Plantar Fasciitis Treatment in Alexandria, VA
Plantar fasciitis is one of the most common causes of heel pain in the nation and can make every morning step painful. At Landmark Foot & Ankle Center in Alexandria, VA , our podiatrists offer proven treatments, from custom orthotics and night splints to extracorporeal shockwave therapy, to help you heal and get back to the activities you enjoy.
Book OnlineWhat Is Plantar Fasciitis?
Plantar fasciitis is a leading cause of heel pain. It occurs when the plantar fascia, the strong band of connective tissue that runs along the bottom of your foot from your heel bone to your toes, becomes inflamed or irritated. This tissue absorbs shock when you walk, jump, or run and supports the arch of your foot through every movement.
Plantar Fasciitis Symptoms
The most common symptom is pain on the bottom of the heel. Most people notice pain in one heel, although both feet can be affected. Other signs include:
- Sharp pain with your first steps out of bed in the morning
- Pain after sitting or resting for a while
- Stiffness in the foot and arch
- Burning or aching on the bottom of the foot
- Pain after exercise rather than during it
Symptoms usually develop gradually, and many people live with worsening pain for months before seeking treatment.
What Causes Plantar Fasciitis?
Repetitive strain on the plantar fascia leads to tiny tears and inflammation. Risk factors include running and high-impact sports, standing for long periods, tight calf muscles, flat feet or high arches, unsupportive footwear, and weight gain. It often occurs alongside Achilles tendonitis.
Diagnosing Plantar Fasciitis
A physical exam and a discussion of your symptoms are usually all that’s needed to diagnose plantar fasciitis, although imaging can help rule out heel spurs, stress fractures, or nerve problems.
Plantar Fasciitis Treatment Options
Once your podiatrist confirms the diagnosis, your treatment plan may include:
- Stretching and physical therapy to loosen the plantar fascia and calf
- Strengthening exercises for the lower leg and foot
- Night splints that gently stretch the arch and calf while you sleep to reduce morning pain
- Custom orthotics or podiatrist-recommended ProTech insoles for daytime support
- Extracorporeal shockwave therapy (ESWT), which uses sound waves to stimulate natural healing
- Corticosteroid injections for temporary relief, used sparingly to avoid weakening the fascia
- Regenerative options such as Nano PRP Jelly
In some cases, surgery is the best way to treat plantar fasciitis, especially when there is a detachment from the heel bone or pain persists despite comprehensive conservative care. Our surgeons use minimally invasive techniques whenever possible. Learn about more conditions we treat.
Plantar Fasciitis FAQs
What is the main cause of plantar fasciitis?
Plantar fasciitis is caused by repetitive strain on the plantar fascia, often from high-impact activity, prolonged standing, tight calves, foot structure, or unsupportive shoes.
Why does plantar fasciitis hurt most in the morning?
The plantar fascia tightens overnight while you rest. Your first steps stretch the tissue suddenly, causing sharp heel pain.
How long does plantar fasciitis take to heal?
With proper treatment, many patients improve within a few weeks to several months. Early treatment usually leads to faster recovery.
Does shockwave therapy work for plantar fasciitis?
Extracorporeal shockwave therapy is an effective option for chronic plantar fasciitis, especially when other conservative treatments haven’t provided enough relief.
Can custom orthotics help plantar fasciitis?
Yes. Custom orthotics support the arch and reduce strain on the plantar fascia throughout the day.
Are cortisone injections safe for plantar fasciitis?
Injections can provide temporary relief, but too many may weaken the plantar fascia, so they are used carefully as part of a broader plan.
Will I need surgery for plantar fasciitis?
Most patients do not need surgery. It is reserved for cases that don’t respond to conservative treatment or involve a detachment from the heel bone.
Stop Living With Heel Pain
Don’t let plantar fasciitis keep you off your feet. Call (703) 370-2313 or request an appointment online with Landmark Foot & Ankle Center in Alexandria, VA .
