They start out with a 50 pound bag of mail and it s hard on their feet. They just walk around and deliver mail all day. But anybody who is on their feet a lot, walking, carrying extra weight, and the pain is usually in the sort of medial aspect of the bottom of the calcaneus. It s not dead center, because that s not where the When you examine you can put a stress on the plantar fascia either by pushing on the forefoot up, or just putting your thumb right into this area of the insertion. It will usually be tender.
Treatment generally involves antiinflammatory drugs which often work quite well.
Sometimes just modifying the shoes a little bit, getting some inserts. You can buy them in a drug store or sporting goods store. Corticosteroid injections can be useful. I don t like to do them repeatedly, again because this structure has a tremendous amount of stress on it. So I ll do it once, maybe twice.