Plantar Fasciitis (Heel Pain) Treatments

Plantar Fasciitis is one of the most common causes of heel pain.

Cause:

Plantar fasciitis can occur due to tightening and inflammation in the thick connective tissue that extends from the heel all the way to the toes. The plantar fascia is a weight bearing tissue that supports the arch of the foot. Some common causes of heel pain include but not limited to:
  • Weight gain
  • Excessive physical activity
  • Abnormal (gait) walking pattern
  • Improper or ill-fitting shoes
  • High impact activities (i.e. repetitive jumping, certain sports like tennis, basketball and certain exercise programs)
  • Tight calf muscles and achilles tendon

Presentation:

Heel can be painful, red, and/or swollen. First steps out of bed or after a period of prolonged rest are very painful. Sometimes, it is described as a sharp, knife like pain in the heels with that first step in the morning. The pain improves but does not go away after those first few steps. At the end of the day of prolonged standing or walking, the pain can get worse. This can occur in one foot or both feet.  

Diagnosis:

X Rays are taken to evaluate the heel bone for a spur and to rule out other pathologies such as fractures. Ultrasound can be used as needed to assess the thickness of the plantar fascia and assess for any plantar fascia tears. Clinical examination will be done to assess the heel, foot, and also the achilles tendon which plays a significant role in the inflammation of the plantar fascia.  

Treatment:

  • Strapping
  • Stretching
  • Corticosteroid injection(s)
  • Oral anti-inflammatory medication
  • Shoe gear change/modifications
  • Gait exam to evaluate/address the underlying biomechanical problems
  • Custom Orthotics
  • Night Splints
  • Immobilization with a cast or a walking cast boot
  • Extracorporeal Shock Wave Therapy (ESWT)
  • Physical Therapy
  Plantar Fasciitis can become a chronic condition if not treated. It is important to seek care when the problem first appears and to address the underlying cause rather than waiting for it to become worse.

FASMA Doctors Performing This Specialty / Service

Locations

  1. Frederick, MD (Solarex Ct)
    604 Solarex Court Suite 103
    Frederick, MD 21703
    Phone: (301) 698-9260
    Fax: (301) 698-8962

  2. Mt Airy, MD (North)
    1502 S. Main Street Suite 104
    Mt Airy, MD 21771
    Phone: (301) 829-2244
    Fax: (301) 698-8962

  3. Gettysburg, PA
    506 W. Middle Street
    Gettysburg, PA 17325
    Phone: 717-778-3338
    Fax: 717-778-3340

  4. Hagerstown, MD
    11110 Medical Campus Road Suite 100
    Hagerstown, MD 21742
    Phone: (301) 739-1575
    Fax: (301) 739-1578

  5. Silver Spring, MD (Fenton)
    8630 Fenton Street Suite 1
    Silver Spring, MD 20910
    Phone: (301) 587-5666
    Fax: (301) 589-4479

  6. Washington, DC (I Street)
    1720 I Street NW Suite 402
    Washington, DC 20006
    Phone: (202) 331-9727
    Fax: (202) 887-0741

  7. Rockville, MD (North Bethesda)
    11801 Rockville Pike Suite 105
    Rockville, MD 20852
    Phone: (301) 881-6222
    Fax: (301) 881-1639

  8. Richmond, VA
    1465 Johnston Willis Drive
    Richmond, VA 23235
    Phone: 804-320-3668
    Fax: 804-320-2600

  9. Charlottesville, VA (Abbey Road)
    2050 Abbey Road Suite C
    Charlottesville, VA 22911
    Phone: 434-295-4443
    Fax: 434-295-8598

  10. Culpeper, VA
    530 Sunset Lane Suite A
    Culpeper, VA 22701
    Phone: 540-825-6113
    Fax: 540-825-4937

  11. Orange, VA
    175-C Spicers Mill Road
    Orange, VA 22960
    Phone: 540-672-1402
    Fax: 540-825-4937

  12. Chevy Chase, MD
    5530 Wisconsin Avenue Suite 945
    Chevy Chase, MD 20815
    Phone: (301) 913-5225
    Fax: (301) 913-9145

  13. Washington, DC (K Street)
    2021 K Street NW Suite 520
    Washington, DC 20006
    Phone: (202) 223-4616
    Fax: (202) 223-0740

  14. Annapolis, MD
    129 Lubrano Drive Suite 303
    Annapolis, MD 21401
    Phone: (410) 266-7575
    Fax: (410) 266-7366

  15. Greenbelt, MD
    7501 Greenway Center Dr Suite 810
    Greenbelt, MD 20770
    Phone: (301) 577-4464
    Fax: (301) 577-4702

  16. Reston, VA
    1860 Town Center Drive Suite 220
    Reston, VA 20190
    Phone: (703) 391-0211
    Fax: (703) 880-1192

  17. Silver Spring, MD (International Drive)
    3801 International Drive Suite 204
    Silver Spring, MD 20906
    Phone: (301) 598-0130
    Fax: (301) 598-5091

  18. Silver Spring, MD (MedStar-Leisure World)
    3305 N Leisure World Blvd.
    Silver Spring, MD 20906
    Phone: 301-598-0130
    Fax: 301-598-5091

  19. Washington, DC (19th Street)
    1145 19th Street NW Suite 605
    Washington, DC 20036
    Phone: (202) 833-9109
    Fax: (202) 833-5762

  20. Frederick, MD (Thomas Johnson Drive)
    63 Thomas Johnson Dr Suite C
    Frederick, MD 21702
    Phone: (301) 696-0818
    Fax: (301) 696-8872

  21. Mt Airy, MD (South)
    1502 S. Main Street Suite 307
    Mt Airy, MD 21771
    Phone: 301-696-0818
    Fax: 301-696-8872

  22. Pasadena, MD
    8028 Governor Ritchie Hwy Suite 100
    Pasadena, MD 21122
    Phone: (410) 768-5800
    Fax: (410) 768-5806