Shoe Orthotics For Plantar Fasciitis Provide Solutions For Foot Pain

By Claudine Hodges


If getting out of bed in the morning is punctuated by an intensely sharp pain in the heel, plantar fasciitis may be the culprit. One in ten people experience it, and many have long-term issues. The condition is most common during middle age, but is also a problem for younger people who are physically active. Shoe orthotics for plantar fasciitis help eliminate the sources of pressure responsible for causing discomfort.

Orthotics is a general term that describes wearable inserts and devices designed to relieve foot pain. Commonly referred to as arch supports, they are more than simple foam pads. Supports are specifically designed to create a better foot angle that makes walking, running, or just standing feel more natural. They can help reduce existing sources of pain by altering the point of foot contact.

A number of conditions produce similar symptoms, and self-diagnosis of chronic heel pain may overlook a more serious problem. If pain is severe, long lasting, or causes problems moving about, it is important to receive an accurate diagnosis from a podiatrist. In most cases discomfort is limited, but still may take more than a year to resolve. Rest is one of the most-recommended solutions.

Stretching and strengthening exercises have also proven helpful, but may not be appropriate in all cases. Footwear that does not fit well is often to blame. Although they may not look as fashionable or svelte, shoes with relatively thick, cushioned soles made of dense materials that absorb impacts are best for active people. Those with low arches or so-called flat feet may need additional support.

While arches generally do actually collapse, they are often a source of discomfort. People born with them cannot absorb hard-surface impacts in the same way as those with ideal foot imprints. Additional support may be added by wearing specially made shoes, inserting cushioning pads, or by taping the foot daily. In some cases, these solutions provide greater relief than regularly using NSAID pain medications.

Although they are not a cure-all, over-the-counter padded shoe inserts can also prove helpful. Some provide more relief than others, depending primarily on the materials used in the manufacturing process. The cushioning pad should be firm enough to resist complete flattening, yet provide enough support to make activities more comfortable. They can be ideal for young people who are still growing.

For many adults the most successful solution is custom orthotics. An imprint is taken that clearly shows potential problem areas, allowing creation of an insert that reduces risk factors for heel pain. Most are more rigid than commercial varieties, and stress longitudinal support over the length of the foot. In some cases specific heel cups may also provide longer-term relief.

Although the cost of creating customized orthotics is significant and not covered by all insurance plans, finding lasting relief may be worth the extra expense. When feet hurt, all aspects of life become more difficult. If rest, taping, strengthening exercises and standard shoe inserts are not effective, inserts that are measured and fitted by a doctor may provide a better solution.




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