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Sunday, 14 December 2014

Shoe Orthotics For Plantar Fasciitis Provide Solutions For Foot Pain

By Claudine Hodges


When the first step of the morning is accompanied by a sharp, stabbing sensation in the heel, plantar fasciitis may be to blame. It is one of the most common foot complaints, affecting one in ten people. Most prevalent during middle age, it also causes discomfort in younger individuals who spend hours on their feet. Shoe orthotics for plantar fasciitis helps relieve the pressure that is a primary cause of this condition.

Orthotics is a general term for describing shoe inserts designed to reduce pain and discomfort. They are commonly called arch supports, even though their purpose involves more than simply raising that portion of the foot. They are intended to create a more natural way of moving that not only soothes existing problems, but also helps prevent them from occurring by altering the way feet move during activity.

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.

While not a universal solution, common and relatively economical over-the-counter inserts can help. Their advantages vary depending on the materials used to make them, and some are more effective than others. The inserts need to be sturdy enough to resist complete flattening, while still giving support to areas most in need. For many adolescents who are still growing, they are ideal.

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 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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