Plantar fasciitis causes stabbing heel pain that's worst with your first steps in the morning. When conservative treatments fail, our regenerative therapies can provide lasting relief.
Plantar fasciitis patients typically fall into three groups: (1) recreational runners and hikers 30–55 with classic morning heel pain; (2) people who stand for work — nurses, teachers, tradespeople — with chronic load-related symptoms; and (3) active 50+ adults whose plantar fascia has become chronically thickened after months or years of stop-and-start treatment.
Both PRP and extracorporeal shockwave therapy have meaningful evidence for chronic plantar fasciitis (>6 months of symptoms), with several randomized trials supporting symptom and function improvement. Acute cases generally respond well to conservative care alone.
Overnight, the plantar fascia tightens and contracts; loading it cold tears the early healing tissue and causes that sharp first-step pain. This pattern is one of the most reliable diagnostic clues we use.
Most patients are running again within 6–12 weeks of starting a structured plan. Chronic cases that haven't responded to 3+ months of rest typically benefit from shockwave or PRP rather than just more time off.
Not always. Custom orthotics can help in select cases, but well-cushioned shoes, calf and fascia loading work, and gait considerations often matter more than orthotic prescription.
If you've already done 3–6 months of stretching, ice, shoe changes, and load management without meaningful improvement, you're in the chronic phase, and continued rest alone usually doesn't fix it. That's when shockwave or PRP becomes the right next step.
We treat plantar fasciitis for patients in:
Book a free 30-minute consultation. We'll review your history, discuss your goals, and recommend the right treatment plan.