The first few steps in the morning feel like you are stepping on a knife, and then the pain lets up somewhat after you've been up and around a few minutes.

It's probably due to plantar fasciitis (PLAN-tur fas-e-I-tis), an inflammation of the fibrous tissue along the bottom of your foot that connects your heel bone and toes.

According to the December issue of Mayo Clinic Health Letter, plantar fasciitis generally clears up with simple treatments for pain and inflammation, but it sometimes takes a year or longer.

Try these self-help steps to relieve the pain. If they aren't effective, your physician may prescribe additional treatments.

* Lose excess weight. It increases the risk of plantar fasciitis.

* Do daily stretching and strengthening -- even before you put your feet on the floor in the morning. Try toe curls and flexing and extending the foot.

* Apply ice. Place a cloth-covered ice pack on the area of pain for 15 minutes after an activity.

* Wear the right shoes. High quality walking or running shoes are the best.

Use over-the-counter pain relievers. Use as directed to ease pain and inflammation.

Mayo Clinic Health Letter is an eight-page, monthly newsletter of reliable, accurate and practical information on today's health and medical news. To subscribe, please call toll-free 800-333-9037, extension 9PR1.

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