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Plantar Fasciitis (heel spur)

Plantar fasciitis, also known as "heel spur syndrome," is an inflammation of a band of tissue on the bottom of your foot that attaches to the heel and then to the ball of the foot. When this band becomes tight it can cause heel pain. While this heel pain most commonly occurs when you first wake up and take your first step or after you have rested and take your first step, it can occur at any point during the day.

Over time, as this band is pulling at the heel, it can develop very small tears that are painful because this area becomes inflamed. A deposition of bone at this attachment is what develops a bone spur. The bone spur is not what is actually causing the pain in most cases, it is the inflammation and micro-tears of the tissue band itself.

The majority of cases can be treated without doing any type of surgery. A treatment plan could consist of stretching the tightened band, anti-inflammatory medications, steroid injections into the heel, custom-made orthotic inserts, and physical therapy. Only in rare cases, when the mentioned treatment plans have failed, is surgery an option to release the band partially from the heel.

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