Plantar fasciitis is the most common cause of heel pain among adults. The primary symptoms are pain directly under the heel which is worse with activityand better with rest. Patients often notice increased pain when they first get out of bed in the morning (morning pain) and when they start to walk from being in a seated position (start up pain). The pain can often persist for months before treatment is sought. Runners and those who stand at work, particularly on hard surfaces, are the most commonly affected. X-rays are often normal, or show a heel spur. The spur does not cause pain and does not indicate whether nonoperative treatment will be successful. Plantar fasciitis can be successfully treated non-surgically in greater than 95% of patients. First line treatment includes anti-inflammatory medication, stretches, arch supports for shoes, ice, and avoidance of certain aggravating activities, such as walking barefoot. For those not responding to these options, injection, taping of the arch, and physical therapy are often beneficial. Immobilization in a boot or walking cast can also be helpful for difficult cases. If the heel pain has not responded after 6 months of nonoperative treatment, surgery may be considered. Surgical options include the use of shock wave therapy (orthotripsy) to the heel (subject to insurance approval) and open partial plantar fascia release. Complete recovery from surgery can take several months.