Home » Disorders » Rearfoot » Heel spur or Plantar fasciitis

Heel spur or Plantar fasciitis


The medical term ‘Plantar Fasciitis’ means an inflammation of the attachment of the plantar fascia on the heel bone. The plantar fascia is a thick, rather rigid band, which ranges from the bottom of the heel bone to the toes. It is seen as a sort of extension of the Achilles tendon. It is little elastic and plays an important role in creating the foot arch during walking and standing.


The typical complaint is a stabbing and dull pain below the heel, especially in the first steps in the morning or after having been seated for a while. After some time of movement, the pain decreases but re-intensifies as the evening comes.


As possible causes, overweight, an overloading of that particular spot or a stiffness of the Achilles tendon are often indicated.


The treatment will therefore be focused on multiple factors:

  • Local and oral anti-inflammatory drugs
  • Alternating hot and cold baths
  • Vitamin C
  • Wearing shock-absorbing heels (Nike air shoes, Crocs, MBT shoes…)
  • Stretch exercises for the lower limb, particularly of the Achilles tendon

If this proves insufficient, you can have an electro-shockwave therapy or attempt an infiltration with Cortisone. Provided some patience, 95% of the patients will over a period of several months become painfree.

If ordinary therapy proves unsuccessful, a tarsal tunnel syndrome must be thought of, or, in a few cases, a heel pad syndrome, after which treatment should be adjusted.

Only very rarely, an operation should be proposed. With this, approximately 2/3 of the attachment of the plantar fasciitis is cut loose. This can be either an open or an endoscopic surgery.