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Heel Pain & Plantar Fasciitis

Assessment, Advice & Foot Care Support

Professional foot assessment and guidance for heel pain at our clinic in Vaasa. We help you understand, manage, and find the right care for your heel pain.

What Is Plantar Fasciitis?

Plantar fasciitis is the most common cause of heel pain. It occurs when the plantar fascia — a thick band of tissue running along the bottom of the foot connecting the heel bone to the toes — becomes inflamed or develops small tears due to overuse or strain.

The condition causes a sharp, stabbing pain in the heel, most noticeably with the first steps in the morning or after long periods of sitting. It affects approximately one in ten people at some point in their lives and is particularly common among runners, people who are overweight, and those who wear unsupportive shoes.

Common Symptoms

Typical Signs

  • Sharp pain in the bottom of the heel
  • Pain is worst with the first steps in the morning
  • Pain after (not during) exercise or activity
  • Stiffness and aching in the arch of the foot
  • Pain that worsens after long periods of standing

When It Gets Worse

  • Getting up after sitting for a long time
  • Climbing stairs
  • Walking barefoot on hard surfaces
  • Standing for extended periods at work
  • Wearing flat, unsupportive shoes

Common Causes

  • Overuse or sudden increase in activity — starting a new exercise routine, increasing running distance too quickly
  • Prolonged standing — jobs that require standing on hard surfaces all day
  • Poor footwear — flat shoes, worn-out shoes, or lack of arch support
  • Excess weight — increases strain on the plantar fascia
  • Foot mechanics — flat feet, high arches, or abnormal walking patterns
  • Tight calf muscles — reduce ankle flexibility and increase stress on the heel
  • Age — most common between ages 40 and 60

How We Can Help

As foot care specialists, we play an important supporting role in managing heel pain. While plantar fasciitis is a medical condition that may require treatment from a doctor or physiotherapist, our expertise in foot health allows us to help in several practical ways:

What we offer:

  • Thorough foot assessment to understand your foot type, gait, and pressure points
  • Footwear evaluation and recommendations for supportive shoes
  • Advice on over-the-counter insoles and orthotic supports
  • Treatment of related foot problems — calluses on the heel, dry skin, and pressure areas that develop due to altered walking patterns
  • Referral guidance — we can advise when it is time to see a doctor or physiotherapist
Important to know: A jalkahoitaja (foot care specialist) assesses and advises on heel pain but does not provide medical diagnosis or treatment such as cortisone injections, custom orthotics, or physiotherapy. We work alongside your healthcare team to support your overall foot health.

Self-Care Tips for Heel Pain

Stretching exercises

  • Calf stretches against a wall — hold for 30 seconds, repeat 3 times, twice daily
  • Towel stretch — loop a towel around the ball of your foot and gently pull towards you
  • Roll a frozen water bottle or tennis ball under your foot for 5 minutes
  • Toe curls — scrunch a towel with your toes to strengthen foot muscles

Pain management

  • Apply ice to the heel for 15–20 minutes after activity
  • Rest — reduce activities that make the pain worse
  • Over-the-counter anti-inflammatory medication as recommended by your doctor
  • Avoid walking barefoot, especially on hard surfaces

Footwear and support

  • Wear shoes with good arch support and cushioned soles
  • Consider heel cups or over-the-counter insoles for extra support
  • Replace worn-out shoes — running shoes should be replaced every 700–800 km
  • Avoid flat shoes, ballet pumps, and walking in socks on hard floors
  • Wear supportive slippers at home instead of going barefoot

What to avoid

  • Do not push through severe pain — rest is essential for healing
  • Avoid high-impact activities (running, jumping) until pain improves
  • Do not ignore persistent heel pain — early treatment leads to faster recovery
  • Avoid walking long distances in unsupportive shoes

When to See a Doctor

Seek medical attention if:

  • Heel pain persists for more than 2–3 weeks despite self-care
  • The pain is severe and prevents you from walking normally
  • You have heel pain along with numbness or tingling in the foot
  • The heel is swollen, red, or warm to touch
  • You have diabetes — heel pain needs careful medical evaluation
  • The pain started after an injury or fall
  • You have pain in both heels or other joints (could indicate a systemic condition)
Good to know: Most cases of plantar fasciitis resolve within 6–12 months with consistent self-care. Starting stretching exercises and wearing supportive footwear early gives the best results. If conservative treatment does not help, your doctor may recommend physiotherapy, custom orthotics, or other medical interventions.

Frequently Asked Questions

A heel spur is a bony growth on the underside of the heel bone, while plantar fasciitis is inflammation of the tissue band. Many people with heel spurs have no pain, and most people with plantar fasciitis do not have heel spurs. The treatment is similar for both conditions.

With consistent stretching, supportive footwear, and rest, most cases improve within 2–3 months and resolve fully within 6–12 months. Early intervention leads to faster recovery — do not wait to start self-care.

A jalkahoitaja does not treat plantar fasciitis medically, but we provide valuable support: foot assessment, footwear advice, management of related foot problems (calluses, pressure areas), and guidance on when to seek medical help. We work alongside your doctor and physiotherapist.

Yes, supportive insoles can help distribute pressure and support the arch. Over-the-counter insoles work well for many people. If these do not help, your doctor may refer you for custom orthotics made by a podiatrist or orthotist. We can advise on suitable over-the-counter options.

You should avoid high-impact activities like running and jumping until the pain improves. Low-impact exercises such as swimming, cycling, and yoga are usually fine and help maintain fitness while the fascia heals. Always wear supportive shoes during any activity.

During sleep, the plantar fascia tightens and contracts. When you take your first steps, the sudden stretching of the tight tissue causes sharp pain. This is why morning stretching before getting out of bed can be very helpful — gently flex your feet and stretch your calves before standing.

Suffering from heel pain?

Book a foot assessment and let us help you find the right path to relief. We evaluate your feet, advise on footwear and supports, and guide you to the right specialist if needed.

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