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Plantar Fasciitis

Inflammation of plantar fascia causing heel pain — most common cause of heel pain in adults.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Plantar Fasciitis?

Plantar fasciitis (more accurately plantar fasciosis) is a degenerative condition of the plantar aponeurosis at its medial calcaneal tuberosity origin, with fibrosis and microtears rather than true inflammation.

It is the most common cause of adult heel pain, affecting approximately 10% of the population during their lifetime.

Classic symptoms include sharp heel pain with the first steps in the morning or after prolonged sitting, improving with walking but worsening with prolonged weight-bearing.

Diagnosis is clinical; imaging (ultrasound showing plantar fascia thickening >4 mm or MRI) is reserved for atypical presentations or to rule out differential diagnoses.

Symptoms

Sharp heel pain with first steps in the morning (post-static dyskinesia)
Pain improving with initial activity, then worsening with prolonged standing
Tenderness at the medial calcaneal tuberosity
Pain with dorsiflexion of the great toe (positive windlass test)
Worsening pain at the end of the day
Tight Achilles tendon and calf muscles

Risk Factors

Obesity (BMI >30)
Prolonged standing occupations (teachers, factory workers, healthcare)
Pes planus (flatfoot) or pes cavus (high arch)
Tight gastrocnemius-soleus complex
Running and sudden increases in training intensity
Age 40–60 years

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Heel pain persisting more than 4–6 weeks despite rest
  • Pain significantly limiting work or recreational activity
  • Atypical features suggesting alternative diagnosis

Treatment Methods

01
Calf and plantar fascia-specific stretching (most effective single intervention)
02
Supportive footwear with arch support and cushioned heel
03
NSAIDs and activity modification
04
Night splints to maintain dorsiflexion
05
Extracorporeal shockwave therapy (ESWT) for recalcitrant cases
06
Corticosteroid injection or plantar fascia release for refractory symptoms (>6–12 months)

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.