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Plantar fasciitis is
a common cause of sharp heel pain caused by degeneration or inflammation of the
plantar fascia, the thick band of tissue that supports the foot
arch and connects the heel to the toes. It typically causes stabbing
pain with the first steps in the morning or after prolonged sitting, and
pain often lessens with activity but can return after long standing or
intense exercise.
Risk factors include
increased activity (running, sudden training increases), high-impact sports,
tight calf muscles or Achilles tendon, flat or high arches, overweight, and
unsupportive footwear.
First-line treatment is conservative:
rest, ice, NSAIDs, calf and plantar fascia stretching, supportive
shoes or orthotics, and physical therapy; most people improve within
months without surgery. For persistent cases, options include night splints,
corticosteroid injections, extracorporeal shockwave therapy, minimally
invasive procedures (e.g., Tenex), and, rarely, surgical plantar fascia
release. Prevention focuses on gradual training increases, proper footwear,
maintaining a healthy weight, and calf/foot flexibility exercises.