Heel Pain Upon Waking Up: Is It Plantar Fasciitis? Here's an Explanation from a Foot & Ankle Orthopedic Doctor

Have you ever felt a sharp pain in your heel when you first step out of bed in the morning? This pain often makes walking uncomfortable and even makes it difficult to walk normally. Many people mistake this for simple fatigue, but it could actually be a sign of plantar fasciitis , a common foot condition.

Plantar fasciitis is an inflammatory process that then becomes a degenerative condition in the plantar fascia tissue , which is a thick tissue that connects the heel bone to the base of the toes and functions to support the arch of the foot.

Why Do I Feel Heel Pain When I Wake Up?

In people with plantar fasciitis, the plantar fascia tissue degenerates and forms microtears due to repeated pressure on the sole of the foot. During sleep or prolonged rest, this tissue shortens. When a person first stands or takes a step, it stretches again, causing heel pain.

Usually, the pain will subside after walking for a while, but it can return after standing for a long time or doing heavy activity.

Plantar Fasciitis Symptoms that You Need to Know

Some of the symptoms often experienced by plantar fasciitis sufferers include:

  • Sharp pain in the heel, especially with the first step in the morning
  • Pain in the soles of the feet after sitting or resting for a long time
  • Discomfort when standing for long periods
  • Pain felt after physical activity

This complaint can occur in one foot or both feet.

Who is at risk for plantar fasciitis?

Several factors can increase a person's risk of experiencing plantar fasciitis, including:

  • Standing or walking for long periods
  • Sports activities that put pressure on the feet such as running
  • Overweight
  • Wearing shoes that do not support the arch of the foot properly
  • Certain foot structures, such as flat feet or excessively high arches

How to Reduce Heel Pain

Treatment for plantar fasciitis usually begins with conservative or non-surgical methods, such as:

  • Rest your feet from heavy activity
  • Stretching the soles of the feet and calves
  • Wear comfortable footwear that has good cushioning.
  • Apply a cold compress to the painful heel area.
  • Achieve and maintain ideal body weight

In some cases, the doctor may also recommend additional therapies such as physiotherapy.

When Should You Consult a Doctor?

If heel pain lasts more than 3 days, worsens when walking, or interferes with daily activities, you should consult a foot and ankle orthopedic specialist immediately. A proper examination will help determine the cause and determine appropriate treatment.

With proper diagnosis and early therapy, plantar fasciitis can be managed effectively, allowing patients to return to their activities without pain in their feet.

Article written by Dr. Alfa Januar Krista, Sp.OT (Foot and Ankle Surgeon), M.Kes, FICS, AIFO-K (Specialist in Orthopedics & Traumatology Foot & Ankle RS EMC Pekayon).