Pain in the plantar plate after waking up is common for the following reasons: First, heel pain: heel pain is easy to attack in the morning, and when the patient steps on the ground and walks after waking up, it will lead to severe pain symptoms in the plantar plate, and after walking for a period of time, the pain symptoms will gradually ease, but the symptoms are easy to recur and seriously affect the patient’s normal life. Second, serious strain on the plantar muscles: too much heavy physical labor or too much exercise recently can lead to serious strain on the plantar muscles, which is not sufficiently relieved even after night sleep and rest, and the patient will still have clinical symptoms of soreness on the plantar plate after waking up, and the symptoms can be gradually relieved by pressure or local hot compresses. Therefore, pain in the plantar plate after waking up is commonly caused by the above-mentioned causes. Early diagnosis and early treatment can lead to rapid relief of clinical symptoms, and patients should pay attention to the protection of plantar musculofascia and fat pad in their daily life to avoid strain and injury.