Wearing the wrong shoe for your foot type can also contribute to heel pain.ĭiagnosis can be made by x-ray to evaluate for spurs and diagnostic ultrasound to evaluate the integrity of the plantar fascia and measure the thickness. Recalcitrant cases of heel pain may require further diagnostic testing such as blood work to rule out a systemic arthritis, MRI to evaluate for a plantar fascial tear or bone scan to rule out a stress fracture of the heel bone. If your "go to shoe" is over a year old, chances are your foot pain would be lessened with a new pair of new shoes. If you regularly wear high heels over 2 inches your Achilles tendon - which is attached to your heel - can contract and shorten, causing strain on the tissue around your heel. Avoid loose, thin-soled shoes, as well as shoes without enough arch support or flexible padding to absorb shock. Factory workers, teachers, retail workers and others who spend most of their work hours walking or standing on hard surfaces like concrete can damage their plantar fascia. Excess pounds put extra stress on your plantar fascia. A tight heel cord, Achilles tendon and decreased motion of the big toe joint also contribute to heel pain. Being flat-footed, having a high arch or even having an abnormal pattern of walking can adversely affect the way weight is distributed when you're standing and put added stress on the plantar fascia. (See our Runner's Guide to Heel Pain)įaulty foot mechanics. Activities that place a lot of stress on your heel and attached tissue - such as long-distance running, ballet dancing and dance aerobics such as Zumba- can contribute to an earlier onset of plantar fasciitis. Women are more likely than are men to develop plantar fasciitis.Ĭertain types of exercise. Plantar fasciitis is most common between the ages of 40 and 60. Over time, this causes inflammation. Pain is generally worse in the morning when first getting out of bed or when sitting for prolonged periods.įactors that may increase your risk of developing plantar fasciitis include:Īge. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Overpronation is the most common cause of plantar fasciitis. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot where it attaches into the heel bone. Plantar fasciitis is the term commonly used to refer to heel and arch pain on the bottom of the foot.
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