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Heel, Achilles & Arch Pain

Plantar Fasciitis & Chronic Plantar Fasciosis

Causes, symptoms, and treatment for plantar fasciitis and chronic plantar fasciosis, with care at 15 clinics across Middle Tennessee.

Part of Heel, Achilles & Arch Pain

Understanding plantar fasciitis and chronic plantar fasciosis and your options.

The plantar fascia is a strong band that runs from your heel to your toes and supports the arch. When it is overloaded, it can become sore and inflamed, which is called plantar fasciitis. If the problem lasts for months, the tissue can wear down and thicken, and this is called plantar fasciosis.

It is one of the most common causes of heel pain and shows up in runners, teachers, nurses, and many others. Starting care early can help stop a short flare from becoming a long-term problem.

Request an appointmentCall 615-220-8788
Plantar Fasciitis & Chronic Plantar Fasciosis care

Symptoms

Signs of plantar fasciitis and chronic plantar fasciosis.

If you notice these signs, an exam can give you clear answers.

  • 01

    Stabbing pain in the bottom of the heel with first steps

  • 02

    Pain after standing up from a long time sitting

  • 03

    Soreness that builds during long days on your feet

  • 04

    A tight, pulling feeling along the arch

Why it happens

What can cause plantar fasciitis and chronic plantar fasciosis.

  • 01

    Repeated strain from running, jumping, or long standing

  • 02

    Tight calf muscles and a stiff Achilles tendon

  • 03

    Flat feet, high arches, or unusual foot mechanics

  • 04

    Extra body weight or sudden weight change

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Diagnosis and care

How we treat plantar fasciitis and chronic plantar fasciosis.

Step 1 · Diagnosis

We look for pain at the spot where the band meets the heel and check how tight your calf and foot are. An X-ray can rule out a stress fracture or other bone problem. Ultrasound can show a thickened fascia, especially when the pain has lasted a long time.

Step 2 · Treatment

Care starts with daily stretches for the calf and the bottom of the foot, plus shoes with good cushion and arch support. Night splints, taping, and custom orthotics can take strain off the band. Physical therapy helps build strength and flexibility. For pain that will not settle, shockwave therapy or an injection may be options.

Surgery is uncommon and is usually kept for pain that lasts many months despite steady non-surgical care. A procedure may release part of the fascia to reduce tension.

Recovery

What to expect over time.

Most people improve over several weeks to a few months. Chronic cases can take six months or longer, and staying with the stretching plan helps keep pain from returning.

When to book

Do not wait it out.

Book a visit if your heel pain has lasted more than two weeks or is getting worse. Do not wait if you cannot walk normally or the heel is swollen, red, or numb.

Call 615-220-8788

Related care

More in Heel, Achilles & Arch Pain.

FAQ

Your questions answered.

What is the difference between fasciitis and fasciosis?

Fasciitis usually means a newer, inflamed band. Fasciosis means long-term wear and thickening of the tissue, which often needs a longer plan.

Will a cortisone shot fix it for good?

An injection can calm pain for a time, but it does not fix the reasons the band is overloaded. It works best alongside stretching, support, and activity changes.

Get help with plantar fasciitis and chronic plantar fasciosis.

Request an appointmentCall 615-220-8788

Where we treat it

Plantar Fasciitis & Chronic Plantar Fasciosis care at 15 clinics.

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