Tag Archives: plantar fasciitis

Picture of lady thinking for post Sever's Disease in Children

Got Heel Pain… What About Plantar Fasciitis?

What is our most important mode of transportation? If you said our feet, then you were absolutely correct!

Our feet and their well-being, is critical to our livelihood and it is my job, as a practicing podiatrist, to keep them in tip-top shape.

Would you believe that heel pain (specifically heel pain related to a condition called Plantar Fasciitis) is one of the #1 complaints that I see in my adult patients?

So… what about Plantar Fasciitis makes it so common and painful?

I am here to tell you, ad nauseam, EVERYTHING that you could possibly want to know about this condition in simple, easy-to-understand terminology!

Quick note… If we are talking about a child suffering with heel pain, this is NOT where you want to be! I would recommend reading articles titled “Heel Pain in Kids – Everything You NEED to Know” or “Sever’s Disease in Children – Is It Affecting Your Child’s Game” for more information on heel pain in kids.

Back to what you came for… Plantar Fasciitis!

The Anatomy Behind Plantar Fasciitis

To effectively understand what the term “Plantar Fasciitis” means, we first have to understand what the plantar fascia band is and where it is located.

The plantar fascia band is a band of thick, connective tissue that spans along the bottom of the foot from the area of the heel bone to the ball of the foot.

When you stretch your toes up towards your nose, you can also see your plantar fasciial band through the skin. Go ahead… give it a try! You should see something like this:

This strong plantar fascia band (that you should be looking at now) plays a critical role in our feet. It functions to support the arch on the bottom of the foot and prevent its collapse due to the weight of our bodies.

Did you know that the average adult tends to take anywhere from 5,000 – 10,000 steps per day and that this band is strong enough to support our weight, yet elastic enough to withstand the impact of the force of each step?

Pretty amazing, right?

Think of the plantar fascia band as a bowstring that absorbs shock. See the importance?

Now you will be able to better understand exactly what plantar fasciitis is.

What is Plantar Fasciitis?

Simply put, Plantar Fasciitis is a condition that results when the plantar fascia becomes inflamed. Let’s talk about this in a little more detail to make sure you have a better understanding.

When the plantar fascia band is tensed, or overstretched, (for reasons that we will discuss later) tiny little tears occur within it. These “microtears” most commonly occur at the weakest area of the plantar fascia band, which is close to where it attaches to the heel bone.

Once microtears are present, this band begins to get irritated and inflammation results. This, in turn, causes it to become even more tense and it reacts by wanting to contract, or ball-up, in a sense.

For quick clarification purposes, I would like to stress right now that Plantar Fasciitis is NOT caused by a heel spur. This is so very often misconstrued. A heel spur may develop in conjunction with this condition as our bodies naturally create calcium deposits to the area in an attempt to support the damaged plantar fascia band, but these two conditions do not always go hand-in-hand.

What Causes Plantar Fasciitis – Are You At Risk?

Now that you should have a pretty good understanding about exactly what Plantar Fasciitis is, who gets plantar fasciitis?

The easy answer to this question is that ANYONE can develop it; but, generally speaking, Plantar Fasciitis most often occurs in an active man or woman between the ages of 30-60 with the highest occurrence in women.

In addition, there are certain activities/actions that can put you at a greater risk.


You are at a greater risk for Plantar Fasciitis when you are obese, or overweight… especially if there was a sudden weight gain. Why?

When a person rapidly gains weight, our plantar fascia band is subject to an increased work-load without having time to adapt to it.

This is commonly supported by pregnant females who suddenly develop this condition near the end of their pregnancy.

Extreme Physical Activity

Extreme Physical Activity can take many shapes and forms, but does put you at an increased risk to develop Plantar Fasciitis.

Does your job require you being on your feet for hours on end (such as a factory or restaurant worker)? Are you a long-distance runner?

Moderate physical activity is definitely recommended several times per week for our overall health, but putting our bodies in extreme stress regularly can often do more harm than good.

Structural Foot Deformities

Do you have a high-arched foot, or are you flat-footed? Is your Achilles Tendon tight? Add yourself to the increased risk category!

Improper, or Ill-Fitting Shoegear

Ladies… are you guilty of sporting those red bottoms or other high-heeled shoes on a regular basis?

Any shoe with soft soles or inadequate arch support is definitely a risk factor for the development of Plantar Fasciitis. And believe me… once you develop it, NOTHING is worth the pain!

Your selection of shoegear should be based upon the shoe’s ability to provide good support and fit well, not merely as a fashion statement.

What About Plantar Fasciitis Symptoms?

We can’t effectively discuss Plantar Fasciitis without reviewing the symptoms most commonly experienced by those suffering from this condition, now can we?

Some of the most common signs/symptoms associated with Plantar Fasciitis include the following:

  • Stabbing-type pain on the bottom of the foot close to the heel bone.
  • Pain on the bottom of the heel area upon rising after sitting or laying for an extended period of time that improves some with walking. The most intense pain is usually experienced on the first step out of bed in the morning.
  • Pain on the bottom of the heel that occurs immediately following exercise rather than during exercise.

How is Plantar Fasciitis Diagnosed?

Typically, I (as well as other physicians) can diagnose Plantar Fasciitis via a medical history and thorough physical examination of the foot.

For the medical history, I always ask questions similar to the following:

  • What is the nature of the pain? (Heel Pain)
  • Where specifically on the foot is the pain located? (I have them point to the specific area where they are experiencing the pain.)
  • How long have you been experiencing the pain? (Days, Weeks, Months, Years)
  • Did the pain begin suddenly (possibly following an injury) or has it developed gradually?
  • Describe the characteristics of the pain. (Aching, Burning, Stabbing, Throbbing, Dull, Sharp)
  • What time of day is the pain the absolute worst? (First step out of bed in the morning)
  • What makes the pain better or worse? (Activity vs. rest)
  • Have you ever had a similar condition before? If so, what helped it improve?
  • Have you tried any at-home treatments to provide relief? If so, what did you do and did it work?

My physical examination for Plantar Fasciitis is pretty straight forward.

I typically palpate (or feel) the bottom of the foot to locate the area of tenderness.

In addition, I will have my patient flex their foot and push along the plantar fascia band. Typically, pain is experienced during this in Plantar Fasciitis. I will then instruct the patient to point their toes. Pain generally subsides with this motion.

I also examine the area for any swelling or mild redness.

Lastly, I evaluate muscle strength and nerve health via testing the following:

  • Balance and coordination
  • Sense of touch
  • Reflexes

Radiographs (a.k.a. x-rays) and other imaging studies are rarely required for a diagnosis of Plantar Fasciitis unless they are utilized to rule other conditions out.

What About Plantar Fasciitis? – Final Thoughts

It is imperative to recognize and fully understand where your heel pain is coming from in order to quickly implement the most efficient means of treatment to eliminate your pain.

I truly hope that I helped you either confirm or eliminate your suspicion of Plantar Fasciitis involving you or your loved one.

As always, I welcome any comments below including either questions or your experience with this condition. I truly am here to help!

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com

Picture of boy resting feet for post heel pain in kids

Heel Pain in Kids – Everything YOU Need to Know

Heel pain in kids is an increasingly common complaint amongst the youngsters of today’s Heel Pain in Kids with Boy Cryingsociety. Often times parents will mistakenly contribute this type of pain to merely “growing pains” and either ignore their child’s cries OR wait to implement treatment believing that this pain will eventually “go away” on its own.

In this article, I will examine heel pain in kids via discussing the symptoms, difference of this pain in adults versus children, causes, diagnostic modalities, treatment options, and prevention.

Common Signs & Symptoms of Heel Pain in Kids

For clarification purposes, I feel it is essential to state that heel pain is NOT a diagnosis nor disease within itself, but rather a symptom. Having this pain potentially indicates that an underlying disease or injury exists.

When a child complains of heel pain, this should alert the parent that a condition is present that deserves their attention.

Signs and symptoms commonly associated with heel problems in children include:

  • Pain in the bottom or back of the heelHeel Pain in Kids with Boy not Participating
  • Walking with a noticeable limp
  • Toe-walking or walking on the toes with body weight lifted off of the heels
  • Increasing desire to sit and “rest” when walking normal, everyday distances
  • Decreasing desire and difficulty participating in usual sporting events and/or activities.

The Difference Between Heel Pain in Kids & Adults

The unknowing parent may inaccurately self-diagnose their child’s heel pain as a condition called Plantar Fasciitis. With a simple google of “heel pain”, hundreds of articles will discuss Plantar Fasciitis as the most common cause of heel pain. However, there is a HUGE difference regarding the cause of heel pain in kids versus that of adults.

Plantar Fasciitis, usually seen in adults, results in pain within the heel that is most prevalent on the first step out of bed in the mornings or when taking a step after an extended period of sitting down. This pain typically improves in intensity upon walking short distances.

Oppositely, heel pain in kids usually feels better after rest and the intensity of the pain is noticed to increase upon walking and activity.

Why is this?

A child’s bones have what we call growth plates, also known as the epiphysis. This area is the location that new bone forms as the child grows until the particular bone reaches its adult size.

picture of growth plate of heel for post heel pain in kids

The epiphysis of the calcaneus (heel bone) is an area that doesn’t fully develop until a child is around 14 years of age or older. This growth plate is located on the back of the heel and is very weak until it becomes adult-sized.

Excessive stress on this area of the heel bone is the primary cause of heel pain in kids.

Causes of Heel Pain in Kids

Because there are a multitude of causes of heel pain in kids and the diagnosis can be quite challenging, a visit to a podiatric physician (like myself) is recommended to determine the cause of the pain and implement an effective mode of treatment.

Some of the most common causes of pediatric heel pain include the following conditions.

Sever’s Disease

Also referred to as Calcaneal Apophysitis, Sever’s Disease is the #1 cause of heel pain in kids.

Misidentified as a “disease”, this condition is actually a result of inflammation occurring within the growth plate of the heel bone. This inflammation is commonly witnessed in our young athletes or obese children due to repetitive stress and muscle strain to the area before the calcaneus (heel bone) is fully formed.

Calcaneal Apophysitis can occur in both feet or just one foot.

Picture of severs disease for post heel pain in kidsThe signs and symptoms associated with this condition tends to include some or all of the following:

  • Tenderness and pain along the back of and/or bottom of the heel when ambulating
  • Pain or tenderness upon a simple touch to the heel that increases when the heel is squeezed
  • Pain in the heel that is intensified by activity and improves with rest
  • Swelling or redness in one or both heels
  • Ambulating with a limp or toe-walking (walking on tip toes)

If interested in learning more about Sever’s Disease, please visit the following two links:

Sever’s Disease in Children – Is it Affecting Your Child’s Game?

How to Treat Heel Pain – Get Back in the Game

Tendo-Achilles Bursitis

There is a natural bursa, fluid-filled sac, located directly between the back of the heel bone and the Achilles Tendon (heel cord). Certain things can cause this bursa to become inflamed. When this occurs, we refer to the condition as Tendo-Achilles Bursitis.

The inflammation of this particular bursa can be a result of multiple scenarios including, but not limited to, direct injury to the heel, inflammatory diseases (such as Juvenile Rheumatoid Arthritis), or even simply wearing shoes that are poorly cushioned where the shoe touches the back of the heel.

picture of achilles bursitis for post heel pain in kidsSymptoms frequently seen with Tendo-Achilles Bursitis can include the following:

  • Tenderness and pain isolated to the back of the heel
  • Pain along the back of the heel that is intensified by walking, running, or standing on tip-toes
  • Warmth and/or area of redness seen on the skin on the back side of the heel area
  • Pain along the back of the heel that is aggravated by wearing shoe gear that rubs the particular area the pain is present

Achilles Tendonitis

Achilles Tendinitis is a condition that we often term as an “overuse syndrome”.

This diagnosis often results in those over the age of 14 (heel bone is fully developed) and is caused by the repetitive nature of running and pounding on hard surfaces usually in sports such as basketball, soccer, and track among others.

picture of achilles tendinitis for post heel pain in kidsSymptoms associated with Achilles Tendinitis include some or all of the following:

  • Pain just above the back of the heel and lower portion of the leg
  • Pain that intensifies with activity and pointing of the toes and improves with rest and the foot in a relaxed state
  • Soreness and stiffness in the back of the heel area that is worse upon rising in the morning
  • Pain along the back of the heel that is aggravated by wearing shoegear that rubs the back-side of the heel.

Plantar Fasciitis

Also categorized as an “overuse syndrome”, Plantar Fasciitis is most commonly seen in adults, but can be seen in children, typically over the age of 14.

The plantar fascia band is a band of tissue that spans the bottom of the foot from the heel all the way to the toes. When this band becomes inflamed, usually due to obesity or overuse, this is termed Plantar Fasciitis.

picture of plantar fasciitis for post heel pain in kidsSymptoms frequently seen with Plantar Fasciitis may include some or all of the following:

  • Sharp pain on the bottom of the heel
  • Pain on the bottom of the heel is most intense on the first step out of bed in the morning and improves some upon walking a bit
  • Pain that increases when standing for extended periods of time


Heel pain in kids may also be the direct result of a fracture (break in the bone). There are two types of fractures (stress fracture and acute fracture) that should be ruled out when heel pain exists.

Stress fractures are typically witnessed in athletic adolescents whom suddenly undergo a change in the level of intensity of workouts.

Acute fractures are seen in a direct injury to the area. Pain and swelling can be immediately correlated to the time of injury.

Diagnosis of Pediatric Heel Pain

A visit to your local podiatrist or other medical professional is essential to diagnose the underlying cause of heel pain in your child.Picture of Foot Exam for Post on Heel Pain in Kids

The examination will begin with questions surrounding your child’s recent activity as well as their medical history. A thorough physical exam of the foot in its entirety as well as the leg will then ensue. Radiographs (x-rays) will often follow and will be utilized to evaluate the bones and structure of the foot as well as to determine the maturity of the bones and whether growth plates are still open.

In some cases, additional studies such as an MRI (Magnetic Resonance Imaging), CT Scan (Computerized Tomography), bone scans, or laboratory testing may be ordered or performed to further assist an accurate diagnosis for the heel pain.

Treatment Options for Heel Pain in Kids

Obviously, the treatment for pediatric heel pain needs to be approached in a manner that eliminates, adjusts, or fixes the root cause of the pain.

Most of the time, treatment modes for heel pain in kids is approached by the level of intensity of the pain and broken down into categories of mild, moderate, and severe pain.

Mild Heel Pain in Kids

  • Reduction in Activity. Immediately stop or reduce whatever activity is generating the pain until the pain no longer exists.
    Picture of boy resting feet for post heel pain in kids
  • Heel Cushions. Implement an added cushion within the shoe which will soften the impact upon the heel when walking or participating in activities. I have found the most success and my pediatric patients rant and rave over the Tuli’s Heavy Duty Heel Cups!

Moderate Heel Pain in Kids

With moderate heel pain, you will want to execute the treatments listed above for mild heel pain in addition to the following recommendations.

  • Medication. Administer ibuprofen or other oral NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) to aid in the reduction of pain and inflammation.
    Picture of Medicine for Post Heel Pain in Kids
  • Physical Therapy. Stretching exercises and/or other modalities of physical therapy may be utilized in order to promote healing of the area(s) of inflammation. Icing the area is a very beneficial form of physical therapy although the heel is a hard area to adequately ice. The ProIce Ankle/Foot Ice Therapy Wrap makes icing the heel a breeze and is what I, personally, recommend to my patients.
  • Orthotics. Often times orthotic devices that are prescribed by your podiatrist and are custom-made for your child’s foot are recommended. The goal behind the use of orthotics is to provide support for the feet and redistribute the ground reaction forces that act upon the joints of the feet while weight-bearing.

Severe Heel Pain in Kids

  • Immobilization. Sometimes, with severe heel pain, aggressive measures such as Picture of Foot in Cast for Post Heel Pain in Kidsimmobilization of the area needs to be implemented in order for the condition to fully resolve. Immobilization may entail either becoming non-weightbearing via the use of crutches or casting. Following the immobilization period, orthotic devices and/or physical therapy modalities are usually implemented to ensure the condition does not return.
  • Surgery. While uncommon, there are times when surgical correction is recommended. This is typically reserved for structural abnormalities within the foot and/or the tendons within in.

For more specific information regarding the treatment of heel pain, feel free to go to my article titled “How to Treat Heel Pain – Get Back in the Game“.

Prevention of Heel Pain in Children

While nothing can 100% guarantee that your child will never develop heel pain, there are certain actions that can be taken to be proactive and minimize their risks.

Some ways to prevent adolescent heel pain include the following:

  • Avoid childhood obesity
  • Purchase shoegear that is well-constructed and provides support to the feet
  • For athletes – Ensure that shoegear worn is appropriate for the particular sport or activity and limit the amount of time that cleated shoes are worn
  • Do not push your child above and beyond their individual physical ability

Take Away on Heel Pain in Kids

Typically, it is the nature of a child to be active and desire to participate in extra-curricular Picture of child playing soccer for post heel pain in kidsevents.

When an adolescent complains of heel pain and it becomes evident that this heel pain is beginning to influence their participation in the usual activities, it is time to take action to determine the cause of the pain and implement the appropriate treatment.

Heel pain in kids is nothing to be ignored and with the proper diagnosis and treatment modalities, a parent can easily have their child pain-free and enjoying life again.

I sincerely hope that you found my article informative and that it will help you to alleviate your child’s heel pain.

If you have ANY questions, or even personal experience with heel pain involving your kids, please feel free to comment below. I am here to help!

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com