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My heels hurt, especially when I am sitting down for a long time and then start to walk. Is this plantar fasciitis? What is the best treatment?
My heels hurt, especially when I am sitting down for a long time and then start to walk. Is this plantar fasciitis? What is the best treatment?
htmASKTHEDOCplantarfasciitis
Your symptoms sound like plantar fasciitis.
1371951
InteliHealth
2010-08-06
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Robert H. Shmerling, M.D.
2012-08-06
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Ask The Expert
Harvard Medical School
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General Medical Questions
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Q: My heels hurt, especially when I am sitting down for a long time and then start to walk. Is this plantar fasciitis? What is the best treatment?
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The Trusted Source
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Robert H. Shmerling, M.D.

Robert H. Shmerling, M.D., is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

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August 06, 2010
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A:

Your symptoms sound like plantar fasciitis.

The plantar fascia is a tough band of tissue. It runs from the heel along the sole of the foot toward the toes. This common and painful condition is due to tears and inflammation of the plantar fascia. People usually complain of pain when they walk, especially after a period of rest.

Although this often occurs without any other associated condition, it is more common in people who are overweight, have flat feet, or after periods of prolonged standing, jumping or running. There is also an association between plantar fasciitis and diabetes.

The only way to know you have plantar fasciitis is to see your doctor. X-rays and blood tests are usually not helpful in diagnosing this condition.

Treatment options include:

  • rest
  • a change in activities
  • a change in the type of shoes
  • physical therapy (which may include stretching, exercises, or ice massage)
  • arch supports (especially if you have flat feet)
  • anti-inflammatory drugs, such as ibuprofen or naproxen
  • weight loss (this may reduce the chance that plantar fasciitis will return)
  • good control of diabetes (although the effect of this on plantar fasciitis is uncertain)

Overall, these measures are quite successful. See a podiatrist or an orthopedist for cases that do not respond quickly. Other treatments may include:

  • prescription footwear
  • a cast
  • shoe inserts
  • cortisone injections
  • surgery (rarely)
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