Heel PainHeel pain is a painful foot condition, usually caused from inflammation of the plantar fascia (fasciitis), the "bowstring-like" tissue in the bottom of the foot that extends from the heel to the toes. This condition is often seen with people who stand for long periods, are doing activities that excessively strain the plantar fascia or have a foot type that excessively “pronates” or flattens. A “heel spur” may occur as a result of the excessive strain of the plantar fascia at its heel bone attachment. Symptoms usually consist of an aching pain at the inner heel and/or arch that usually occurs when standing after rest and with extended standing activity.  This condition can be secondary to acute trauma or from the micro-trauma of long term arch strain. Treatment usually consists of reducing the inflammation present and controlling the underlying cause. After being medically evaluated, treatment options may consist of one or more of the following: rest, protected “cold” application, oral and injectable anti-inflammatory medications, arch support or custom orthotic use to control excessive pronation present, shockwave therapy and surgery.