Plantar Fasciitis or heel spur syndrome is common among active people in particular runners. Problems can occur when the plantar fascia (fibrous material at the bottom of the foot) is inflexible and repeatedly placed under tension, as in running. This caused an overload which produced inflammation leading to heel pain. Pain may also occur at the mid sole or near the toes. Plantar Fasciitis is more common in women, overweight people or people who have jobs that require a lot of walking or standing. People with very flat feet or very high arches are also more prone to plantar fasciitis. Symptoms start as a dull, intermittent pain in the heel which may progress to sharp persistent pain. Classically, it is worse in the morning with the first few steps, after prolonged sitting or after standing or walking and the beginning of sporting activity. Treatment can include weight loss, orthotics and sedentary activities. Use of ice in the inflamed area as well as anti-inflammatory medication used with heel pads can help to relieve sudden onset pain. If there is no improvement after 2-3 weeks then an injection or local anaesthetic may be advisable. Physiotherapy can also be helpful. Surgery is rarely required.