A Trial of Custom Foot Orthoses for the Treatment of Plantar Heel Pain

Inclusion Criteria: Patients will be included if they present for each of the following: * Pain at plantar fascial attachment to calcaneal tubercle and/or pain distal from tubercle along plantar fascial band * Typical post-static dyskinesia. Pain first steps in morning or when getting up after being seated for a period of time * Patients will be ambulatory with an age range of 18-75 with plantar heel pain present for no more than one year. * They will not have previous injection within 6 months or currently use prescription custom foot orthoses. * Patient history, exam, x-rays, and ultrasound will rule out other etiologies of heel pain including proximal or local nerve entrapment, arthritis, bone cyst or tumor, or stress fracture. Since most patients will likely self-treat this condition prior to seeking care, the investigators will allow a washout period (appendix) and acetaminophen rescue analgesia provision. Exclusion Criteria: * Proximal musculoskeletal pathology (i.e., knee or hip arthritis, sciatica secondary to back pathology, significant limb length discrepancy. * Use of gait assistive devices (crutches, canes, walkers). * Inability to wear supportive closed toed shoes. * Lack of range motion at the first metatarsophalangeal joint or subtalar joint.