Dakota Foot & Ankle Clinic Blog

Posts for tag: plantar fasciitis

How to help treat your plantar fasciitis.

There are a few things that you can do at home to help relieve your
•	Get a pair of good, supportive shoes.
•	Avoid walking around without shoes on.  If you walk around without 
shoes it is putting more stress on the ligament and causing pain.
•	Icing your heel a couple times a day can reduce the inflammation.
•	Limit the time you are on your feet and if you are on your feet for 
long periods of time try to take breaks to give your heels some rest.
•	Take an anti-inflammatory drug (ibuprofen) to help reduce the 
inflammation. Make sure you don't take anti-inflammatory medications if you have been advised not to take them in the past. 
•	If you are overweight, losing weight will help reduce the stress on 
your feet.
If these steps aren’t helping and you still have pain make an appointment with a podiatrist who can offer some more help such as:
•	Fitting you with a night splint to help you keep the plantar fascia 
stretched while sleeping.
•	Recommending physical therapy.
•	Fitting you with a walking cast to help relieve some of the stress on 
your foot and help it heel.
•	Fitting you with a different insole in your shoe to provide more 
•	Fitting you with custom orthotics to put into your shoes that are 
molded to your feet.
•	Cortisone injections may be used to help reduce inflammation.

If you try the tips to help relieve your pain at home and it is not working, make an appointment with Dr. Brian Gale, DPM, FACFAS today at Dakota Foot and Ankle Clinic.  Give us a call at 701-255-3338 or Request an appointment here.

Causes of plantar fasciitis


If your heel hurts and it is more noticeable right when you stand up, you might have plantar fasciitis.  What causes this?  There are many things that may cause plantar fasciitis.  One thing that may cause it is if the structure of your foot is not right.  This may mean a person with either really flat feet or really high arches.  Another cause of plantar fasciitis may be the shoes you’re wearing.  They may not be supportive enough, especially if you are on your feet for long periods of time on a surface that is hard and flat such as cement.

When you come in to see Dr. Brian Gale about the pain in your heel he may ask you some questions, such as:

What type of feet do you have? (Flat arch, high arch)

How much activity do you do, and what kind of activity?

How much time do you spend standing?

What type of surface are you standing on?

What kind of insoles do you have in your shoe?

What type of shoe do you wear?

Dr. Brian Gale may also ask you to bring in the shoes you typically wear so he can make sure they are the right size and fit for you.


If you’re having heel pain make sure you call to set up an appointment with Dr. Brian Gale at Dakota Foot and Ankle Clinic.  701-255-3338.

Plantar Fasciitis/Heel Pain/Heel Spur-What’s In a Name?


Plantar Fasciitis, Heel Pain, and Heel Spurs are all the same thing.   There are many things that cause heel pain, but if you wake up in the morning and your heels hurt when you take your first step you might be suffering from Plantar Fasciitis.  What is plantar fasciitis?  It is when the ligament that goes from the heel to the toe becomes irritated and inflamed and that is the pain you feel.  The ligament becomes irritated because there are little tears in it where is attached to the heel and this causes the pain.  The tears in the ligament result in inflammation and long term inflammation can cause a heel spur.  The pain can be just on the bottom of the heel and is usually the worst right after waking up in the morning or getting up after sitting for a period of time.  This pain can be decreased by stretching (gently) this tissue.    Walking can help make the pain go away for a little bit, but if you are on your feet for long periods of time the pain may come back.  Dr. Gale sees patients with this problem every day at the Dakota Foot and Ankle Clinic.

By Dr. Brian Gale
December 02, 2013
Category: Heel Pain

       First off, there is a lot of confusion about heel pain.  Heel pain, heel spurs and plantar fasciitis are all basically the same thing.  The heel spur, if you have one on your x-ray or if you think you feel one when you push on your heel, which incidentally is probably just part of your normal anatomy, isn’t causing the pain.  The pain is caused from the stress on the plantar fascia which is the ligament that stretches from the heel to the ball of your foot.  You get microscopic tears in that ligament where it attaches to the heel and that causes inflammation and the inflammation causes the pain. 

       There are two main things we treat in patients with plantar fasciitis.  First we want the inflammation to decrease, then we want to take the stress off that ligament.  We do that with proper shoes and an over the counter or custom insoles. We also use night splints, physical therapy and sometimes injections.  For the most part over half the people are better in 2-4 weeks or sooner.

       One of the major contributing factors for developing heel pain has to do with the shoes you are wearing.  90% of the patients I see come in with shoes that are too worn out, shoes that are just too flexible and simply the wrong size.  If  you are experiencing heel pain, don’t suffer!  Call today to schedule an appointment with Dr. Brian Gale. DPM,FACFAS of Dakota Foot & Ankle Clinic at 701-255-3338.