Plantar fasciitis refers to pain from strain of the plantar fascia, the band of tissue that runs along the sole of the foot. Pain often begins near the heel and can be worse with the first steps in the morning or after long periods standing. Below are typical causes, common signs, which clinicians can evaluate it, and practical measures to reduce risk.
There is rarely a single cause; repeated mechanical strain on the plantar fascia is usually involved. Frequent contributors include long-distance walking or running, standing on hard surfaces, poorly fitting shoes, flat feet or high arches, sudden increases in activity, excess body weight and middle‑age. Occupational tasks or sports that repeatedly load the foot also raise the risk.
The common complaint is a sharp or aching pain near the heel or along the sole, often most noticeable with the first steps after rest and after prolonged walking or standing. Pain may ease with movement but can limit walking, exercise or work activities and affect daily quality of life.
Diagnosis is usually based on medical history and a physical exam. Start with your primary care physician for initial assessment; they may refer you to an orthopaedic specialist or a physical medicine and rehabilitation (physiatry) clinic if needed. Clinicians assess gait, foot shape and pain location; imaging tests are sometimes requested for additional information. This page provides general information and does not replace specialist evaluation.
To lower the chance of plantar fasciitis and support recovery, choose well‑fitting, supportive footwear, increase activity gradually, manage body weight and incorporate targeted stretching and strengthening under professional guidance. If you experience sudden severe pain, an obvious deformity, inability to bear weight, new numbness or signs of infection such as fever, seek urgent medical attention.
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