Plantar Fasciitis

• Pain beneath the heel, sometimes extending into the arch
• Pain with the first steps after sleep or a period of rest
• Discomfort that increases after long periods of standing
• Tenderness when pressing near the front edge of the heel bone

• Foot mechanics
• Prolonged standing, especially on hard surfaces
• An increase in activity load or overuse
• Higher body weight
• Footwear that does not provide adequate support

1. We review your symptoms, activity or injury history, footwear, and medical history.
2. We examine the heel, arch, and calf along with the surrounding joints and the way you walk.
3. We use X-rays or other testing when the findings make it clinically appropriate.
4. We explain what we found and what the reasonable options are for your situation.

You will see Dr. Kayla Wright, DPM, ABFAS Board Certified, at our Tempe office. New to the practice? Review new-patient information before your visit.

Initial treatment is generally nonsurgical. Which measures apply to you depends on your evaluation — this is a general sequence, not an individual plan.

1. Evaluation, including history and examination, with imaging when appropriate
2. Activity modification and ice
3. Stretching and supportive footwear
4. Padding, orthotic support, or night splints when indicated
5. Immobilization or physical therapy in selected cases
6. Other in-office options such as MLS® Laser Therapy or Shockwave Therapy when they fit the problem
7. Procedural treatment or surgery in selected cases after an appropriate course of conservative care

A heel spur may be visible on an X-ray without being the source of your pain, so imaging findings are interpreted alongside the examination.

Some foot and ankle symptoms should be evaluated promptly rather than watched. Call our office if you notice:

• An injury with difficulty walking or bearing weight
• A change in the shape or appearance of the foot or ankle after a fall or twist
• Redness, warmth, drainage, or signs of infection
• An open sore or wound on the foot, especially with diabetes or circulation concerns
• New numbness, burning, or other changes in sensation
• Pain that keeps getting worse or does not improve with reasonable initial care

If you are experiencing a medical emergency, call 911 immediately. This website and its appointment tools are not monitored for emergency medical needs.

Can plantar fasciitis be diagnosed from my symptoms alone?

No. History and examination begin the diagnosis, and imaging may be used to assess other possible causes.

If an X-ray shows a heel spur, is that the problem?

Not necessarily. A spur can be visible without being the primary source of pain, which is why the exam matters as much as the image.

Is laser or shockwave the first treatment?

No. Neither is an automatic first step. They are options that may be discussed after evaluation and an appropriate course of basic conservative care.

To be seen for plantar fasciitis, request an appointment or call 480-831-0700. Our office is at 3231 S Country Club Way, Suite 108, in Tempe — see directions and parking.