Plantar Fasciitis is caused from irritation to the fascia on the bottom of the foot. The plantar fascia is a thick covering of tissue that supports the arch of the foot. When it is overused, it pulls on it’s attachment point located on the bottom of the heel and causes pain. This is most commonly seen in runners but can become a problem in anyone. Our treatment plan is to reduce scar tissue in the muscles located in the foot and calf. If a patient is not responding to care, then a custom orthotic (a shoe insert) will be considered. This will support the foot and reduce the pull on the plantar fascia. The ultimate goal is for the patient to not use an orthotic and to strengthen the foot through exercises and barefoot activities.