Plantar fasciitis is the most common cause of foot/heel pain. The plantar fascia a strong band of connective tissue on the underside of your foot connecting your heel bone to your toes acting to support the arch of your foot. Repetitive stress to the plantar fascia results in micro-tearing and inflammation of the tissue. This type of stress can be caused by excessive pronation (your arch collapsing when you walk), if you have high arches or flat feet, if you stand, walk, or run for long periods especially on hard surfaces, and if your shoes do not fit properly or are worn out, if there is a sudden increase in your activity, or if you have tight calf muscles. People with plantar fasciitis complain of pain around the heel and arch, especially with their first steps in the morning. Pain may not be as intense after these first steps, but then will get worse again as the day goes on. It may hurt more with stairs, or after standing for long periods. We will look at your feet, your gait, your shoes, activities, and other orthopaedic tests to determine the root cause of the stress on the plantar fascia. We will manage the inflammation, and guide swelling out of the area, to encourage an optimum environment for the plantar fascia to heal. We will use manual techniques and give you at home exercises to increase the length of the plantar fascia. We will work to decrease the tension in the muscles of the calf, and strengthen the muscles in the arch and around the ankle to decrease the workload on the plantar fascia during activity. We can fit you for custom orthotics and give you advice on proper footwear to help prevent this condition from coming back!