Marissa D. Jamieson, Foot and Ankle Specialist, Instagram   Appointments:

Cherry Creek (720) 516-9445


Plantar Fasciitis

  • The plantar fascia is a thick band of tissue that runs on the bottom of the foot from the heel to the base of the toes.  This connective tissue helps support the arch of the foot. Micro-tearing of the plantar fascia can lead to pain and inflammation associated with plantar fasciitis.
  • Plantar fasciitis is the most common cause of heel pain. Pain is often worse in the morning or after a period of rest.
  • Pain will typically resolve even without treatment in 6 months- 1 year, but we have treatment options to speed up the recovery.

Treatment Options

Non-Invasive (6 months to 1 year)

  • Relative rest (possibly boot immobilization depending on symptoms) and activity modification
  • Heel cups and over-the-counter cushioned arch supports
  • Aggressive stretching and a home exercise program
  • Formal physical therapy
  • Night splints
  • Anti-inflammatories (NSAIDs) both oral and topical 

Minimally Invasive

In certain cases, a one-time injection of cortisone or PRP (platelet-rich plasma) may be a treatment option.

Shockwave Therapy

This is high-intensity ultrasound applied to your plantar fascia over a 3-week period that stimulates a healing response and breaks up scar tissue. Unfortunately, this is typically not covered under insurance and can cost $300-$500.


Tenex is a minimally invasive surgery involving ultrasonic needles that oscillate at a high frequency and removes scar tissue but leave normal tissue intact.

Open Procedures

Lastly, open surgical treatment involves a partial release of the plantar fascia with the removal of associated heel bone spurs. This is rare and only done as a last resort.


After surgery or a Tenex procedure, you are immobilized in a boot for 2 weeks and then transitioned into supportive shoes. You can typically return to most normal activities in 6 weeks.

Plantar Fasciitis Exercises

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