a close-up of a womans feet

Plantar Fasciitis

About Plantar Fasciitis

Your plantar fascia is the thick band of tissue that runs from your heel to your toes. If you develop plantar fasciitis, these tissues become inflamed. In other, more severe cases, tiny tears may develop in the fascia.

Is heel pain stopping you from doing activities you love? Do you wake up in the morning with a stinging pain in your foot? Plantar fasciitis is one of the most common causes of foot and heel pain, but it can be easily treated.

a person sitting on the ground

The Symptoms of Plantar Fasciitis

The first symptom of plantar fasciitis is typically mild heel pain, especially after exercising. As the condition worsens, the pain worsens, and more symptoms arise.

a close-up of feet

Stabbing Pain

Many people suffering from plantar fasciitis will feel a stabbing pain near their heels. This pain is typically worse right when you get out of bed in the morning or after you have been sitting for a long period of time.

tennis shoes on steps

Pain After Exercising

You will notice mild pain after exercising. As the condition advances, the pain will grow worse and can turn into stabbing or stinging pain.

a pair of feet in high heels

Stiffness, Tenderness, and Swelling

As plantar fasciitis continues to go untreated, you will start to notice stiffness, tenderness, and even swelling. This is especially true in the mornings or after long periods of sitting.

If Conventional Methods Haven't Worked for You,
Call Our Austin, TX, Office Today

If you've tried non-invasive treatments and are still suffering from chronic heel pain, call us to learn more about all of your options. We may suggest a single treatment or a combination of non-invasive treatments you haven't tried. If nothing has worked, we can perform your plantar fascia release surgery to get you back to living pain-free. Only a certified orthopaedic specialist will know what treatment plan will be best for you and your symptoms. Contact our Austin office today to schedule your appointment.

Activities to Do at Home to Prevent or 
Alleviate Plantar Fasciitis Symptoms

Whether you are receiving non-invasive treatment, no treatment at all, or if you just finished your recovery from surgery, there are things you can do at home to help you prevent plantar fasciitis symptoms:
a man stretching on a track


Stretching is the most effective non-invasive treatment of plantar fasciitis. Continuing to stretch your calf muscles, foot, and ankle can help prevent plantar fasciitis from developing or worsening.
a person swimming in a pool

Take a Break

If you have more pain while performing a particular activity, take a break from that activity to give your plantar fascia time to heal. Switch out running with a low-impact exercise like swimming until you no longer have pain.
an ice pack on a foot


While this doesn't fix the problem, ice can help keep the inflammation down. If you are starting to have heel pain, try icing your foot for 20 minutes four times a day. Keeping the swelling down is important for your plantar fascia to heal.
a pair of feet on the floor

Arch Support

Continuing to wear arch supports that are specific to your foot is important in preventing plantar fasciitis from recurring. Having proper support for your arch alleviates tension in your plantar fascia. This is especially important for people who have high arches or flat feet.

The Causes of Plantar Fasciitis

Plantar fasciitis is most likely to affect women between the ages of 40 and 60. However, other factors can increase your risk for developing this condition:

  • High Impact Exercises: Exercises that cause repetitive impacts on your feet, such as running or dancing, put added strain on your plantar fascia.
  • Obesity: Being overweight or having a sudden increase in weight, such as pregnancy, puts added stress on your plantar fascia.
  • High Arches or Flat Feet: Extremely high or flat arches put added stress on your plantar fascia.
  • Footwear: Wearing shoes with little to no arch support, especially when you already have high or flat arches, can damage your plantar fascia over time.
  • Career: Careers that require you to be on your feet for extended periods can put added stress on your plantar fascia and can even cause micro-tears.

Non-surgical Treatments for Plantar Fasciitis

Plantar fasciitis is a highly treatable condition. In most cases, you can make a full recovery with non-invasive therapies.

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Physical Therapy

Stretching is the most common treatment for plantar fasciitis. Your physical therapist will work with you to stretch your plantar fascia, calf muscles, and Achilles tendon to help reduce the tension that is causing you pain. We work with several outstanding physical therapists who can prescribe an exercise regimen that is specific to you and your discomfort. Often, we will combine physical therapy with other treatment methods.

Night Splints

A night splint will stretch your calf muscles, Achilles tendon, and plantar fascia while you sleep. The night splint is a great addition to physical therapy as it continues to gently and effortlessly stretch the plantar fascia at home.


Orthotics are specially made inserts for your shoes. Your physician will take into account whether you have high arches or flat feet when prescribing your orthotics. These inserts are used to redistribute pressure on your feet, add arch support, and ease any inflammation of your plantar fascia.


A steroid injection may be used to alleviate severe inflammation or pain. We will typically administer only one injection as multiple rounds can weaken or damage your plantar fascia.

Am I a good candidate for plantar fasciitis release surgery?

Surgery is considered a last resort, but sometimes it can be necessary. You may be a good candidate for this surgery if:

  • You still suffer from chronic foot and heel pain after trying other non-invasive methods.
  • Your pain has lasted for over six months while trying other, more conservative treatments.
  • Your pain is affecting your ability to perform daily activities and exercises.
  • Your pain is affecting the way you walk.
  • Your pain is interfering with your ability to work.
  • You do not suffer from underlying health issues such as diabetes.
a foot with a skeleton showing

Plantar Fasciitis Release Surgery

What to Expect

If we have tried everything else and you still suffer from chronic pain, we can perform plantar fasciitis release surgery to alleviate your symptoms.



The Plantar Fascia Release



If you are undergoing open surgery, you will be given general anesthesia to ensure you are unconscious throughout the procedure. Endoscopic surgery can be done with a local anesthetic and sedative.


During open surgery, your surgeon will make a 1-2 inch incision either along the bottom or back of your heel. During endoscopic surgery, your surgeon will make two incisions, each under half an inch, under your ankle bone.

The Plantar Fascia Release

During open surgery, your surgeon will detach your plantar fascia from your heel bone. If you have any spurs or trapped nerves, they can removed at any time. During endoscopic surgery, your surgeon will insert a small lighted camera so they can view the treatment area. The camera is inserted into one of the openings while a scalpel is inserted in the other to detach your plantar fascia.


Both types of surgeries are outpatient. Your incisions will be sutured, and you'll be released when you are fully awake and your vitals have been checked. You will need someone who can drive you to and from your procedure no matter which type of surgery you had.

Surgery Aftercare

Your post-op instructions will depend on which type of surgery you had. For both types, your doctor may prescribe you pain medications or recommend over-the-counter meds.

a foot in a boot

Open Surgery Recovery

You may be required to wear a special shoe or walking boot for several weeks after your surgery. This helps your foot stay protected while it heals and alleviates the weight from walking. You will have a small scar where the 1-2 inch incision was made after the sutures are removed. You can begin wearing normal shoes when your doctor gives the ok, but full recovery typically takes between 6-10 weeks.

a person wearing a pair of sneakers

Endoscopic Surgery Recovery

This type has a quicker recovery period and you should be able to bear limited weight almost immediately after surgery. Rather than being put in a cast or a boot, you can wear regular shoes within 1-2 days post-operation. Since the incisions are less than half an inch long, your scars will be very small. You'll be advised on what activities to avoid following your surgery, but full recovery typically only takes between 3-6 weeks.

Heel Spur vs. Plantar Fasciitis

Heel spurs and plantar fasciitis can be difficult to tell apart. Both cause pain in the same area, so it is important to get your heel pain checked by a board-certified orthopaedic doctor.

Heel Spurs

Heel spurs are calcified deposits that grow on your heel. They are often painless, but when they do cause pain, it is similar to plantar fasciitis. A heel spur can extend as much as half an inch forward, but it is not visible to the naked eye, so x-rays are required to make a diagnosis.

Plantar Fasciitis

Your plantar fascia runs underneath where heel spurs tend to grow, which is why the cause of your pain can be confused. A diagnosis of plantar fasciitis is usually done through a physical exam and discussion of medical and occupational history. However, x-rays may be taken to rule out other causes.