Some people have these symptoms for months before they see a doctor. Certain conditions may aggravate this heel pain. The heel pain is caused by inflammation of the plantar fascia. This fascia attaches to the heel, and occasionally a bone spur is seen on x-ray. This bone spur is only associated with the inflammation and is not the cause of the pain.
Treatment is directed to decreasing the inflammation and protecting the heel.
Night splinting 4. Appropriate shoes with supportive heels and soft soles 7. Very rarely will a cortisone injection or surgery be necessary. Plantar fasciitis is like bursitis of the shoulder, and it may take up to one year to resolve. Like bursitis, it may flair up from time to time, requiring treatment.