Heel pain in adults is caused by numerous disorders, but by far the most frequent one is a disorder known as plantar fasciitis. The pain from plantar fasciitis typically are underneath the heel and the classic sign is that the pain is a whole lot worse when getting up first thing each morning for those first couple of steps. Right after those initial steps the pain does typically ease considerably, but it worsens once again as the day goes on. The plantar fascia is a long ligament beneath the bottom of the foot that is responsible for assisting the arch of the foot, so plantar fasciitis is because there is too much force on the arch of the feet. The most important risk factors for plantar fasciitis are tight calf muscles, being overweight and having greater levels of activity. Lower limb biomechanical issues that adds to the load in the plantar fascia also are an issue in raising the load.
The first approach to plantar fasciitis is pain relief with the use of ice following exercise and maybe the use of anti-inflammatory and pain relief medicine. Strapping could also be used temporarily to help with the pain. Foot orthotics can be used to decrease the stress on the arch of the foot and fix any dysfunctional issues that maybe a factor in causing the problem. You will need to stretch the calf muscles as it really is a significant risk. Night could also be used to assist with that stretching if necessary. Strengthening the muscles which also support the arch could also be of great benefit because they take some stress of the plantar fascia. Over the long term, weight loss is really important as this actually does produce a lot of stress in the foot. In case these kinds of approaches aren't helping to well, then it is time for you to look at things like shockwave therapy or corticosteroid injections. A last option could be surgical treatment.