Why is the first step in the morning the most painful?

Because the plantar fascia, shortened overnight, is stretched suddenly as it takes your weight. It eases as you move about and returns after standing for a while.

Why did this happen to me of all people?

The shape of the foot, body weight, footwear and a sudden increase in activity often overlap. It rarely arises from a single cause.

Do you look only at the foot, or at other places too?

We look at the gait as well. Measuring where the pressure on the sole is concentrated is what shows why the same spot hurts again.

Why is the first step in the morning the most painful?

Because the plantar fascia, shortened overnight, is stretched suddenly as it takes your weight. It eases as you move about and returns after standing for a while.

Why did this happen to me of all people?

The shape of the foot, body weight, footwear and a sudden increase in activity often overlap. It rarely arises from a single cause.

Do you look only at the foot, or at other places too?

We look at the gait as well. Measuring where the pressure on the sole is concentrated is what shows why the same spot hurts again.

Plantar Fasciitis

The plantar fascia that holds the arch and absorbs impact becomes inflamed after repeated strain. The first steps in the morning hurting most is characteristic.

Medical ReviewInjun EoDirector

Page summary and review information

Medical reviewer

어인준 대표원장

Page summary

족저근막염: 발바닥의 아치를 유지하고 충격을 흡수하는 족저근막이 반복적인 손상으로 염증을 일으킨 상태입니다. <img src="/images/clinic/gait-lab.webp" alt="진주 당당한의원 보행·체형 검사실"

What this page covers

What does this explain?: 아침 첫걸음이 가장 아픈 이유가 뭔가요?
What situation does it cover?: 발이나 발목의 통증, 걸음의 불편을 겪고 계신 분
What should be distinguished?: 발만 보지 않고 걸음 전체를 봅니다. 트레드밀 보행검사기와 족압 검사기, 족저경으로 발바닥 어디에 압력이 몰리는지 재고, 치료 뒤 같은 방법으로 다시 잽니다.
How should it be understood?: 발바닥의 아치를 유지하고 충격을 흡수하는 족저근막이 반복적인 손상으로 염증을 일으킨 상태입니다. 아침 첫걸음이 가장 아픈 것이 특징입니다. 자는 동안 짧아져 있던 족저근막이 체중을 받으며 갑자기 늘어나기 때문입니다. 움직이다 보면 덜해졌다가 오래 서 있으면 다시 아파집니다.

Key points

족저근막염: 발바닥의 아치를 유지하고 충격을 흡수하는 족저근막이 반복적인 손상으로 염증을 일으킨 상태입니다.
<img src="/images/clinic/gait-lab.webp" alt="진주 당당한의원 보행·체형 검사실"