Plantar fasciitis, commonly known as heel spur, manifests with distinct symptoms. The most characteristic symptom is a sharp, stabbing heel pain experienced during the first steps after waking up in the morning or following periods of prolonged rest. This initial pain, often described as stepping on a sharp object, is typically most intense during the first few steps (e.g., 5-6 steps) but tends to gradually diminish as the individual walks and the foot warms up throughout the day.

A second pain pattern involves increasing heel discomfort at the end of extended walks or activities, which can persist even after resting. This type of pain may frequently be accompanied by a burning sensation in the heel.

As the condition progresses, patients may find it increasingly difficult to bear weight on the affected heel, leading to a limping gait. In advanced stages, the pain can become constant, prompting individuals to walk on their toes to avoid pressure on the heel.

Key symptoms of plantar fasciitis generally include:
* Intense heel pain with the first steps after rest (morning pain).
* Pain located at the bottom or back of the heel, near the arch of the foot.
* Pain described as sharp, piercing, or stabbing.
* Increased pain with physical activity or prolonged standing/walking.
* Pain that initially lessens with activity but worsens with sustained activity.
* Possible warmth or inflammation in the heel region.
* In severe cases, difficulty bearing weight, limping, or constant pain; numbness or tingling if nerves are affected.