Plantar heel pain in adults is commonly seen in the office of the podiatric foot and ankle specialist. These symptoms may have developed acutely or over a period of time. Often the plantar fascia is the source of the pain, which is caused by a traumatic event or a biomechanical flaw. It is imperative that the podiatric physician understands the multiple causes of plantar foot pain and is able to differentiate the multiple causes of heel pain to confirm a specific diagnosis and formulate a proper treatment plan. A thorough history and physical examination are necessary to obtain this information, and diagnostic procedures are sometimes needed.