Plantar Fasciitis: Why It Feels Like Stepping on a Nail in the Morning

If it feels as if you are stepping on a nail when you get out of bed, that is not normal, and it is worth getting checked. In most cases it is plantar fasciitis, inflammation of the thick band under the sole. Dr. Amr Elyamany explains why it happens and what helps.

What causes it?

• Standing for long periods
• Excess weight
• Wearing unsuitable shoes

The typical sign

The pain is at its worst when your feet first touch the floor, especially the first steps in the morning, and it eases a little as you move around.

A simple morning exercise

Freeze a bottle of water, or fill a bottle with ice. Every morning, roll it under your foot, or rest your foot on it and move gently for a few minutes. The cold and the gentle stretch help settle the symptoms.

Do not ignore it

Neglecting the problem is risky because the pain can grow and turn into a bigger problem. If the pain continues despite the exercise, see a doctor.

Key takeaway: Sharp heel pain on your first steps of the day usually has a clear cause and responds well to early treatment.

When to see a doctor

• Heel pain that lasts more than a couple of weeks
• Pain that continues despite the exercise and suitable shoes
• Pain that starts to change the way you walk

Need advice about your own case? Book a consultation with Dr. Amr Elyamany in Dubai.

This article is for general education and does not replace an in-person medical examination. If you have symptoms, please consult a qualified doctor.