Plantar Fasciitis

My expertise in sports therapy allows me to offer treatments that address not only the symptoms but also the underlying causes of the condition, ensuring a holistic recovery process.

Take the First Step Towards Healing

If you’re experiencing symptoms of plantar fasciitis, don’t wait for the condition to worsen. Contact me, to schedule a consultation. Together, we’ll embark on a journey to alleviate your pain and restore your foot health.

Schedule Your Consultation Today

Let’s work together to find a solution that gets you back on your feet, pain-free.

Female runner jogging, training on stadium
Shockwave Therapy

Shockwave Therapy for Runners

Shockwave Therapy Treatment for Runners Shockwave therapy has emerged as an effective, non-invasive treatment option for runners who struggle with tendon pain. Its popularity can be from the the pain

Read More »