Brief answer: Planter fasciitis needing pain medications and steroid shot. Detailed answer: Hello, Based on what you told about your husband, it can be said with fair certainty that you husband is suffering from planter fasciitis. Plantar fasciitis mainly results in pain in the heel and bottom of the foot and is seen often in clinical setup. The pain is usually most severe with the first steps of the day or following a period of rest. Improvement of pain is usually seen with continued walking. The condition usually builds up slowly and cause intense pain. Your husband is most likely doing a job which require long periods of standing and he may also be obese. If I were your husband s doctor, I would first do an x-ray foot which usually show a heel spur although an absence of spur does not rule out fasciitis. An ultrasound heel also aids in making diagnosis. I usually advise best rest to patient to see whether the condition improves. Along with rest, painkiller like: Diclofenac K 50mg twice daily is advised to aid with bed rest. If this is not sufficient, a steroid injection is advised which is injected at the site of maximal pain on heel. Most of the patients improved in clinical setting after this remedy. Surgery is considered only after conservative treatment has failed to resolve the issue after six months and has been rarely needed. I shall be happy to assist you if you need further help. Wishing a safe and swift recovery for your husband Dr. Ali Raza