In this final article in the two part series on Plantar Fasciitis, Brad Walker discusses the common symptoms of this painful sports injury as well as the most effective treatments once diagnosed. A very common reason for patients to seek a podiatrist's help is due to the pain of plantar fasciitis / heel spur. Plantar fasciitis is a common running injury. One out of every 10 people has heel spurs, according to the American Academy of Orthopaedic Surgeons. Dr. Blitz finds this plantar approach particularly useful when the plantar fascia ligament is thickened and diseased from chronic inflammation (a term called plantar fasciosis), and a section needs to be removed. Additionally, this approach allows for easy access to the bone spur on the bottom of the heel, allowing for direct visualization and removal. A variation of this approach is called the In-step Plantar fascia release that focuses more on the release of the plantar fascia ligament, rather than the bone spur removal. Open Plantar approaches often require a period of non-weightbearing to allow for the skin to heal as the incision is on the bottom of the foot. Medial (or Side) Approach: This is also an open approach to plantar fascia release, but because the point of entry is located on the inside of the foot, there is poor visualization of the plantar fascia ligament and any bone spurs. Additionally, bone spurs are removed in a similar fashion using. The pain will gradually go away. No pain. As feet bear the weight of your body, foot tendons are susceptible to various types of stresses while standing, walking, running and jumping. Severity of ankle pain or foot pain also depends upon how much the ligaments are stretched or torn. Surgery is the last option to repair the torn tendon in the foot. The two most important steps you can take to treat plantar fasciitis is to use a quality heel cup in your shoes and to perform targeted stretching exercises designed to maintain good flexibility throughout the interconnective chain of the lower leg. In addition to these treatments, it is recommended that you reduce your activity level when experiencing severe pain and apply ice to the affected area regularly. It usually begins on the front of your heel bone and points toward the arch of your foot - without your realizing it. Heel spurs can cause pain in the back of the foot especially while standing or walking. However, it should be noted that the spur itself is actually not causing any pain. It is the inflamed tissue around the spur that causes pain and discomfort. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit. As for me I did not find much help for my symptoms and will continue on my quest. I think your website is the most informative site I have found when researching foot pain. I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! The pain finally brought me to the ER. I spent 8 days in the hospital. If not so fortunate, you may be one of the millions who have constant back pain during their life. Using Ultram for foot pain can be a very effective option initially, however if you suffer from pain in your feet there's a high risk of experiencing complications that even Ultram won't be effective against. Perhaps the most common cause is called plantar fasciitis. This discussion will include the anatomy of heel pain the treatment alternatives and what you can expect during your recovery. Pain in the bottom of the heel at the first step in the morning is a common sign of plantar fasciitis. The plantar fascia is a band of connective tissue which supports the arch. Middle aged people, individuals with a history of back pain, those suffering from osteoarthritis, rheumatoid arthritis and persons with weak calf muscles or poor blood circulation are also at risk of developing heel spurs. The main symptom is pain in the heel of the foot that may also spread to other areas. This pain is most commonly felt during the morning when one gets up from sleep. What's interesting about the heel bone spur symptom is that the pain is not due to discomfort in the bony outgrowth which is also known as the calcaneal spur but due to this bone exerting pressure on the soft tissue around the heel. One may also feel heel pain due to the bone spur when one starts to walk after an extended period of rest. Although one might expect the pain to increase with walking, it actually subsides. It reduces some of the symptoms and provides relief in case of severe pain.