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.

Although arches actually do not collapse, they can become a source of trouble. Those born with flat feet may not be able to absorb impacts as well as people with an ideally shaped footprint. The most common way to add support is through taping, wearing specially designed shoes, or by inserting foam pads. These solutions are often more effective in relieving pain than daily use of NSAID pain relievers.

Relatively inexpensive over-the-counter supports are not a panacea, but can be helpful. Their benefits vary according to the materials used in manufacture, and some provide longer-lasting relief than others. The supporting material should be dense enough not to completely flatten, while still providing additional support during activity. They are especially helpful for growing adolescents.

The most promising solution for many adults involves custom-made orthotics. Potential problem areas can be revealed by taking a foot imprint, which forms the template for the creation of an insert specific to the problem. They are generally more rigid than commonly sold versions, and provide greater longitudinal support. The addition of heel cups may be necessary in stubborn cases.

Although the cost of creating custom inserts is not insignificant, and may not be paid for by insurance, the outcome can be worth the investment. Foot pain makes all activities more difficult, and impacts all aspects of life. If taping, rest, strengthening and stretching exercises, and standard arch supports are not effective, orthotics created under the guidance of a doctor can be a welcome solution.




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