Background: Vatakantaka is a painful condition described in Ayurveda, commonly correlating with chronic plantar fasciitis in modern medicine. It is caused by aggravated Vata localized in the heel region, producing severe pricking and stabbing pain, often impairing gait. Case: A 45-year-old female patient presented with intense unilateral heel pain with a baseline score of 9/10 on the Visual Analogue Scale (VAS) from six months. X-ray results confirmed the diagnosis of chronic plantar fasciitis. The first conservative treatment offered little relief. Intervention: Treatment included integrative approach with Viddhakarma, performed at Kṣhipra marma (2 angula above) and on heel region and Agnikarma on heel with Mṛuttika Shalaka twice weekly for 3 weeks, once weekly for 2 weeks, and once in every 15 days thereafter. Internal medications included Vatavidhvansa Rasa (125 mg BID), Dashmoolarishta (20 mL BID), Yograj Guggulu (2 BID), Kukkutnakhi Guggulu (2 BID), Haritaki Churna (5 g HS), Ashwagandha Churna (3 g BID with milk), and local application of Panchguna Taila for 2 months. Outcome: Marked improvement was observed, with pain reduction from VAS 9 to 1 within four weeks and improved walking tolerance, reduced morning stiffness sustained relief at two-month follow-up. No adverse effects were reported. Conclusion: Integrated Ayurvedic intervention can effectively break the Vata-dominant Samprapti of Vatakantaka, providing sustained relief in chronic plantar fasciitis.