The plantar fascia is a thick fibrous band of tissue originating at the bottom of your heel bone and extending along the sole of the foot towards the toes. When the plantar fascia is overly stressed, such as in cases of long periods of work-related weight bearing, pain can usually be felt centered under your heel and is often most intense with the first steps of the day.
A diagnosis is usually made based on a clinical exam. There are several non-surgical options of treating this condition, including self-stretching, physical therapy, or orthotics. We often inject platelet rich plasma into the plantar fascia to alleviate the pain and aid the healing process. I also perform endoscopic release of the plantar fascia through two small incisions on the sides of the foot.