(Disclaimer: This article is for scientific use only, and the information in the following content has been processed to protect patient privacy.) Abstract: Plantar fasciitis is a chronic injury caused by exercise, most often manifesting as pain on the bottom of the foot near the heel, which increases after walking or weight bearing and is relieved after rest. The patient in this paper presented with heel pain for six months, which was relieved on the 2nd day, and was not treated promptly due to high activity level in plain. A bone spur, or osteophyte, was evident in the front of the heel by x-ray. The patient’s heel pain was effectively relieved after treatment with lifestyle changes, electrotherapy, and nonsteroidal drugs. [Basic information] Male, 66 years old [Type of disease] Plantar fasciitis [Hospital] The First Hospital of Harbin Medical University [Date of consultation] March 2022 [Treatment plan] Lifestyle improvement + arch support + physical therapy (ultrashort wave and electrotherapy of the heel) + medication (Celecoxib + Fotarine ointment) [Treatment period] 2 weeks of treatment, 1 month of outpatient follow-up [Treatment effect] Pain The patient came to the clinic with heel pain that had gradually appeared over the past six months and had worsened in the past two weeks, and had difficulty walking. The patient is 172 cm tall and weighs 80 kg. He is very active and loves to walk, claiming that he can walk about 10-20,000 steps a day on average. Six months ago, he developed mild heel pain after walking, which was usually relieved on the second day, so he did not pay attention to it and did not receive treatment. In the last 2 weeks, he found that the heel pain worsened after walking and was not significantly relieved after rest. A few days before he came to the clinic, heel pain would occur even at rest at home. Recently, he had used some pain relief patches and ointments, but the pain relief was not obvious. In view of the patient’s persistent symptoms and long-term exercise history, heel pain due to plantar fasciitis should be considered first. After the consultation, the location of the heel pain was examined in detail. The most painful area of the heel was located at the intersection of the plantar and heel, where there was a distinct painful spot with mild localized swelling. Therefore, a heel x-ray was prescribed to evaluate the heel bone changes. On the X-ray, a bone spur, or osteophyte, was evident in front of the patient’s heel, which again confirmed my judgment that the patient had plantar fasciitis. After the diagnosis was made, we communicated with the patient and formulated the following treatment plan for the patient, and asked the patient to come back to the hospital for a review in one month: 1.First of all, we should reduce the amount of exercise, and exercise moderately every day, but we should do it according to our strength, so as not to cause pain; 2.We should develop the habit of soaking our feet in hot water every day, and pay attention to foot warmth and hot compresses on weekdays; 3.We suggested the patient to go to the rehabilitation physiotherapy department for heel ultrashort wave The patient was recommended to wear sports shoes as much as possible; 5. The patient was recommended to continue to take oral non-steroidal anti-inflammatory and analgesic drugs (Celecoxib) and apply topical Fotarine ointment to relieve the pain symptoms. After 2 weeks of standardized treatment with drugs and physiotherapy, the patient said that the symptoms of heel pain had improved significantly, and the local pressure points on the bottom of the foot were much better, from sharp stabbing pain to mild dull pain, and the quality of life had been significantly improved. Since the patient’s symptoms had been greatly improved after 1 month of treatment, regular follow-up visits were sufficient afterwards. Although the patient’s heel pain was significantly relieved through treatment, plantar fasciitis is a chronic and cumulative disease, and although most of the pain symptoms can be relieved through a short period of treatment, treatment is a long-term process and needs to be reviewed regularly. For this patient, it is important to note that medication is only an adjunctive treatment and can be applied appropriately when the pain is severe. The main treatment is to change the bad habits, long-term adherence to foot soaks, warmth and other lifestyle habits. If you just pay attention to the medication and ignore the others, the symptoms will easily recur, which is the reason why the patient’s previous application of painkillers did not work well. The patient’s previous enthusiasm for walking also needs to be measured, otherwise plantar fasciitis will also recur. V. Personal insight Plantar fasciitis is a common orthopedic condition with a long history of chronic pain in the heel. Because the pain is often tolerable, many people choose to persevere or buy their own pain medication. If you don’t change your lifestyle habits, the symptoms can easily recur and need to be treated with physical therapy and medication to effectively improve the symptoms. Some middle-aged and elderly people are keen to exercise, which is not wrong in itself, but must be measured, after all, the body is no longer young, excessive exercise will not be able to bear, but also easy to relapse, long time to cure.