What Is the First Treatment for Plantar Fasciitis?

Plantar fasciitis involves irritation and sensitivity where the plantar fascia supports the sole of the foot, often near the heel. Treatment starts by reducing repeated strain while keeping the foot and calf active in a controlled way. Long standing, sudden increases in walking or running, hard surfaces and unsupportive footwear can all influence symptoms. A clinician should also check whether another heel problem is contributing.

Temporarily reduce the activity that provokes heel pain, wear supportive shoes, and avoid walking barefoot on hard floors if that aggravates symptoms. [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can provide calf and foot exercises and guide a gradual return to loading. [Custom Orthotics](/treatments/non-surgical-orthopedics/custom-orthotics/) may be useful for selected foot mechanics. If symptoms remain limiting, options such as [Shockwave Therapy](/treatments/physiotherapy-and-rehabilitation/shockwave-therapy/), [PRP Injection](/treatments/non-surgical-orthopedics/prp-injection/) or a [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/) can be discussed; [Plantar Fascia Release](/treatments/reconstructive-orthopedic-surgery/plantar-fascia-release/) is generally considered only after non-surgical care has been explored.

Arrange a review if heel pain is persistent, worsening, present at rest, or preventing normal walking despite sensible load changes. Seek prompt care after a fall or forceful injury, or if the foot is markedly swollen, numb, weak, hot and red, or difficult to bear weight on. These signs may indicate a problem other than routine plantar fascia irritation.

Ask which exercises fit your symptoms, how to alter footwear, whether an orthotic is suitable, and what finding would justify moving to another treatment.