The diagnosis of plantar fasciitis (heel spur) primarily relies on a thorough orthopedic examination. If you experience persistent or intermittent heel pain, it is crucial to consult an Orthopedics and Traumatology specialist. Typically, the diagnosis is strongly suggested by the patient's reported symptoms, combined with a physical examination revealing tenderness and a stabbing sensation in the heel, particularly upon pressure. Further confirmation is provided by X-ray imaging, which can reveal the characteristic bony spur. In rare cases, an MRI may be requested to identify edema or tears in the plantar fascia where it attaches to the heel bone, although it is not a routine diagnostic tool.