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Published on: 2/19/2026
Sharp, glass-like heel pain with your first steps is most often plantar fasciitis from overloaded plantar fascia tissue, and most people improve with daily stretching, supportive shoes or inserts, activity changes, ice, short-term anti-inflammatories, night splints, and physical therapy, though recovery commonly takes weeks to months. There are several factors to consider, including risk factors, other possible causes, and red flags that mean you should see a doctor; see the complete plan and details below to guide your next steps.
If you've ever stepped out of bed and felt a sharp, stabbing pain in your heel—like you just stepped on broken glass—you're not alone. That intense first-step pain is one of the classic signs of plantar fasciitis.
Plantar fasciitis is one of the most common causes of heel pain in adults. The good news? It's usually treatable, and most people improve with simple, consistent care. Let's break down what's happening in your foot, why it hurts so much, and what you can do about it.
The plantar fascia is a thick band of tissue that runs along the bottom of your foot. It connects your heel bone to your toes and helps support your arch.
When this band becomes irritated or overloaded, small tears and inflammation can develop. That condition is called plantar fasciitis.
Despite the name, research shows this condition is often more about degeneration from overuse than classic inflammation. In other words, it's usually caused by repetitive strain rather than a single injury.
People with plantar fasciitis often describe:
Here's why:
When you sleep or rest, your plantar fascia tightens. The first steps stretch the tissue suddenly, irritating the already stressed fibers. That sudden stretch creates that "glass-like" stabbing sensation.
As you move around, the tissue warms up and loosens, so pain may temporarily improve. But prolonged stress during the day can bring it back.
Plantar fasciitis develops when the tissue is overloaded repeatedly over time.
Common risk factors include:
It's rarely caused by one dramatic event. More often, it's the result of repeated strain without enough recovery.
Most heel pain is due to plantar fasciitis, but not all heel pain is the same.
Other possible causes include:
If your pain is severe, worsening, accompanied by swelling, redness, fever, numbness, or follows a traumatic injury, speak to a doctor promptly.
If you're experiencing heel pain and want to better understand what might be causing it before your appointment, a free AI-powered symptom checker can help you identify possible conditions and guide your next steps.
The majority of plantar fasciitis cases improve with conservative treatment. Surgery is rarely needed.
Here's a practical, evidence-based plan:
Avoid activities that worsen the pain, especially:
Low-impact alternatives like cycling or swimming are usually safer during recovery.
Stretching is one of the most effective treatments.
Focus on:
Plantar fascia stretch
Calf stretch
Tight calves are a major contributor to plantar fasciitis.
Shoes matter more than most people realize.
Look for:
Avoid:
Some people benefit from over-the-counter orthotic inserts. Custom orthotics may help in persistent cases.
Ice can help calm irritation.
It won't cure plantar fasciitis, but it can reduce discomfort.
Night splints keep your foot gently flexed while you sleep. This prevents the plantar fascia from tightening overnight.
They can be uncomfortable at first but are effective for some people with significant morning pain.
Over-the-counter NSAIDs (like ibuprofen) may reduce pain temporarily.
However:
If pain persists beyond a few weeks, a physical therapist can guide:
Strengthening the small muscles of the foot and improving calf flexibility can significantly reduce recurrence.
This is the part people don't love hearing:
Plantar fasciitis can take several months to fully resolve.
Most people improve within 6–12 months with consistent conservative care. Many feel noticeable improvement within 6–8 weeks.
It's rarely dangerous—but it can be stubborn.
The key is consistency. Skipping stretches or returning too quickly to aggravating activities often prolongs recovery.
Make an appointment if:
In rare cases, imaging (like X-rays or ultrasound) may be needed to rule out other causes.
If you're ever concerned that your symptoms could signal something serious or life threatening, speak to a doctor immediately.
Yes. Recurrence is possible—especially if risk factors remain.
To prevent flare-ups:
Think of plantar fasciitis like a warning sign from your body that your feet need better support and recovery time.
Plantar fasciitis is a common and treatable cause of heel pain. That sharp, glass-like sensation in your heel—especially with your first steps in the morning—is a classic sign.
It's rarely dangerous, but it can be persistent.
With:
Most people recover without surgery.
If you're unsure whether your symptoms match plantar fasciitis, consider starting with a free, online symptom check for heel pain and follow up by speaking with a healthcare professional.
And remember: if your symptoms are severe, unusual, or worsening, don't wait—speak to a doctor to rule out more serious conditions.
Your feet carry you every day. Give them the support they deserve.
(References)
* Joshi, A., & St. Martin, S. (2020). Current Concepts in the Treatment of Plantar Fasciitis. *Foot & Ankle International*, *41*(12), 1546–1558. Retrieved from PubMed.
* Lim, A. T. B., Tan, L. H., & Thong, K. S. (2018). Plantar fasciitis: a review of the literature. *Journal of Clinical Orthopaedics and Trauma*, *9*(3), 200–208. Retrieved from PubMed.
* Latt, L. D., Chow, E., & Howard, J. (2018). Diagnosis and Treatment of Plantar Fasciitis: A Review. *Current Reviews in Musculoskeletal Medicine*, *11*(4), 556–562. Retrieved from PubMed.
* Cutts, S., Parsons, S., & Price, N. (2019). Current Concepts in the Pathophysiology and Treatment of Plantar Fasciitis. *Foot & Ankle Specialist*, *12*(4), 362–370. Retrieved from PubMed.
* Sweeting, D. R., Davies, A. M., Scutter, S. D., & Davies, A. M. (2021). The effectiveness of conservative interventions for plantar fasciitis: A systematic review and meta-analysis of randomized controlled trials. *Physical Therapy in Sport*, *47*, 178–194. Retrieved from PubMed.
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