Given the chronicity of the patient’s symptoms and recalcitrance to appropriate conservative means, a magnetic resonance image (MRI) was obtained that appreciated a significant amount of bone marrow edema (BME) in the calcaneal tuber in fat-suppressed images, in addition to chronic plantar fascial changes. Given the extent of the lesion, operative subchondral stabilization was discussed and agreed on at this time in addition to a plantar fasciotomy. This MRI with marrow edema extending superiorly into the calcaneus (as opposed to localized to plantar fascial insertion) is representative of the patients contained within this dataset.