Plantar fasciitis (heel spurs)

About Plantar fasciitis (heel spurs)

The plantar fascia is a fan of dense fibers that is attached to the bottom of the heel bone (calcaneus) and extends forward along the bottom of the foot. The plantar fascia can become irritated where it joins to the heel bone. This causes pain and tenderness. The symptoms can make walking painful and are usually worse in the morning.

Symptoms

Pain in the bottom, front edge of the heel, usually worst in the morning and improving throughout the day, tenderness over the bottom of the foot.

Tests & Diagnostics

A history and physical exam will be performed. An X-ray may be done. Extra mineral that has deposited in the plantar fascia where it connects to the heel bone is named a `bone spur.`
Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Conservative treatment is usually successful but may require 6-18 months. Initial treatment consists of: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), heel and calf stretching exercises, night splints, shoe inserts. If these modalities fail a steroid injection may be recommended.

Medical specialties

Internal Medicine · Orthopedic Surgery · Pediatrics · Family Practice · Sports Medicine · Podiatry · Foot and Ankle Surgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Plantar fasciitis (heel spurs).