Heel pain is most often caused by plantar fasciitis - a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or rarely a cyst.
Plantar fasciitis is an inflammation of the band of tissue that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed-resulting in heel pain. The symptoms of plantar fasciitis are:
Pain in the bottom of the heel
Pain that is usually worse upon arising
Pain that increases over a period of months
People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they have been sitting for long periods of times. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.
The most common cause of plantar fasciitis relates to faulty structure of the foot. For example, people who have problems with their arches - either overly flat feet or high arched feet - are more prone to developing plantar fasciitis.
Wearing non supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia and can also lead to plantar fasciitis. This is particularly evident when a person’s job requires long hours on their feet. Obesity also contributes to plantar fasciitis.
Bracing. Bracing helps keep the foot in a corrected position while the acute pain is present. The Ortho Heal helps offload the plantar fascia, massage the heel pain all day and restrict excessive pronation and supination to alleviate the heel pain.
Orthotics. Once the acute pain of heel pain starts to decrease, orthotics are helpful to continue the course of offloading the plantar fascia for good long term results.
Topical Pain Relievers. Topical pain creams can help alleviated inflammation and pain thereby, helping the person to stretch better and reduce symptoms to allow the body to heal itself. Ortho X Pain Cream has been clinically proven to reduce foot pain.
Compression. Compression to the heel with a heel pain sock alleviates some of the symptoms of inflammation which will aid in heel pain recovery.
Night splints. Night Splints aid in the static pull of the fascia while a person is at rest to alleviate morning symptoms.
Avoid going barefoot. When you walk without shoes, you put undue strain and stress on your plantar fascia.
Limit Activities. Cut down on extended physical activities to give your heel a rest.
Stretching exercises. Exercises that stretch out the calf muscles help ease the pain and assist with recovery.
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What exactly are custom orthotics, or even pre-fab orthotics? Well, An orthotic is sort of like an insole for your shoes that molds your foot into a better position while you walk. Most mass produced shoes come with an insole that is designed to not put pressure points anywhere on your foot that might cause pain. They are also designed with consideration to a broad range of foot styles and shapes, since they are marketing the same shoe to the entire market.
So who exactly needs custom orthotics? Well many podiatrist's will tell you "everybody" does. There is truth and "non truth" to these statements. I have talked with many podiatrists from different backgrounds, training curriculums, ages, parts of the country, and philosophy's. Answers to my questions varied greatly.
Some say custom orthotics are the only thing "biomechanically" that will fix some people's feet. One school of thought points to many different theories about how we walk in shoes and on hard surfaces are feet weren't really designed for. Others use custom orthotics sparingly, and even have a machine that you can walk on which senses your foot shape and pressure points, then a company makes your orthotics to fit your feet.
Either way, custom orthotics can cost a pretty penny, anywhere from $300 to over $600! So before you drop your hard earned money on them, you should do your research and really make sure you are going to benefit from them. It always helps to have a good relationship with your doctor. Heelpainexpress sells over the counter "prefabricated" orthotics called PURE STRIDE Orthotics that do a great job for most injuries and deformities. Give them a try before considering the more expensive route.
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