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That sharp, stabbing heel pain you feel with your first steps in the morning is the hallmark of plantar fasciitis, one of the most common causes of foot pain in adults. Gregory Foremny, MD, at IVO Miami in Coral Gables, Florida, diagnoses and treats plantar fasciitis using image-guided techniques that pinpoint the problem and target it directly. Dr. Foremny focuses on resolving the pain at its source so you can get back on your feet. Call IVO Miami and schedule an appointment to learn more.
Plantar Fasciitis Q & A
What causes plantar fasciitis?
The plantar fascia is a thick band of tissue that runs along the bottom of your foot, connecting your heel to your toes and supporting your arch. Plantar fasciitis occurs when the tissue develops tiny tears from excessive stress. The result is heel pain that tends to flare with your first steps after waking or after long periods of sitting.
Several factors raise your odds of developing it, including:
- Long hours on your feet
- Running or high-impact activity
- Tight calf muscles
- Unsupportive footwear
- Carrying extra weight
The shape of your arch affects the load, too. High arches give the fascia less natural shock absorption, so more force lands directly on the tissue, while flat feet let the arch collapse with each step, overstretching the fascia and straining where it attaches to the heel.
How does my doctor diagnose plantar fasciitis?
Many things can cause heel pain, so an accurate diagnosis is essential. Dr. Foermny uses diagnostic imaging which may include MRI or ultrasound to look directly at the fascia, measure any thickening or inflammation, and rule out other sources of pain.
What helps treat plantar fasciitis?
Plantar fasciitis often heals with conservative care, but you may benefit from more involved treatment. Depending on how your symptoms respond, your plan may include:
- Physical therapy and stretching routines
- Orthotics and footwear changes
- Activity modification to reduce repetitive strain
- Image-guided corticosteroid injections
- Platelet-rich plasma (PRP) therapy
- Percutaneous Fasciotomy with Tenex
For pain that lingers despite months of conservative treatment, Dr. Foremny offers minimally invasive interventions that address the damaged tissue without open surgery.
When should heel pain prompt a visit for plantar fasciitis?
Pain that lasts beyond a few weeks, worsens, or interferes with your usual activity deserves a closer look. Catching plantar fasciitis early gives you access to simpler, less invasive treatments and a faster return to activity. Call IVO Miami today to schedule your consultation.