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Plantar fasciitis often presents as pain in the bottom of the heel. The plantar fascia is a band like structure that runs along the plantar (bottom) aspect on your foot. From your heel to your toes (refer to image). This structure can become painful due to local inflammation. This causes the plantar fascia to become thickened in size, which can be confirmed by ultrasound in most (but not all) cases. Tight calves are commonly associated with plantar fasciitis as it contributes to tightness along the band.