Heel Pain With the First Step

Plantar fasciitis, one of the most common causes of heel pain, occurs when the thick band of tissue along the bottom of the foot becomes irritated. This band, called the plantar fascia, supports the arch and absorbs stress during walking. When it becomes strained, small tears and inflammation can develop. Many patients notice a sharp pain in the heel with the first steps in the morning or after periods of rest. The discomfort may improve slightly with movement but often returns after long periods of standing, walking, or exercise. The heel may feel tender to the touch and the bottom of the foot can feel tight or sore. Causes may include overuse, tight calf muscles, flat feet, or footwear that lacks support. A podiatrist can diagnose plantar fasciitis through examination and imaging when needed. Treatment may include supportive shoes, custom orthotics, anti-inflammatory care, and targeted exercises. When conservative care fails, surgery may be considered. Most patients can bear limited weight in a boot shortly after surgery, with gradual return to walking over several weeks. If you have symptoms of plantar fasciitis, it is suggested that you make an appointment with a podiatrist.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Edward Fryman, DPM, FACFAOM from Seaford Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Seaford, and Bethpage, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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