Heel
Pain Stopping You?
by Jason Schultz
Many things can slow down your
active lifestyle, but heel pain can definitely bring it
to a stop. The most common form of heel pain in active people is known
as Plantar Fasciitis (pronounced PLAN-tar fashee-EYE-tiss). It occurs
when the long, flat ligament on the bottom of the foot (Plantar Fascia)
stretches irregularly and develops small tears that cause the ligament
to become inflamed. The pain is described as being dull aching or sharp
and can be reproduced by flexing the toes upwards (dorsiflexion) and tensing
the fascia.
Although the fascia is invested with countless sturdy 'cables'
of connective tissue called collagen fibers, it is certainly not immune
to injury. In fact, about 5 to 10 per cent of all athletic injuries are
inflammations of the fascia, an incidence rate that in the United States
would produce about a million cases of plantar fasciitis per year, just
among walkers. Basketball players, tennis players, volleyballer’s,
step-aerobics participants, and dancers are also prone to plantar problems,
as are non-athletic people who spend a lot of time on their feet or suddenly
become active after a long period of lethargy. A recent study found that
over 50 per cent of people who suffer from plantar fasciitis are on their
feet nearly all day.
Plantar Fasciitis usually develops gradually. Heel pain
may only occur when taking the first steps after getting out of bed or
when taking the first steps after sitting for a long period of time. If
the plantar fascia ligament is not rested, the inflammation and heel pain
will get worse. Other conditions or aggravating factors, such as the repetitive
stress of walking, standing, running, or jumping, will contribute to the
inflammation and pain. In some cases, the inflamed ligament may not heal
because many people who have plantar fasciitis do not completely stop
the aggravating activity.
In athletes, a number of factors are associated with development
of plantar fasciitis. These factors can lead the athlete to change his
or her gait (the way the feet strike the ground), which can cause symptoms
and injury. Risk factors for athletes include:
- Biomechanical factors, such as decreased flexibility in the foot
and ankle, imbalances in muscle strength (muscles in one leg or foot
are weaker than the other), abnormal foot mechanics (when stepping
down), and tightness in the Achilles tendon.
- The repetitive nature of sports activities and improper training.
- Rapidly increasing the number of miles run or walked.
- Running or walking up steep hills.
- Wearing athletic shoes that are worn out.
- Wearing athletic shoes that do not have a cushioned sole or enough
arch support.
- Abruptly changing the intensity or duration of the exercise routine.
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The traditional remedies for plantar fasciitis include stretching
the calf, massaging, decreasing one's training, losing weight, purchasing
better-fitting shoes (with a raised heel and arch support), icing the
sore heel, and taking ibuprofen.
Another treatment option, also known as one of the easiest,
is using heel seats in your shoes. Heel seats pick up and re-stretch the
plantar fascia, redistribute the heels natural fat pad, provide structural
reinforcement to the foot, and apply acupressure to relieve the pain while
your feet heal. You can find such heel seats through your podiatrist or
at www.Heel-That-Pain.com.
In any case, when you feel pain, your body is trying to
warn you that something is wrong. See a doctor or specialist at the first
sign of pain. Treating problems early is key to a healthy lifestyle.
Jason Schultz – Author of Plantar-Fasciitis.org &
treatment specialist at www.Heel-That-Pain.com
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