Plantar fasciitis

Very low urgency
Common-

Painful inflammation of the aponeurosis or fascia on the sole of the foot. It frequently affects those between 40 to 60 years old, although runners may suffer from it at an earlier age.

It is caused by a combination of multiple factors: obesity, being on your feet for many hours, flat shoes, overloading the heel and recurrent microtrauma.

It manifests with intense pain in the middle of the sole of the foot, in the area before the heel. The pain is more intense in the mornings, after periods of inactivity and when performing exercises that overload the affected area of the foot.

Treatment includes rest, analgesics and the usual anti-inflammatory drugs. It is advisable to wear shoes with good support, cushioning and insoles or silicone heel pads. When physical activity is resumed again, foot and heel stretches should be performed prior to movement.

Bibliographic references
  1. Rachelle Buchbinder. Plantar fasciitis. UpToDate, Octubre 2016
  2. Riddle DL. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int 2004; 25:303.
  3. Taunton JE. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002; 36:95.
  4. Sadat-Ali M. Plantar fasciitis/calcaneal spur among security forces personnel. Mil Med 1998; 163:56.
  5. Carol A. Langford. Trastornos periarticulares de las extremidades. Harrison. Principios de Medicina Interna, 19e. Capítulo 398, Páginas: 2249-2250.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Pain on the sole of the foot


    Pain in the front of the heel


    Pain in the foot increases when walking


    Pain increases with movement and recedes with rest


    Difficulty walking

Symptoms to watch out for

Pain that doesn't subside with analgesics
Fever (temperature higher than 38 ºC)
Wound with signs of infection (heat, reddening, painful sensation, fever, swelling)

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Use orthopaedic insoles that elevate the feet.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Do stretching sessions mainly of the calf.
Wear sports shoes that sustains the arch of the foot.