Treatments to add to your stretchingprogram include wearing good-quality shoes, icing the painful area, andmassaging the arch. Do not walk barefoot; walk in shoes with good heeland arch supports such as high-quality walking or running shoes. Keep apair of shoes next to your bed so you can put them on before taking yourfirst step. Your doctor may recommend that you wear an additional archsupport or a heel cup in the shoes. Another treatment option is Prolotherapy, which is the injection of small volumes a local anaesthetic/glucose solution using very fine needles to promote the production and release of growth factors that can aid in the repair of the plantar fascia.
Beginning twelfth century, European peasants started wearing sabot, a shoe made of single piece of wood following the example of the Dutch. In England, the sabot was improved upon by clog which had an upper made of fabric while the sole remained wooden. The French aristocracy introduced pointed shoes, which were designed by Count of Anjou who in fact wanted to hide his own deformed feet. Aristocratic French women started wearing high-heeled shoes in sixteenth century, which led to the introduction of the phrase well-heeled meaning rich women. You may have one you can use in your garage or a closet – just make sure it is sturdy.
Old shoes whose heels have worn out should not be used as they exert pressure on the heel bone. Good quality shoes are always an investment in the long run. Special shoes recommended by doctors for heels are available in the market. Customized shoe soles too are available that can be placed in the shoes, and one can walk around with these under one’s heels with great comfort. There are many causes of heel pain , some of which improve with a home care treatment plan and others require professional treatment by a foot and ankle specialist, a chiropodist. Once stabilized, most causes benefit from a preventive treatment plan.
This condition is usually painful at the back of the heel. Tenderness is found somewhere at the back of the heel either directly behind or more often somewhat posterior-lateral (outside back part of bone) or posterior-medial (inside back part of calcaneus). Occasionally the tenderness continues to the undersurface of the calcaneus and can overlap and coexist with plantar fasciitis. Content on this site is not meant to replace or substitute for a visit to a physician. It is only to be used as a supplement to your visit. Laboratory testing and radiograph is not necessary for plantar fasciitis. These can be helpful to diagnose other causes of heel pain.
There are some ointments, especially those made from capsaicin (interestingly, an active ingredient in hot peppers) that are excellent in relieving foot pain. The capsaicin helps in relieving the blaze caused by burning feet especially for diabetic individuals. Applying the ointment may cause burning sensations in some people but should not be a cause of alarm as this effect lessens over time. It is a combination of swelling of the fascia and the irritated nerves of the heel. The heel spur itself causes no pain even though on x-ray it looks pointed and appears as piercing object. As a matter of fact, many people have fasciitis without the spur.