Can hyperthyroidism cause plantar fasciitis?

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Last updated: May 30, 2025View editorial policy

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From the Guidelines

Hyperthyroidism is not a direct cause of plantar fasciitis. Plantar fasciitis is primarily caused by repetitive strain and microtears in the plantar fascia, the thick band of tissue that connects your heel bone to your toes. The main risk factors include obesity, prolonged standing, improper footwear, flat feet or high arches, and tight calf muscles. While hyperthyroidism can cause various musculoskeletal issues such as muscle weakness, osteoporosis, and joint pain, there is no established direct link between hyperthyroidism and plantar fasciitis, as noted in the diagnosis of plantar fasciitis using MRI, which allows accurate characterization of the plantar fascia and adjacent soft-tissues and bones 1. However, hyperthyroidism can cause weight changes and may indirectly contribute to foot problems through systemic effects on muscles and connective tissues. Some key points to consider in the management of plantar fasciitis include:

  • Rest, ice, and stretching exercises to reduce pain and inflammation
  • Supportive footwear and orthotic devices to reduce strain on the plantar fascia
  • Possibly physical therapy to improve foot mechanics and reduce pain
  • Treating hyperthyroidism with appropriate medication, such as methimazole or propylthiouracil, as directed by an endocrinologist, to manage systemic effects on muscles and connective tissues. It's essential to address both conditions separately, as the treatment of hyperthyroidism and plantar fasciitis requires different approaches.

From the Research

Hyperthyroidism and Plantar Fasciitis

  • There is no direct evidence in the provided studies to suggest that hyperthyroidism can cause plantar fasciitis 2, 3, 4, 5, 6.
  • The studies primarily focus on the diagnosis, treatment, and management of hyperthyroidism, its causes, and its effects on various bodily systems 2, 3, 4, 5.
  • Hyperthyroidism is known to affect the musculoskeletal system, but there is no specific mention of plantar fasciitis as a consequence of hyperthyroidism in the provided studies 2, 4.
  • Further research would be necessary to determine if there is any correlation between hyperthyroidism and plantar fasciitis, as the current evidence does not provide a clear link between the two conditions 2, 3, 4, 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Hyperthyroidism.

Gland surgery, 2020

Research

Hyperthyroidism: Diagnosis and Treatment.

American family physician, 2016

Research

Hyperthyroidism: A Review.

JAMA, 2023

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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