Plantar fasciitis is caused by inflammation of the plantar fascia which is connective tissue that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. One of the most common symptoms in this condition is increased pain when 1st getting up after a period of rest when the plantar fascia has a chance to tighten. Also called "heel spur syndrome," the condition can usually be successfully treated with conservative measures such as use of anti-inflammatory medications such as oral NSAIDs' and cortisone injections, ice packs, stretching exercises, orthotic devices, and physical therapy. Sometimes, when the pain persists, ESWT or 'Shockwave Therapy' can be employed safely in our office with local anesthesia. Surgery for this condition is rarely needed and when done, it involves separating a portion of the plantar fascia from the heel bone. There are several other conditions that can mimic Heel Spur Syndrome so it is important that Dr Resler evaluate this condition thoroughly prior to initiating treatment.

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