Heel pain (Plantar fascitis) is very common nowadays
Following are the causes for heel pain:
- Lack of exercise
- Wrong footwear
- Excess weight
- Calcaneal spur
- Tightness in plantar fascia
- Deficiency of calcium/vitamin D/vitamin B12
- Bad posture
- Usually it pains more in the early morning after getting out of bed
- After long walks it starts hurting.
- Sometimes for no reason it gives throbbing pain.
- After wearing heels/stilettoes pain aggravates.
- Exercises for intrinsic foot muscles
- Stretching exercises (tendoachillis tendon stretch)
- Plantar fascia tendon stretches and relaxation exercises to reduce tightness
- Myofacial release (MFR)
- Ankle manipulations
- Intermetatarsal glides
- Gathering of cloth with feet
- Rolling feet on wooden roller
- Ultrasound or laser therapy or long wave therapy /IFT/TNS for pain relief
- Paraffin wax bath
- Insoles worn in the shoes or sandals helps in pain relief
- When there is acute heel pain, following treatment is recommended.
- Gentle manipulations relieve the tension and relaxes the tightness of plantar fascia.
- Ultrasound therapy heel n plantar fascia can be given.
- IFT to reduce spasm n pain
- Relaxation exercises for foot muscles
- Exercises with soft ball
After 4 /5 sessions, when intensity of pain will be reduced then strengthening exercises and stretching exercises can be started.
In general, it takes 10/15 physiotherapy treatment sessions to recover from heel pain.