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Causes of Plantar Fasciitis

Tuesday, 28 October 2025

Pain from plantar fasciitis develops when the thick band of tissue running along the bottom of the foot becomes irritated or inflamed. This fascia connects the heel bone to the toes and supports the arch with every step. Common causes of plantar fasciitis include repetitive stress from long-distance running or standing for extended periods of time, as well as sudden changes in activity levels. Wearing shoes that lack adequate support, frequently using flip-flops, or walking barefoot on hard surfaces can also place additional strain on the heel. Structural factors such as flat feet or very high arches may increase pressure. Tight calf muscles and a shortened Achilles tendon can limit flexibility and pull excessively on the fascia. Over time, small tears may form, creating persistent heel pain that is often most noticeable first thing in the morning. A podiatrist can identify the underlying cause and recommend the best treatment. If you are experiencing symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

Excessive running
Having high arches in your feet
Other foot issues such as flat feet
Pregnancy (due to the sudden weight gain)
Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
Maintain a healthy weight
If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Children and Flat Feet

Tuesday, 21 October 2025

Flat foot in children occurs when the arches of the feet do not develop properly, causing the entire sole to touch the ground. While many children outgrow this condition, some experience pain due to underlying issues such as tarsal coalition, which is an abnormal connection between foot bones, or stress fractures from repetitive activity. In severe cases, surgery may be needed to correct structural problems. A podiatrist can evaluate the cause of flat foot pain, provide custom orthotics, recommend stretching or strengthening exercises, and discuss other treatment options. If your child complains of foot pain or has difficulty walking, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and management tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.

Symptoms

Pain around the heel or arch area
Trouble standing on the tip toe
Swelling around the inside of the ankle
Flat look to one or both feet
Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.

If you have any questions, please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Reasons You May Need Surgery for Plantar Fasciitis

Tuesday, 14 October 2025

Heel pain from plantar fasciitis can interfere with daily activity and limit mobility when it does not improve after many months of conservative treatment. The plantar fascia is a thick band of tissue that supports the arch of the foot, running from the toes to the heel. When it becomes irritated and inflamed, the pain can become persistent and severe. In certain cases, a podiatrist may recommend surgery to release part of the fascia and reduce tension on the heel bone. This procedure, called a fasciotomy, may be performed through a small incision or with the aid of an endoscope. Surgery for plantar fasciitis may be considered when ongoing pain prevents walking, standing, or returning to normal activities. While recovery times vary, the goal is to reduce pain and restore foot function. If you are suffering from plantar fasciitis pain, it is suggested that you make an appointment with a podiatrist for an exam and treatment, which may include surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

Removing foot deformities like bunions and bone spurs
Severe arthritis that has caused bone issues
Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

Bunionectomy for painful bunions
Surgical fusion for realignment of bones
Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Reminder: When Was the Last Time...?

Friday, 10 October 2025

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Two Categories of Heel Spurs

Tuesday, 07 October 2025

A heel spur is a small growth that develops underneath the heel bone. It can cause severe pain and discomfort and may happen from wearing shoes that do not fit correctly. Standing on hard or uneven surfaces for most of the day may also cause heel spurs to develop. If the lining of the heel bones becomes torn, or foot muscles and ligaments are strained, it may gradually lead to a heel spur. Heel spur syndrome may occur in patients who have plantar fasciitis, which is an inflammation of the plantar fascia. This band of tissue connects the heel to the toes, and a heel spur may also be present. If the heel spur is at the back of the heel, it may be indicative of a condition that is known as insertional Achilles tendonitis. This happens when the Achilles tendon attaches to the heel. Symptoms of this can include a reduced range of motion in the ankle, and it may be painful to climb stairs. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can determine what caused it, and treat it accordingly.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions, please feel free to contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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