What Is Plantar Fasciitis and How Is It Treated?

What Is Plantar Fasciitis and How Is It Treated

Patient testimonial about treatment of plantar fasciitisPlantar fasciitis is one of the most common heel pain problems we see at the Foot and Ankle Center of Lake City. Dr. Rion Berg has over 30 years of experience successfully treating it.

What is this strange sounding condition? 

Plantar fasciitis is an inflammation of the connective tissue found on the bottom of your foot. It's called the plantar fascia. It starts at your heel, travels across your arches, and inserts into the base of your toes.

Do you have pain when your feet hit the floor, first thing in the morning? Does the pain decrease during the day but return after you stand or sit for long periods of time. If so, it’s very likely you have this condition. 


An array of factors can cause plantar fasciitis to develop. The most common ones are:

  • Age – more common in patients 40-60, but can be seen in younger people as well.
  • Runners and other active people – activities that put a high level of impact on the feet are more at risk for developing plantar fasciitis
  • Poor foot mechanics – flat feet and other factors that cause how weight is distributed throughout the foot
  • Equinus -- a condition which limits the upward bending motion of the ankle joint often due to tightness of the Achilles tendon or calf muscles.
  • Overweight and obesity – these conditions put more stress on the plantar fascia causing it to flatten out which causes pain
  • Unsupportive shoes -- shoes that easily bend in half or twist easily when you try to wring them out like a rag can cause plantar fasciiits
  • Women are more at risk then men

Patients of the Foot and Ankle Center of Lake City have asked many questions about their foot condition over the years. To learn more, visit Frequently Asked Questions About Plantar Fasciitis.


The Foot and Ankle Center of Lake City uses a comprehensive treatment plan to end plantar fasciitis. Our goal is to reduce your pain by more than 50% in one month. The treatments we use include one or more of the following:

  1. Reduce inflammation
  2. Reduce pain (MLS laser therapy)
  3. Resolve calf tightness
  4. Address problems with foot mechanics through over-the counter inserts or custom orthotics
  5. Recommend appropriate shoe gear including testing for shoe stability
  6. Refer for physical therapy

photo of Dr. Rion BergNew Treatment for People with Persistent and Reoccurring Plantar Fasciitis

I'm pleased to announce that our office now has a therapy to treat 10% of the population with persistent and reoccurring plantar fasciitis. While most of my patients get better with the treatments described on this page and elsewhere on our website, you may fall into that 10% that does not.

If that's the case, it's time to get treated with MLS laser therapy. MLS laser therapy works by using dual wavelengths of infrared light to penetrate deep into the tissue and stimulates regeneration at the cellular level. One laser is pulsed and treats pain. The other laser is continuous and treats inflammation. Combined, these lasers offer a powerful treatment modality for stubborn heel pain.

MLS laser therapy does not mask or cover up your condition, but rather, treats the root of your pain and inflammation.

Because of this, many people with persistent heel pain have seen long-term results. I've been extremely pleased with the results I've seen in my own patients with hard to treat heel pain.

Immediate recommendations for treating heel pain caused by plantar fasciitis:photo of vionic sandal

  • Avoid going barefoot (instead choose a Vionic Unisex Wave Toe Post Sandal that will provide support inside and outside of your home)
  • Discontinue running or other exercises that causes pounding on the foot

Don't wait to get back to living your life. Call us today at 206-368-7000 for an appointment, often same day. You can also request an appointment online.

For information about other types of heel pain visit:

What's Causing My Heel Pain and What Can I Do About It?

I've written two books on heel pain which you can download today.

Book called the complete guide to stopping heel pain in runners "The Complete Guide To Stopping Heel Pain in Runners".





book called stop living with stubborn heel pain"Stop Living with Stubborn Heel Pain"







two young people hiking in summerHere's an indepth look at how to stop heel pain for hikers.






Patient Reviews

I found Dr. Berg online after hobbling around with ridiculously painful plantar fasciitis for several months.  Some angel must have pointed me to his office, because I found a caring, compassionate staff and skillful doctor there.  He was not only able to heal my foot, but also give me the tools and information to keep my feet healthy into the future.  

Should I ever need a podiatrist again, I will immediately head back to the lovely people at the Foot & Ankle Center of Lake City!

Toni M, Lake Forest Park

Read Cathie W.'s review of Foot & Ankle Center of Lake City on Yelp

Read Elizabeth B.'s review of Foot & Ankle Center of Lake City on Yelp