The Orthofeet Blog

Plantar fasciitis is one of the most common causes of heel pain, and while several factors can trigger it, footwear often plays a surprisingly big role. Whether you're pounding the pavement for miles or spending hours on your feet at work, the kind of shoes you wear can either help prevent or directly contribute to this painful condition. In this article, we’ll explore the connection between shoes and plantar fasciitis and how the right pair can make all the difference in your recovery and comfort. How footwear impacts foot health To answer “can shoes cause plantar fasciitis?”, we need to start with the way shoes affect your foot health. Our feet do a lot more than just get you from point A to point B. With 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments in each, our feet are complex, high-performing structures that handle an incredible amount of pressure every single day. They absorb shock, provide stability, and propel us forward. Acting as built-in shock absorbers, the arches are also responsible for adjustingVincent Linto different surfaces, distributing weight evenly, and helping to keep you stable with every step. But even with all this intricate natural engineering, the right support can help our feet function a lot better and, more importantly, do their job properly for longer. The right shoes work with your foot’s mechanics, reducing impact, enhancing stability, and ensuring that every step feels as comfortable as possible. Still, finding that “right support” is key—can too much arch support cause plantar fasciitis if it overcorrects the natural movement of your feet? The answer might surprise you. This is especially important if you’ve developed foot problems, like plantar fasciitis, or leg and back issues. The worst footwear for your feet is flat, unsupportive shoes with thin soles, hard insoles, and no arch support [1]. When you ask yourself “can shoes cause plantar fasciitis?” bear in mind that these types of shoes simply don’t cushion your foot properly and only add more strain to the plantar fascia and other weight-bearing structures. To function at its best, the plantar fascia (a thick band of tissue running along the bottom of your foot, facilitating the arch's function and normal foot mechanics) needs the right amount of arch support. Without it, every step you take might overstretch, inflame, or even tear this tissue, leading to plantar fasciitis-related heel pain and other issues [2]. And while resting your feet might bring some temporary relief, it won’t fix the root cause. One of the simplest solutions is making adjustments to your footwear – like switching to shoes with built-in arch support, cushioning, and a slightly raised heel – which can make a huge difference in comfort and recovery [1]. Orthotics can be a valuable treatment option to provide the support the foot needs to alleviate pressure. If you’re not sure where to start, check out our top-rated plantar fasciitis shoes. So, can shoes cause plantar fasciitis? Let’s put it this way: if you’re dealing with plantar fasciitis and looking for solutions, start by taking a good look at your shoes. Common shoe features that contribute to heel pain One of the most common causes of heel pain is plantar fasciitis, and the right or wrong shoes can either relieve or worsen this condition, which is your answer to the ‘can shoes cause plantar fasciitis’ question. Here’s how shoes can affect how your feet feel. Lacking arch support  Flat or unsupportive shoes don’t prop up your arches, giving them the support they need, which can overstretch the plantar fascia and lead to micro tears and pain. Without that support, each step puts extra strain on your foot, which can cause plantar fasciitis or make the condition even harder to manage. Lacking soles Shoes with thin or rigid soles don’t do much to absorb shock, meaning your feet and heels take the full impact every time you take a step. Over time, those constant shock forces can worsen or cause heel pain, and lead to other foot problems. Lacking cushioning If your shoes don’t have enough padding in the heel, they’re not absorbing the stress of daily movement. Instead, all that force goes straight to your heel, adding to pain and discomfort, and increasing the risk of injury. Lacking space Shoes that squeeze your toes together can throw off your foot’s natural mechanics. This not only makes walking less comfortable but also shifts pressure in ways that can worsen plantar fasciitis symptoms. Our guide to wide-width shoes can help you find the right fit if standard shoes aren’t cutting it. Lacking, generally Even the best shoes don’t last forever. Over time, they lose their structure, cushioning, and support, forcing your feet to work harder with every step. If your favorite pair is looking a little too well-loved, it might be time for an upgrade.  The worst shoes for plantar fasciitis Some shoes do your feet no favors, especially for people dealing with plantar fasciitis. Without the right design features, pain will most likely get worse and recovery will get harder. Flip-flops, high heels, and minimalist shoes Not all shoes are created equal, and some styles are more likely to aggravate your heel pain than others. Flip-flops While they might be a summer staple, regular flip-flops or backless sandals are some of the worst choices for plantar fasciitis. They offer little to no arch support or cushioning, forcing your feet to work overtime with every step. Plus, since you have to grip them with your toes to keep them on, they put extra strain on the plantar fascia, increasing the risk of inflammation and pain, especially if you wear them for long periods or walk on hard surfaces. If you’re looking for alternatives, consider plantar fasciitis sandals that offer targeted support. High heels High heels may look stylish, but they’re very bad for your feet. By shifting your weight forward, these shoes put excessive pressure on the front of your foot while stretching the plantar fascia. Most high heels also lack proper arch support, which only adds to the strain. Over time, wearing heels frequently can lead to chronic pain, foot deformities, and even a shortened Achilles tendon. If you can’t avoid them entirely, try to limit how long you wear them and opt for lower heels with added cushioning. Minimalist shoes Minimalist shoes aim to mimic barefoot walking, but that’s not always a good thing, especially if you have plantar fasciitis. Their thin soles provide little protection or shock absorption, meaning your plantar fascia takes the full impact of each step. Many also have a zero-drop design, which can increase strain on the fascia. If you’re not used to them, switching to minimalist shoes too quickly can make heel pain worse and even contribute to long-term foot problems. On the bright side, while some shoes can make plantar fasciitis worse, the right pair can help you walk more comfortably and support your recovery.  The Orthofeet support difference Orthofeet’s shoes are designed with built-in arch support, multi-layered cushioning, a firm heel counter and a stable structure, to help alleviate heel pain and keep your feet happy for the long run. You’ll even find these features across different styles, including plantar fasciitis slippers for at-home comfort. As podiatrist Dr. Steven Gershman puts it: “Orthofeet shoes and inserts are highly recommended by my office in many cases, and I personally wear them, as does my wife. They serve as an excellent treatment modality for plantar fasciitis. These products are well-made and biomechanically appropriate, effectively reducing pronation and other abnormal biomechanical forces”. Best shoes for preventing plantar fasciitis If you’re unsure where to begin, our guide on how to choose plantar fasciitis shoes breaks down everything from arch support to heel structure, so you can find the right fit for your needs. Now, let's look at the specific shoe design features that will ensure your footwear is good for your feet and your plantar fasciitis. Supportive features to look for Arch support Good arch support helps distribute weight evenly across your foot, preventing excessive stress on the plantar fascia. This is especially important if you have flat feet or high arches, both of which can increase the risk of plantar fasciitis.  Cushioned insoles Soft, cushioned insoles help absorb shock with every step, reducing impact on the heel and arch. Materials like gel, foam, or carbon layers can add an extra level of comfort and protection. If your current shoes aren’t providing enough support, consider upgrading with our specialized insoles for plantar fasciitis, designed to relieve heel pain and improve foot alignment. Firm heel counter A firm heel counter – the stiff back portion of the shoe – helps stabilize your foot and limits excessive movement that can strain the plantar fascia. Shock absorbing soles Shoes with shock absorbing soles minimize the impact on your feet, making each step easier on your heels and arches. This is especially helpful if you spend a lot of time walking or standing on hard surfaces. Roomy toe box A wide, spacious toe box allows your toes to splay and move naturally without being cramped. This reduces pressure on the front of your foot, improves your balance, and helps prevent other foot issues like bunions or hammertoes. Lightweight, flexible material Shoes made from lightweight, flexible materials allow the foot to move naturally without adding strain. At the same time, they should still provide enough structure to keep your foot properly aligned. Every Orthofeet shoe is packed with these features and more, designed to keep your foot and ankle feet supported, comfortable, and pain-free.   Tips for transitioning to better footwear Switching to supportive shoes is a smart move, but your feet might need some time to adjust. Here’s how to make this transition the right way: Take it slow – Don’t wear new shoes all day right away. Start with short periods and gradually increase the time you wear them to let your feet adapt. Use orthotic inserts if needed – If your shoes don’t offer enough support, adding orthotics (also known as orthotic insoles), can give your feet extra cushioning and stability. Not sure what size you need? This guide on how to measure insoles for shoes can help you find the right fit. Replace worn-out shoes – Old shoes lose their support over time. Swap out your shoes for new ones as soon as they show visible signs of wear, or when you feel they don’t provide the same level of support as before. Check the fit at the right time – Try on shoes in the evening when your feet are slightly swollen to ensure the best fit. Pay attention to discomfort – Some mild soreness is normal at first, but if you feel persistent pain, your shoes may not be the right fit or support level.  In addition to footwear adjustments, check out our complete guide on how to treat plantar fasciitis at home with stretches, icing, and daily habits that ease pain and improve mobility. Final thoughts Shoes play a bigger role in plantar fasciitis than you might think and the wrong pair can contribute to heel pain and a host of other symptoms. If your shoes lack support, cushioning, or stability, they could be making things worse.  Take a moment to check your current shoes – are they giving you the support you need? If not, it might be time for an upgrade. Orthopedic shoe options like Orthofeet are designed with comfort and foot health in mind to offer the cushioning, arch support, and stability your feet need and deserve. Making the switch now can help you stay pain-free for the long run. And finally, if pain persists and your foot is not healing, or if you're unsure which shoes are right for you, it’s always best to consult your doctor or medical provider. [product-group-tile]   ======================   [1] Umar Haddaya, Idrees Wajeeha, Umar Wardah, Khalil Anish, Rizvi Zuhair A. Impact of Routine Footwear on Foot Health: A Study on Plantar Fasciitis. Journal of Family Medicine and Primary Care. July 2022. Accessed March 23, 2025. https://journals.lww.com/jfmpc/fulltext/2022/07000/impact_of_routine_footwear_on_foot_health__a_study.74.aspx.  [2] Medically Reviewed by Poonam Sachdev. The Worst Shoes for Your Feet. WebMD. August 28, 2023. Accessed March 24, 2025. https://www.webmd.com/pain-management/ss/slideshow-worst-shoes-for-your-feet  

If you’ve ever woken up and felt a sharp, stabbing pain in your heel as soon as you stepped out of bed, you may be experiencing one of the hallmark signs of plantar fasciitis, a common cause of foot and especially heel pain affecting millions of people. But what exactly is it, why does it hurt so much, and how to choose plantar fasciitis shoes? That’s what we’re here to unravel.  Understanding plantar fasciitis and its impact on your feet In the next section, we’ll explain how to choose plantar fasciitis shoes, but this will make more sense once you understand plantar fasciitis.  The plantar fascia is a strong band of connective tissue that runs along the bottom of the foot, connecting the heel to the toes. It supports the arch, absorbs shock, and helps maintain proper foot mechanics as you move.  Plantar fasciitis develops when stress and overuse cause tiny tears in this connective tissue. “It’s not a true inflammation,” explains Dr. Steven Gershman, DPM. “It’s actually damage to the collagen fibers that make up the ligament, resulting in small tears.” Unlike muscles or tendons, the plantar fascia doesn’t stretch, so when it’s under too much strain, these tears can become quite painful [1].  Here are a few other things you should know about plantar fasciitis: Symptoms The most common sign of plantar fasciitis is a sharp pain around the heel. It’s usually worse in the morning or after long periods of inactivity, because the foot stiffens up while it rests.  The pain and discomfort may also flare up after physical activity, though it usually doesn’t hurt during exercise itself [2]. Other symptoms include: Tenderness when touching the heel or arch Stiffness that makes it hard to walk comfortably, especially first thing in the morning A burning sensation at the bottom of the foot Pain that worsens when climbing stairs or standing for long hours Swelling around the heel Tightness in the Achilles tendon Discomfort in the arch area   How the wrong shoes can make things worse It’s important to know how to choose plantar fasciitis shoes, but just as important to know which ones to avoid, as your footwear can directly influence whether your plantar fasciitis eases or worsens.  Shoes with poor support, especially those with hard soles, worn-out cushioning, or high heels, put extra strain on the plantar fascia and worsen symptoms [3].  One study even found that people suffering from plantar heel pain tend to wear shoes with harder heels and struggle to find properly supportive footwear [3]. If your shoes lack cushioning and arch support, your feet and plantar fascia absorb more impact, making the condition even harder to manage. To better understand the role footwear plays in foot pain, read our deep dive into the question can shoes cause plantar fasciitis and how your current shoes might be contributing to discomfort. The right shoes can make all the difference "Treating plantar fasciitis should always start with the right shoes and inserts," says Dr. Gershman.  Shoes with proper arch support, cushioned insoles, and shock-absorbing soles help reduce strain on the plantar fascia, which can prevent further deterioration and relieve much of the pain.  Now that we've covered the basics, let's get to the main concern: how to choose plantar fasciitis shoes. Key features to look for in plantar fasciitis shoes Arch support When dealing with plantar fasciitis, arch support isn’t just a nice-to-have; it’s a must. The right support helps prop up the arch to its proper position, reducing the load the plantar fascia carries. Without it, every step you take can add stress and make things worse. When you look for shoes with arch support, those designed with contoured footbeds or orthotic insoles are your best option. They help distribute pressure evenly, align your foot with your legs and back, and correct your gait. If you have flat feet, you’ll need structured arch support to prevent overpronation (when the foot rolls inward excessively). On the other hand, if you have high arches, extra cushioning can help reduce the strain on the fascia by absorbing much of the shock as you walk or run. Just be mindful of overcorrecting—can too much arch support cause plantar fasciitis? It’s possible if the support is too rigid or mismatched to your arch type. Cushioning and shock absorption Every step you take sends impact forces through your feet, something you really feel when dealing with plantar fasciitis. That’s where cushioning comes into play. A properly cushioned shoe helps soften the impact on your heel and arch, reducing pain and fatigue. Look for shoes with memory foam, gel padding, or EVA midsoles. These materials mold to your foot shape and provide excellent shock absorption. A shoe with a sole specifically designed to support your foot health will also help deflect shock, preventing it from traveling up your leg and causing further pain, damage, and discomfort.  Shop Orthofeet’s wide variety of insoles for plantar fasciitis to find the right level of support and cushioning for your needs. If you're unsure about sizing, our guide on measuring insoles for shoes can help you get the best fit. The goal is one: keeping your feet comfortable, even after hours on the move. Heel support and stability Your heel is the first point of contact when you walk, meaning it absorbs most of the initial impact. That's why it needs all the support it can get. A firm heel counter (the stiff part at the back of the shoe) helps stabilize your foot and control motion, and this reduces stress on both the heel and the plantar fascia. Your foot knows what to do, it just needs some support to be able to do it effectively. Another important feature in this area is a slightly raised heel. A small lift can take pressure off your arch and promote proper foot alignment. This is why supportive sneakers feel so much better than slipping on a pair of flat sandals. Speaking of which – unsupportive shoes like flip-flops or ballet flats provide zero heel support, and can only make things worse by throwing off your stability, increasing the risk of injury and plantar fasciitis deterioration. Flexibility and toe box space A shoe that’s too stiff can make walking uncomfortable, but one that’s too flexible won’t offer enough support. The sweet spot is a sole that bends at the ball of the foot while still providing some resistance. This allows the foot to move naturally without over-flexing. Toe space is another big factor. A roomy toe box not only ensures your toes aren't cramped, but also allows them to splay naturally, which is key if you want to prevent additional foot pain and problems. On the other hand, tight shoes can create more pressure points, increasing your discomfort and potentially even causing other issues like bunions or corns. If your toes feel squeezed, it's a sign that you may have wide feet. If you frequently need roomier shoes, our guide on wide-width shoes breaks down how to find the best fit for you. Types of shoes best for plantar fasciitis Now, let’s get more specific and talk about the types of shoes that can help you manage or even prevent plantar fasciitis. Athletic shoes for plantar fasciitis If you like to stay active, you’ll want to make sure your shoes work with you, not against you. Wearing the right athletic shoes isn’t just about comfort, it’s also about injury prevention. Running and walking shoes designed for plantar fasciitis offer the perfect combination of arch support, cushioning, and motion control. These features help keep your foot properly aligned while reducing stress on the heel and arch. Here’s what to look for: Arch support to maintain proper foot alignment and reduce pressure on the plantar fascia. Shock absorption to soften impact and prevent heel pain. Deep heel cup to cradle the heel and give you extra stability. Rocker bottom sole to promote smooth motion and reduce fatigue. Firm heel counter for added stability and support. Orthopedic shoes for everyday use Standing for hours can take a serious toll on your feet, especially if you're wearing unsupportive shoes. The right orthopedic shoes will help relieve pain, improve overall foot health, and make everyday activities much more comfortable. Unlike regular shoes, plantar fasciitis footwear is designed with features that help alleviate foot pain while preventing additional strain on your plantar fascia. Here’s what to look for: Extra depth design, leaving room for orthotic insoles or swollen feet. Built-in orthotic insoles to provide arch support and proper weight distribution. Lightweight, breathable materials that reduce foot fatigue, keep feet aerated to prevent infections and odors, and make long hours on your feet more manageable. Adjustable fit, such as hook-and-loop straps or laces, to ensure a secure and personalized fit. Sandals and slippers for plantar fasciitis relief Traditional sandals and slippers may be perfect for those hot days, but they often lack the arch support and cushioning needed for plantar fasciitis relief. Thankfully, there are supportive options designed to keep your feet comfortable both indoors and outdoors. When choosing sandals or slippers for plantar fasciitis, look for: Contoured footbeds that provide arch support and keep the foot properly aligned. Cushioned insoles to absorb shock and reduce heel pain. Rubber outsole to provide excellent traction and stability.  Ergonomic Sole that improves the ease of walking.   Brands like Orthofeet offer plantar fasciitis sandals and slippers for plantar fasciitis that deliver serious relief without compromising comfort. These options provide the same level of support as orthopedic shoes while allowing your feet to breathe and relax. Orthofeet plantar fasciitis shoe collections Orthofeet isn’t just another shoe brand – it’s a solution for stubborn foot pain and a trusted choice for plantar fasciitis shoes. Every pair is engineered with comfort-driven technology designed to tackle plantar fasciitis head on. What makes Orthofeet’s plantar fasciitis shoes unique? It starts with premium orthotic insoles that contour to your arches, reducing strain where it matters most. Then, ergonomic soles step in to cushion impact and support natural movement. Finally, a non-binding fit eliminates pressure points, so your feet feel free and comfortable all day long. The result? A shoe that feels good and works constantly to keep pain away. [product-group-tile] ==========================   [1] Jenette Restivo, medically reviewed by Robert H. Shmerling, MD. Plantar fasciitis: Symptoms, causes, and treatments. Harvard Health Publishing. November 3, 2023. Accessed March 25, 2025.  https://www.health.harvard.edu/pain/plantar-fasciitis-symptoms-causes-and-treatments [2] Emily N Schwartz, John Su. Plantar Fasciitis: A Concise Review. The Permanente Journal. March 1, 2014. Accessed March 25, 2025. https://www.thepermanentejournal.org/doi/10.7812/TPP/13-113 [3] Karl B. Landorf, Michelle R. Kaminski, Shannon E. Munteanu, Gerard V. Zammit, Hylton B. Menz. Activity and Footwear Characteristics in People With and Without Plantar Heel Pain: A Matched Cross-Sectional Observational Study. Wiley Online Library. June 9, 2022. Accessed March 25, 2025. https://onlinelibrary.wiley.com/doi/full/10.1002/msc.1663  

If you’ve ever rolled out of bed, taken those first few steps, and felt a sharp pain in your heel or along the bottom of your foot, you likely have plantar fasciitis – a foot condition that makes mornings, and any first steps after resting, quite a struggle.  Luckily, in most cases, plantar fasciitis is treatable, and various home remedies can accelerate the healing process and provide relief from plantar fasciitis pain. But before we discuss how to treat plantar fasciitis at home, here’s a quick rundown of what causes it and how it develops. The ins and outs of plantar fasciitis The plantar fascia is a thick band of tissue running from your heel to the base of your toes, connecting the heel bone to the base of your toes and supporting the arch. Understanding the tissue's role is crucial in recognizing the underlying cause of plantar fasciitis symptoms. When it gets overstretched, it tends to develop tiny tears that cause discomfort or pain. There are certain factors that can increase your risk of developing plantar fasciitis, such as: Being between 40-60 years old. Wearing shoes that have seen better days. Doing high-impact activities like running, especially without proper footwear. Having flat feet or high arches. An unusual walking pattern or foot posture. Carrying extra weight, which adds to the load your feet bear. Spending hours standing or walking, especially on hard surfaces. If any of these sound familiar, your feet might be more prone to this nagging condition. The upside is, how to treat plantar fasciitis at home is a question with plenty of answers. At-home remedies for heel pain The most common cause of heel pain is plantar fasciitis and while there are no remedies as such, there certainly are ways to alleviate plantar fasciitis heel pain at home. So, what treatment options can you explore at home to relieve plantar fasciitis symptoms? Here are some tips and tricks that will provide relief and help your feet feel better. Stretching and strengthening exercises The answer to 'how to treat plantar fasciitis at home' starts with simple routine exercises that help prevent the tiny tears in the plantar fascia by making this band stronger and more flexible. Strengthening exercises Strengthening not just your foot, but also your hip and thigh muscles, helps provide better support for your arch. This means less strain on your plantar fascia and, ultimately, less pain [1].  Try these simple but effective exercises to strengthen the plantar fascia: 1. Toe Curls Sit down with your feet resting flat on the floor. Place a small towel on the floor in front of you. Use your toes to grip the towel and pull it toward you. Repeat 10-15 times. Why it works: Strengthens the tiny muscles in your foot. Helps your arch stay supported. Reduces stress on the plantar fascia. 2. Marble Pickup Sit comfortably with your feet on the ground. Scatter 10-15 marbles on the floor and place a small container nearby. Use your toes to pick up each marble and drop it into the container. Repeat until all marbles are picked up. *Alternatively, you can use a single marble and repeat this exercise 10–15 times. Why it works: Improves toe flexibility and control. Strengthens foot muscles. Gives your arch extra support. 3. Calf raises Stand with your feet shoulder width apart, using a wall or sturdy surface for balance if needed. Slowly rise onto the balls of your feet, lifting your heels. Hold for 5–10 seconds, then gently lower your heels back down. Repeat 10–15 times. Why it works: Eases tightness in the plantar fascia. Strengthens muscles that support the arch. Improves foot stability. Stretching exercises Just like you stretch your muscles as a warm up before exercising, stretching your plantar fascia first thing in the morning can help prepare it for a day of activity ahead. Stretching helps make the plantar fascia more flexible and loosens it up, preventing or mitigating the microtears that cause you pain. These stretches can also ease general tension in your foot and calf, providing quick relief while gradually improving your plantar fasciitis symptoms over time [2]. Mimic some of the benefits of physical therapy by improving flexibility and mobility at home. 1. Calf stretch Stand facing a wall with your hands pressed against it at shoulder height. Step back with one leg, keeping it straight and your heel on the ground. Bend your front knee and gently push your hips forward. Hold for 15-30 seconds. Repeat 2-3 times. Why it works: Stretches tight calf muscles to ease strain on the plantar fascia. Improves Achilles tendon flexibility. 2. Towel stretch Sit on the floor with your legs extended. Loop a towel around the ball of your affected foot. Hold both ends of the towel and gently pull your foot toward you, keeping your knee straight. Hold for 15-30 seconds. Repeat 2-3 times. Why it works: Helps reduce morning pain and stiffness. Stretches the plantar fascia and Achilles tendon. Improves flexibility in the foot and calf muscles. 3. Toe extension Sit in a straight-backed chair with your feet flat on the floor. Lift one foot and rest it on your opposite thigh. With one hand, grab your toes and gently pull them toward your ankle until you feel a stretch in your foot and heel. Use your other hand to massage the arch of your foot during the stretch. Hold for 10 seconds. Repeat 10 times on each foot. Why it works: Stretches the plantar fascia and Achilles tendon. Helps relieve heel pain. Improves flexibility in the bottom of your foot. Ice and heat therapy for relief When your feet are aching from plantar fasciitis, a little temperature control can go a long way. Cold therapy helps calm inflammation and dull the pain, while heat therapy boosts circulation and preps your muscles for movement. Here’s how to use both effectively: Ice therapy Ice is your best friend when you feel that sharp, nagging heel pain. Cold therapy works by reducing swelling and numbing discomfort, giving you some much-needed relief. Here are two easy methods to try: Roll a frozen water bottle under your foot for 10-15 minutes. Basically, you’re giving yourself a mini ice massage that helps ease tension in the plantar fascia. Apply an ice pack wrapped in a cloth to your heel. Do this for brief moments to keep the area from getting too cold while still soothing inflammation. Warm therapy Heat won’t work as well for active inflammation, but it’s good for loosening up tight muscles and getting blood flowing. Before stretching, try: A warm towel wrapped around your foot to gently relax the muscles. A foot soak in warm water to ease stiffness and prepare your foot for movement. Choosing the best shoes for comfort Not sure where to start? Our guide on how to choose plantar fasciitis shoes will walk you through the most important features to look for, from arch support to heel cushioning. According to Dr. Steven Gershman, DPM, “Shoes serve as the foundation for the body and provide support to the feet.” But if your shoes aren’t up to the task, they can actually contribute to plantar fasciitis.  Poorly designed footwear can lead to overpronation (when the foot rolls inward excessively while walking or running), which stresses the fascia and leads to the tiny tears that cause pain. On the flip side, well-made, supportive plantar fasciitis shoes can help correct the gait and ease the strain, especially when paired with the right insoles for plantar fasciitis. If you’re not sure whether your current footwear is helping or hurting, take a closer look at the question can shoes cause plantar fasciitis to learn how the wrong pair can trigger or worsen symptoms. The problem is that most people don’t even realize their shoes are working against them. In one study, researchers found that a whopping 83.2% of plantar fasciitis sufferers wore shoes that don’t provide the proper support, while only 16.8% had the right footwear for their condition [3]. That means many people could be walking around in pain simply because of their shoe choices. Supportive shoe features for plantar fasciitis Look for these key features to keep your feet supported and comfortable: Arch support Helps distribute pressure evenly and prevents overpronation, reducing stress on the plantar fascia. That said, more isn’t always better—can too much arch support cause plantar fasciitis? In some cases, overly rigid support can create new problems rather than solving them. Cushioned insoles Absorb impact and provide shock absorption from heel to toe. Foam, gel, or carbon layers can add an extra level of comfort.  Deep heel cup Cradles the heel to minimize impact and provide stability. Shock-absorbing soles Help reduce stress on the heel and provide better comfort with every step. Extra depth Allows more room inside the shoe, preventing pressure points and giving you space for custom orthotics if needed. Wide, round toe box Prevents the toes from being squeezed together, improving stability and reducing the risk of bunions and hammertoes.  Ergonomic sole Limits excessive foot movement and eases pressure on the heel with each step. Durable outsole Offers traction and support, ensuring stability on various surfaces. Structured yet flexible upper Stretchable materials like soft leather or mesh fabric provide a comfortable fit while still offering motion control. Seam-free, moisture-wicking lining Ideal for sensitive feet. Keeps feet dry and reduces irritation. Living with plantar fasciitis doesn’t mean you have to put your life on hold: Orthofeet shoes are designed to keep you moving comfortably. Explore our collection of plantar fasciitis shoes with built-in arch support, superior cushioning, and ergonomic soles, they help reduce foot pain and provide all-day comfort, so you can stay active without the constant discomfort. How to modify daily activities to reduce pain Dealing with plantar fasciitis doesn’t mean you have to stop moving, it just means making a few smart adjustments to avoid unnecessary strain on your feet.  Here are some easy ways to keep discomfort at bay: Give your feet a break If you’re on your feet all day, try to cut back on the amount of time you stand or walk on hard surfaces. Even small changes, like sitting when possible or switching up your routine, can make a difference. Ditch the barefoot habit Walking around barefoot on hard floors might feel natural, but it’s tough on your plantar fascia. Instead, wear supportive shoes like our plantar fasciitis sandals or slippers for plantar fasciitis to keep your foot and ankle cushioned, supported and comfortable. Ensuring your shoes provide adequate arch support and cushioning is a crucial part of treating plantar fasciitis. Stay active without the pain High impact activities like running or jumping can aggravate plantar fasciitis, but that doesn’t mean you have to stop exercising. Low impact options like swimming, cycling, or even yoga can keep you moving while your feet heal. Support your stride The way you walk affects how much strain your feet endure. Supportive insoles or inserts can help improve your gait, correct posture, and take pressure off your plantar fascia, making every step feel a little easier. When to seek professional help If you’ve tried everything and are still dealing with foot pain, it might be time to visit a doctor, podiatrist, or schedule a visit at a specialized foot clinic for a more thorough diagnosis and care plan. While the home treatments we’ve suggested can work wonders, some signs shouldn't be ignored, including: Pain that’s getting worse instead of improving, or pain that stops you from going about your daily routine. Swelling, redness, or numbness in your foot, which could indicate there’s something more serious going on. No relief after weeks of stretching, icing, and wearing supportive shoes. If nothing's working, a specialist can help you find the right medical treatment. In more severe cases, your podiatrist may also discuss medical interventions such as injections or, rarely, surgery to relieve chronic plantar fasciitis pain. Ignoring persistent pain can lead to bigger problems, so if your feet are still giving you trouble, don’t tough it out! Step into relief: your path to pain-free feet This might surprise you, but taking care of your feet can really turn things around. A few simple changes, like wearing supportive shoes, stretching regularly, and avoiding barefoot walking, can make all the difference in keeping discomfort away. And if you’re looking for long-term relief, the right footwear is key. Orthofeet’s comfortable, supportive shoes are designed to reduce strain, absorb impact, and free up your time to focus on your daily life instead of worrying about your feet. Because when your feet feel good, everything else feels better too.  [product-group-tile]=================================== [1] Matt McMillen, medically reviewed by Carmelita Swiner, MD. Plantar Fasciitis Exercises. WebMD. March 2, 2023. Accessed March 26, 2025. https://www.webmd.com/pain-management/plantar-fasciitis-best-exercises-pain-relief [2] Zawn Villines, medically reviewed by Adam Hotchkiss, DPM. Best Stretches and Exercises for Plantar Fasciitis. Medical News Today. June 25, 2024. Accessed March 26, 2025. https://www.medicalnewstoday.com/articles/324353 [3] Umar Haddaya, Idrees Wajeeha, Umar Wardah, Khalil Anish, Rizvi Zuhair A. Impact of Routine Footwear on Foot Health: A Study on Plantar Fasciitis. Journal of Family Medicine and Primary Care. July 2022. Accessed March 23, 2025. https://journals.lww.com/jfmpc/fulltext/2022/07000/impact_of_routine_footwear_on_foot_health__a_study.74.aspx

 Discover top-rated pickleball shoes for plantar fasciitis that provide support and cushioning. Play your best game while staying pain-free!  

Discover the key differences between pickleball and tennis shoes. Find out why specific features matter for your comfort and performance.  

If you’ve caught the popular racket sport bug and are wondering what shoes to wear for pickleball, you’ve come to the right place! Read on to learn everything you need to know about choosing the right pickleball shoes and get answers to all the most frequently asked questions.   Why proper footwear is crucial and what shoes to wear to play pickleball  Before we discuss what shoes to wear for pickleball, let’s quickly describe the game itself. Pickleball may seem like a casual pastime, but it’s a physically demanding sport that involves very unique elements, such as quick reflexes, agility, and constant movement. When you play pickleball, you change directions very quickly, you often stop suddenly, and you move laterally - all of which puts immense stress on your feet, ankles, and knees. Because of this, proper footwear isn’t just a recommendation - it’s a necessity for both performance and injury prevention. Understanding the benefits of pickleball shoes can help you make the right choice to enhance performance and prevent injuries. Unlike running or casual tennis shoes, pickleball shoes provide the traction, support, and stability you need to stay comfortable and injury-free while playing. To understand the difference between pickleball shoes and tennis shoes, it’s important to look at their specific design features. The risks of improper footwear Playing pickleball with regular shoes or even tennis shoes can cause a few problems: Discomfort and pain Shoes that aren’t made for pickleball often don’t have enough cushioning to absorb impact properly, so your feet might feel sore after the game. Impaired performance If your shoes don’t provide good stability, it can make it harder for you to maintain balance during quick moves, which can mess with your game. Injury risks Some of the most common pickleball injuries are ankle sprains, plantar fasciitis (when the plantar fascia - a thick tissue connecting your heel to your toes - becomes inflamed), and muscle strains. If you struggle with foot pain, choosing the right pickleball shoes for plantar fasciitis can help reduce discomfort and improve performance. Wearing shoes that don’t support your feet properly while you play can make these injuries more likely.  For example, if your shoes lack stability, your foot might excessively roll inward (overpronation) or outward (oversupination) during sudden moves [1][2]. This throws off your body’s alignment and changes your gait, putting extra strain on your joints and back. What shoes do you wear for pickleball? The role of footwear in injury prevention  If you’re wondering what shoes to wear for pickleball, know that pickleball’s rising popularity, particularly among players aged 35 and older, has led to an increase in injuries. Emergency department data shows that muscle strains, joint sprains, and fractures are the most common. Interestingly, men are more likely to suffer strains and sprains, while women experience more fractures [3]. Pickleball’s rising popularity has also prompted shoe manufacturers to develop footwear with advanced features, such as reinforced rubber outsoles for durability, orthopedic insoles, and a wide range of sizes to accommodate different foot shapes. The best pickleball shoe can lower the risk of injuries by providing the necessary support, stability, and cushioning to handle and mitigate the physical demands of the sport. It’s also important that shoes don’t require a breaking-in period, as this reduces the chance of blisters and ensures comfort right from the start [4]. Indoor vs. outdoor pickleball shoes Another factor that affects the answer to 'what shoes to wear for pickleball' is the type of court surface you'll be playing on.  Similar to basketball shoes, indoor pickleball courts, often made of hardwood or other smooth materials, require non-marking shoes with a good grip to prevent slipping. A non-marking rubber sole also ensures the court surface remains scuff-free, which is particularly important for maintaining the integrity of indoor courts [4]. Outdoor courts, typically asphalt or concrete, demand proper court shoes with durable outsoles to that can handle rougher surfaces while still providing stability and cushioning. Outdoor pickleball shoes share similarities with tennis court shoes but are specifically designed to handle quick lateral movements and rougher surfaces. Still, some pickleball shoes are specifically made for both court types. What shoes to wear for pickleball? Features to look for  Cushioning and arch support Pickleball’s quick movements and repetitive actions, like jumping and sudden stops, put immense strain on your feet and joints. That’s why cushioning and arch support are must-haves in your pickleball shoes. Shoes with proper insoles and arch support can help distribute weight evenly, minimizing fatigue and protecting your joints. Finding the right footwear is essential for comfort and performance, and whether you're looking for pickleball shoes for men or women's pickleball shoes, choosing a pair with proper arch support, cushioning, and traction can significantly improve your game and reduce injury risks. Cushioning The right amount of cushioning means that impact is absorbed with each step, jump, or lateral movement. This helps protect your joints and minimize the risk of injuries caused by overuse, and also keeps your feet, legs and back feeling comfortable, even after hours on the court [2]. Arch support Good arch support prevents foot fatigue by keeping your feet, legs, and back properly aligned. By reducing the strain on your feet, joints and back, this alignment minimizes the risk of discomfort or injury, and is especially important during long matches [1][2]. Orthofeet pickleball shoes are designed with the needs of players in mind. Among other design elements that keep your feet healthy and comfortable, they are constructed with advanced cushioning to absorb shock and reduce impact, and an ergonomic arch support that promotes alignment and comfort. Non-marking outsoles for indoor courts Shoes with non-marking outsoles, usually made from rubber, are essential when you play pickleball on indoor courts, as they have two main jobs: As their name suggests, non-marking outsoles are designed with minimal to no tread design to prevent scuffs and marks on polished indoor court surfaces, keeping the playing area clean and undamaged. Unlike the traditional marking soles that tend to leave streaks or scratches, these soles are made from softer materials that keep courts intact. Traction is another important benefit of non-marking outsoles. The smooth indoor pickleball courts can be slippery, and although these soles have minimal or flat textures, they are made from materials to help players maintain their footing during those familiar pickleball quick lateral movements, sudden stops, and directional changes. Outsoles with herringbone or hexagonal patterns can give you the best traction, and offer good grip and stability. This stability does two things: it enhances performance and minimizes the risk of slipping and injury. Not sure what sole your pickleball shoe has? You can easily check it by simply pressing the sole against a piece of white paper. If it doesn’t leave a mark, it’s likely non-marking and suitable for indoor play. Durability for outdoor courts For players who usually play on outdoor courts, features like durable outsoles and uppers are important. Outdoor courts are often made of tougher materials and are exposed to all types of weather conditions, both of which contribute to the wear and tear of shoes.  To withstand the harsh court conditions, your shoe should be built with durable materials that can handle the stress of frequent use without compromising performance [4]. Wide range of sizes for all players Finding the right fit is crucial for comfort and injury prevention. Pickleball shoes are available in a variety of sizes and widths to accommodate different foot shapes, ensuring a snug fit without pinching or sliding. Orthofeet offers an extensive range of wide-width comfortable shoes, including options for players with wide or narrow feet. Breathable materials for comfort Breathable materials are the stuff that makes your feet comfortable during intense pickleball games. By allowing air to flow through the shoes, these materials help prevent moisture buildup and keep your feet cool and dry.  In addition, reducing moisture not only helps you avoid discomfort but also minimizes the risk of developing blisters and other skin irritations during your game [4]. Lightweight design for agility In fast-paced games like pickleball, you need both agility and speed. A lightweight shoe doesn't hinder quick movement, allowing players to react quickly to the ball and shift directions without added effort.  Shoes that don’t weigh you down allow you to cut laterally faster and quickly start and stop, both of which can give you the edge on the court [4]. Stability features for injury prevention Your pickleball court shoe should give you a stable base to counteract the typical quick side-to-side movements. Stability is provided by design factors like sole hardness, thickness, and torsional stiffness to support your foot when you make sudden stops or make lateral cuts [1].  Shoes with additional stability features, such as a wider base, ankle support, or reinforced heel, can help prevent injuries by improving your balance and reducing the risk you’ll suffer from ankle twists or falls [4]. Orthofeet pickleball shoes: designed for comfort and performance Orthofeet pickleball shoes are designed to meet the specific needs of players, combining comfort and performance in a way that supports both active pickleball play and foot health. Our shoes feature advanced cushioning and ergonomic soles that help absorb shock during fast movements, keeping your feet comfortable and healthy throughout the game. For pickleball players with foot conditions like plantar fasciitis or bunions, our shoes offer tailored arch support and insoles that help keep your feet properly aligned, reducing strain and discomfort. The shoes also have wide toe boxes, offering more room for your toes to move freely without restricting your forefoot. Our pickleball shoes are also designed with breathable, stretchable uppers that adjust themselves to the unique shape of your foot, and ensure that your feet are constantly aerated.  For extra convenience, at Orthofeet some of our footwear includes hands-free slip-on technology, making it unbelievably easy to put on and take off your shoes without bending down or messing with laces, which is helpful for anyone, but especially for anyone dealing with mobility issues. FAQ’s about what shoes to wear for pickleball What makes pickleball shoes different from regular sneakers? Pickleball shoes are specifically designed for those typical lateral movements, quick starts, and sudden stops. A typical sneaker or athletic shoe usually has thicker soles and is designed to support your foot as it moves forward. On the other hand, pickleball shoes focus on supporting all variety of movements: forward, sideways and backwards, and are typically lower to keep you closer to the ground and help you move faster. Can I wear running shoes for pickleball? Wearing running shoes for pickleball is not a good idea. Running shoes are designed for forward movement, which is why their cushioning is mainly in the forefoot and heel to absorb the shocks caused by running. Although in some cases you may be supported and comfortable enough playing in a tennis court shoe, pickleball involves quick side-to-side movements that a running shoe isn't designed to handle.  Running shoes may lack the necessary stability and lateral support, which could increase your risk of ankle twists or other injuries. For optimal performance and safety, it's best to wear shoes specifically made for pickleball. Are Orthofeet shoes suitable for players with foot pain or conditions? Yes, Orthofeet shoes are designed with foot conditions like plantar fasciitis, bunions, and flat feet in mind. Our shoes offer customizable arch support, quality cushioning, and ergonomic soles, providing the support any player with foot pain needs. All our shoes also feature wide toe boxes for a non-binding fit, and a variety of widths - from Medium to Extra and even Extra Extra Wide. What is the difference between indoor and outdoor pickleball shoes? Indoor pickleball shoes are typically made with a softer, non-marking sole designed to provide good traction on the smooth indoor surfaces without leaving any scuffs on the court. Outdoor pickleball sneakers tend to have tougher, more durable outsoles that can withstand the rougher outdoor court surfaces and the effect of various weather conditions. Why do my feet hurt after each pickleball game? There could be many causes of foot pain after pickleball, like ill-fitting shoes, inadequate arch support and cushioning, or overuse, among other things. The quick movements and sudden stops that are typical to the game put a lot of stress on your feet, especially if you're wearing shoes that don't provide the specific support your feet need as you play.  If you experience foot pain after every game, first make sure your shoes are designed specifically for the sport or for your foot condition, if you have one. If they are, contact your healthcare provider. Why do I feel pain in my foot arch area after I play pickleball? Pain in the arch (and heel) area after playing pickleball is typically related to plantar fasciitis - a condition in which the thick ligament that runs along the bottom of your foot, AKA plantar fascia, becomes inflamed. The quick, sharp movements of pickleball can stress the arches, especially if you don't have proper arch support or cushioning in your shoes. So, it's common sense that choosing shoes with arch support and proper fit can help alleviate this pain over time. How do I know if my pickleball shoes fit properly? Proper fit is always important no matter what shoe you wear, as it has a direct effect on your comfort and injury prevention. When you try on pickleball shoes, make sure there’s about a thumb’s width of space between your longest toe and the shoe’s end. The best pickleball shoe should feel snug around the heel and arch but not tight, and your foot should not slide around inside it. Can I use the same shoes for both tennis and pickleball? While there are many similarities between a tennis shoe and pickleball shoes, there are also differences. Pickleball shoes tend to offer extra support for those lateral movements and quick starts and stops. Tennis shoes may not provide the same level of stability for the specific demands of pickleball, and their soles tend to be thicker. How often should I replace my pickleball shoes? Generally, you should replace your shoes as soon as you notice that cushioning or support has decreased, or if the outsole starts to wear down. If you are a regular pickleball player, you may need to replace your shoes more often, as the lifespan of your pickleball shoes depends on how often you play and the condition of your regular court. What features should I look for in pickleball shoes if I have wide or narrow feet? If you have wide feet or a narrow foot, it’s best to find a brand that offers wider and narrower than usual widths, spacious toe boxes and flexible uppers - all of which provide a non-constricting fit. Why do my shoes wear out so quickly when I play pickleball outdoors? Playing on outdoor pickleball courts can cause even the best shoe to wear out faster than when used indoors. The high friction and exposure to the elements put more stress on the shoes, especially the outsoles. It’s best to get durable shoes designed for outdoor play with thicker, more robust treads that help them last longer.===================================== [1] Richard T. Bouché. Athletic Footwear and Orthoses in Sports Medicine. Research Gate. May 2017. Accessed January 20, 2025. https://www.researchgate.net/publication/318132845 [2] Vidit Atul Phanse, Mansi Mohite, Madhushree Donde. The Importance of Exercises in Pickleball Players to Reduce the Risk of Injuries. Research Gate. January 2023. Accessed January 20, 2025.  https://www.researchgate.net/publication/383949749 [3] Frederick M. Azar, Joseph D. Lamplot, David L. Bernholt, David D. Spence. Pickleball: A Standard Review of Injury Prevalence and Prevention in a Rapidly Growing Sport. PubMed. July 26, 2024. Accessed January 20, 2025. https://pubmed.ncbi.nlm.nih.gov/39079099/ [4] Sydney Steinaker. From the Local Court to the Pro Circuit, An Insider's Guide to Everyone's Favorite Sport. 18 April, 2023 Accessed January 20, 2025.https://books.google.co.il/books?id=q1abEAAAQBAJ&dq  

Discover the benefits of pickleball shoes for enhanced comfort and support. Learn how the right footwear can improve your game and reduce injury risks.  

Should you keep running with plantar fasciitis? Discover essential tips to maximize comfort and minimize pain with our expert advice.

Find out if plantar fasciitis can completely go away and how choosing the right footwear can significantly accelerate the healing process and prevent recurrence.

Learn if walking is beneficial for plantar fasciitis and discover the importance of proper footwear in reducing pain while enhancing walking comfort.

Explore whether compression socks work for plantar fasciitis and how they can assist in reducing pain and enhancing foot support.

Plantar fasciitis is often described as "a real pain in the foot." Many patients report that this condition significantly disrupts their daily activities, making it difficult to stand, walk, run, and work. Questions like "does plantar fasciitis cause leg pain, knee pain, or ankle pain?" are common, as the sharp and severe pain can radiate and affect other parts of the lower body. The impact of what might initially seem like simple foot pain can indeed be life-altering. To address these challenges, choosing the right supportive plantar fasciitis shoe can make a significant difference in managing symptoms and enhancing mobility. For those looking to manage their condition actively, incorporating plantar fasciitis exercises can be particularly beneficial. Leg pain and plantar fasciitis So, can plantar fasciitis cause leg pain? The answer is a definite YES.  In addition to foot pain, there can be pain radiating up the leg. This can occur directly from nerve pain at the calcaneus branches, which can radiate back up the nerve tract in the leg, causing ankle and calf pain. Another cause of leg pain is when there is pain on the foot and in particular at the heel, people often change their stance and gait to avoid the painful area. This alters normal lower extremity mechanics, which can lead to overuse injuries or pain to the muscles and tendons in the lower leg, and sometimes in the upper leg, hip and back. Learning how to prevent plantar fasciitis can also mitigate these related issues.   So, treatment for plantar fasciitis can affect more than just the foot. What is plantar fasciitis? Well, the story starts with discussing the culprit: the plantar fascia is a thick, web-like ligament on the bottom of the foot.  The plantar fascia lies just under the skin and in most people it can be easily seen and felt by pulling the toes up. This causes the fascia to tighten and stick out to be easily visualized and palpated, especially in the arch area. It feels like a tight band there. Anatomically, the plantar fascia connects from the calcaneus (the heel bone) to the base of the toes, which means it stretches almost the full length of the foot.  Like a ligament, it connects bone to bone, but structurally it is closer to a tendon with limited blood and nerve supply. These characteristics are part of the reason it is often slow to heal from injury.  The plantar fascia is made of collagen-based connective tissue and as it stretches out in a wide band, it is properly called an Aponeurosis. Functionally, the fascia acts like a tie-rod to hold the foot together as it connects the toes to the heel.  When the arch is at maximal height, the fascia is shorter as the foot is shorter. As a person stands and the arch drops, the foot lengthens and stretches, elongating and tightening the fascia.  In the gait cycle when walking or running, as a person pushes off, the toes flex back, which causes the fascia to tighten and raises the arch to stabilize the foot for propulsion. This is called the windlass mechanism. Dysfunction in this action is one of the causes of plantar fasciitis, as will be discussed later in this blog. Symptoms of plantar fasciitis Plantar fasciitis is pain anywhere on the fascia, including the most common bottom of the heel pain.  The most prevalent scenario is pain when first standing and then it often temporarily improves after moving around, only to get worse as there is continued activity. Often, the more time on the feet, the worse the pain. Monitoring the signs plantar fasciitis is healing can help patients manage expectations and track progress. It is not truly an inflammation as much as actual micro trauma damage to the fascia with some structural breakdown, due to being overworked or stressed.  There can also be periostitis of the heel bone - inflammation of the periosteum, the coating over the bone. As the fascia connects to the periosteum, it becomes all involved and is called plantar fasciitis. In all my years of treating heel pain, this is more common than pain further up the fascia in the arch. Another type of pain in the bottom of the foot can involve neuritis or nerve pain, as the heel has several nerve branches passing along and under it. If these nerves are irritated, there can be a burning pain radiating around the heel and often pain up the leg.  Often, neuritis occurs together with fasciitis, causing foot and leg pain. As we age, the fat pad on the bottom of the heel thins out, which can lead to periostitis from direct trauma to the bone or periosteum, and/or neuritis from the nerve under the heel being compressed between the bone and the floor. What causes plantar fasciitis? There are multiple causes of this syndrome. Often, in a patient there is more than one cause. Dysfunction in the windlass mechanism mentioned above is a major cause. The fascia is overworked and stretched when the mechanism malfunctions, which leads to micro tears, structural damage and pain. A major cause of the windlass mechanism malfunctioning is dysfunction of the big toe joint to the foot. If the big toe can’t flex properly, the windlass mechanism will not work correctly and this can damage the fascia. Big toe joint dysfunction can occur from actual damage to the joint from arthritis or from over pronation, where the arch flattens on stance, jamming the joint. Other causes of plantar fasciitis are weight gain, which puts physical stress on the foot. The fascia being a tie-rod stabilizing the foot will be overworked by excess weight, as it works harder to handle the increased physical force. As mentioned above, fat pad atrophy with age can also cause pain in the heel at the fascia insertion on the heel. Simple over pronation, where the arch drops, causes lengthening of the foot, which puts a stretch force on the fascia as it attempts to hold the foot together. This over works the fascia, causing micro trauma and pain. This issue can be exacerbated by poor shoes or soft worn out shoes, as pronation is often worse with soft or poor shoes. Heel spur vs. plantar fasciitis At this point, I also want to discuss heel spur syndrome, as it is often confused with plantar fasciitis, especially when you're experiencing chronic heel pain. Understanding the key differences between plantar fasciitis vs heel spurs is crucial for effective treatment. As the fascia connects to the bottom of the heel there can be fascia pain directly at the insertion point on the heel. This can also cause heel bone periostitis, as the fascia connects to the periosteum.  There is often a heel spur that develops on the tubercle on the bottom of the heel bone, where the fascia inserts. The spur usually has little to do with the pain. In fact, on x-ray, the foot with no pain had a bigger spur than the painful foot.  I tell my patients the spur is often more of a barometer measuring stresses on the foot, but not actually the cause of the symptoms. This means we don’t treat the spur itself and don’t need to remove it to minimize pain. How to treat plantar fasciitis  Shoes and Orthotics With almost no exceptions I ALWAYS start with SHOES for plantar fasciitis treatment. We ask patients to bring in most of their shoes for their initial visit, and anytime thereafter when they experience plantar heel pain or sharp pain associated with this condition. As noted above, shoes can be a major cause of fasciitis and other foot pain. If the shoes are worn out or improper, I start treatment by having them purchase new and more appropriate shoes, such as men's plantar fasciitis shoes or plantar fasciitis shoes for women. The shoes need to fit correctly, as I often find patients wear shoes too short or too tight. This can affect the big toe joint function, which damages the fascia, as can over pronation from poor shoes. I have seen many patients improve in 2 to 3 weeks from just purchasing new, more appropriate shoes that fit well.   Each patient is different, so I can’t recommend a blanket one style of shoe, but in general, A solid heel counter to control motion. Have a solid outer sole. Have some motion control features.   Many patients need extra depth and width for unrestricted toe movement and a pressure free environment. Good orthopedic footwear brands biomedically design plantar fasciitis shoes that help alleviate strain on the plantar fascia.  Featuring ergonomic soles, such shoes reduce impacts on the heel and provide soft, protective cushioning.  Insoles and Orthotics The next step in the treatment usually involves some type of plantar fasciitis insole or orthotic.  Since many patient’s main symptom is heel pain, the insert should cup and cushion the heel and support the arch. In general, a well-made insole will reduce pronation and help improve big toe joint function, while cushioning the heel.  This is the starting point in my office for most of these patients. In my practice, I use non custom orthotics as my first line of treatment along with shoes.  The insoles I use have a gel heel pad in the heel cup, an anatomical arch support and tends to mold to the specific shape of the foot over time. They are very comfortable from the moment they are inserted in the shoes, which patients really appreciate and will actually wear them as a result.  Additional Treatments if Initial Steps Fail Another treatment option is corticosteroid (cortisone) injections, which may require two to three sessions. I typically wait until the patient has the proper shoes and inserts before administering this treatment, as the success rate is higher when used in conjunction with proper footwear. If the above treatments fail, the next step may involve the patient wearing an immobilizing boot 24 hours a day for a few weeks. The insole is also inserted in the boot to increase effectiveness. Although a night splint is not very beneficial, wearing a walking boot at night can have a powerful impact. Finally, if all other treatment options do not work, shock wave treatment may prove beneficial, or surgery as a last resort. It is important to note that surgery might improve symptoms initially but can destabilize the foot in the long run, often leading to new pain later. In summary, plantar fasciitis is very common. If you develop pain on the bottom of the foot, the sooner you seek out medical help, such as a podiatrist, the sooner you will improve. Waiting longer just causes more pain and is more complicated to treat, as well as slower.