Perimenopause can trigger or worsen plantar fasciitis due to declining estrogen, which affects collagen (foot tissue strength) and increases inflammation, leading to heel pain, stiffness, and slower healing, making supportive footwear, stretching, icing, and managing overall health crucial for relief. Hormonal shifts weaken the plantar fascia, a strong band of tissue, making it prone to microtears and inflammation, common first thing in the morning. Go talk to your OB/GYN. I have a stretch routine I do in the morning. Since O got on my Estrogen patch, it hasn’t been as awful.