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Seacoast Spine & Sports Injuries Clinic

Plantar Fasciitis

Foot, heel & ankle · Before your visit

Plantar fasciitis is load-related pain where the plantar fascia meets the heel.

When to seek urgent medical care

Seek prompt medical evaluation after injury if the foot or ankle is deformed, you cannot take steps, numbness is spreading, an open wound is present, or the foot becomes pale, blue, or unusually cold.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is plantar fasciitis?

Plantar fasciitis is load-related pain where the plantar fascia meets the heel. First-step pain is common, but calf capacity, foot load, training volume, footwear, and nerve or bone causes also matter.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

What plantar fasciitis can feel like

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • heel pain on first steps
  • pain after sitting
  • tenderness at the inner heel
  • pain after increased standing or running

Common contributors and aggravators

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For plantar fasciitis, the history commonly examines:

  1. 1standing or running-volume increase
  2. 2reduced calf and foot capacity
  3. 3repeated heel and arch load

What we look at before planning care

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusheel location and first-step pattern
Clinical focuscalf and foot strength
Clinical focusnerve and bone-stress screen

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What your provider will discuss with you

Care for plantar fasciitis is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

manage painful load

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

progress calf and foot strength

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

restore walking and running volume

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about plantar fasciitis

Short answers to the decisions people usually face before an evaluation.

What is plantar fasciitis?

Plantar fasciitis is load-related pain where the plantar fascia meets the heel. First-step pain is common, but calf capacity, foot load, training volume, footwear, and nerve or bone causes also matter.

How is plantar fasciitis assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include heel location and first-step pattern, calf and foot strength, nerve and bone-stress screen. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for plantar fasciitis include?

A plan may draw from Radial Pressure Wave, Graston, and ART, but the service is not the diagnosis. Care is selected around the examination and may focus on manage painful load, progress calf and foot strength, restore walking and running volume. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with plantar fasciitis?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does plantar fasciitis need urgent medical care?

Seek prompt medical evaluation after injury if the foot or ankle is deformed, you cannot take steps, numbness is spreading, an open wound is present, or the foot becomes pale, blue, or unusually cold.

Related foot & ankle guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse foot, heel & ankle

Get clarity on plantar fasciitis.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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