Heel Pain & Plantar Fasciitis Treatment

Do you suffer from painful heels or Plantar fasciitis? George St Podiatry in East Fremantle can help you!


Pain underneath the heel of the foot is a very common symptom and is usually due to a condition called Plantar Fasciitis or heel spur. Whilst this is the usual cause, heel pain can sometimes be referred from the back or calf, involve nerve impingement, or related to inflammatory arthritis. Your podiatrist can assess you to make a correct diagnosis.

Plantar Fasciitis is the most common reason for rear foot pain and is caused by aggravation of the plantar fascia. The plantar fascia is a broad, thick band of tissue that runs from the heel and attaches under the toes. This band is needed to maintain the medial arch of the foot and to provide shock absorption during walking. Plantar fasciitis was traditionally thought to be an inflammatory condition. This is now believed to be incorrect due to the absence of inflammatory cells. In reality it is caused by degeneration of the collagen fibres within the plant fascia.
Over 30 different causes of Plantar Fasciitis have been reported. Some of these include excessively flat feet or high arches, local nerve entrapment, arthritic conditions, walking/standing/running on hard surfaces for long periods, weight gain, old or worn out shoes and injury.


Heel pain can present in a number of ways depending on the underlying cause.  Symptoms that are often reported include a sharp, stabbing or throbbing pain in the central or inner heel. The pain is typically worse with the first steps in the morning and then eases as the foot warms up with activity. It can then become worse by the end of the day after long periods of standing or walking.


Specific treatment is related to the underlying cause of the pain and no single treatment works best for each individual. Your Podiatrist can offer a range of treatment options depending on your circumstance incuding:

  • Footwear changes
  • Strapping and/or padding
  • If systemic disease: treat the disease
  • Orthoses
  • Cortisone injection
  • Ultrasound therapy
  • Muscle release
  • Stretching and strengthening