Patient presents with left heel pain.  Onset of plantar heel pain is reported as gradual or acute, depending on patient history and potential inciting event.  Location of pain is localized to the left heel, possibly radiating to the arch of the foot.  Patient describes the pain quality as sharp, stabbing, aching, or throbbing, potentially worse in the morning or after periods of rest.  Aggravating factors include weight-bearing activities, prolonged standing, and walking, particularly on hard surfaces.  Alleviating factors may include rest, ice, elevation, and over-the-counter pain relievers such as ibuprofen or naproxen.  Physical examination reveals tenderness to palpation along the plantar fascia insertion at the medial calcaneal tubercle.  Possible decreased range of motion in the ankle and foot may be noted.  Assessment considers plantar fasciitis, heel spur syndrome, Achilles tendinitis, calcaneal stress fracture, nerve entrapment, and systemic inflammatory conditions.  Differential diagnosis includes other causes of heel pain.  Plan includes conservative management with rest, ice, compression, and elevation (RICE), stretching exercises, orthotic support, and nonsteroidal anti-inflammatory drugs (NSAIDs).  Referral to physical therapy may be considered for gait analysis, strengthening exercises, and modalities such as ultrasound or iontophoresis.  Further investigation with imaging studies such as X-ray, MRI, or bone scan may be warranted if symptoms persist or worsen.  Patient education regarding proper footwear, activity modification, and weight management is provided.  Follow-up appointment is scheduled to monitor symptom progression and treatment efficacy.