When your first step in the morning hurts -- understanding heel pain
On the bottom of your foot, a tough band of tissue called the plantar fascia runs from the heel to the base of the toes.
When this band is overloaded repeatedly and becomes painful, it is called plantar fasciitis. Despite the "-itis" in the name, the main problem is thought to be microscopic damage and degeneration of the fascia rather than strong inflammation.
The most common symptom is sharp heel pain with the first step in the morning.
Running and prolonged standing put ongoing stress on the sole of the foot
Small amounts of damage accumulate over time from repeated strain
The fascia is damaged particularly near the inner side of the heel, where pain appears
The fascia tightens during sleep, and putting weight on it suddenly stretches it and causes pain
Shockwave therapy: cost and risks
In Japan, public health insurance covers "extracorporeal shockwave pain therapy" only when a focused device is used for refractory plantar fasciitis (cases that have not improved after six months or more of conservative treatment). Our clinic uses a radial device, so we provide it as self-pay (non-insured) care at 3,000 yen (tax included) per session. Temporary pain, redness, swelling, or bruising may occur at the treated area.
With consistent stretching, insoles, and other conservative measures, most people get better. However, if left untreated for too long, the condition can become chronic, so early attention is important.