You swing your legs out of bed, put your first foot down, and a sharp pain drives up through your heel. By the time the coffee is made it has softened to a dull ache, and by mid-morning you have nearly forgotten it. Then you spend an afternoon on the boardwalk or standing barefoot on the sand, and that night it comes back with interest. If that pattern sounds familiar, you are describing one of the most recognizable presentations of plantar fasciitis we see at our Bellmore office, and summer on Long Island is the season when it tends to announce itself.
Heel pain of this kind is stubborn for a straightforward reason: the tissue involved never really gets to rest, because every step you take loads it again. That is also why so many people cycle through new sneakers, drugstore inserts, and calf stretches for months without much to show for it. The Graston Technique®, an instrument-assisted soft tissue approach Dr. Marmorale has been certified in since 2008, works on a different part of the problem, namely the fascial restriction and scar tissue that accumulates in chronically overloaded tissue. If you have read our earlier post on whether the Graston Technique works on tarsal tunnel syndrome, you already have a feel for how instrument work applies to the foot. Heel pain follows a similar logic.

