Heel pain in adults can be resulting from several causes, however by far the most common one is a disorder called plantar fasciitis. The pain from this generally are under the heel and the traditional symptom is that the pain is more intense when getting up first thing in the morning for those first couple of steps. Right after those initial steps the pain does ease considerably, but it worsens again as the day goes on. The plantar fascia is a long ligament under the bottom of the foot that is responsible for assisting the arch of the foot, so plantar fasciitis is caused by there being too much stress on the arch of the foot. The primary risk factors for this are tight calf muscles, being overweight and having higher amounts of activity. Lower limb alignment issues that adds to the load in the plantar fascia also are an issue in raising the strain.
The primary approach to plantar fasciitis is pain alleviation with the use of ice after activity and maybe the use of anti-inflammatory and also pain relief drugs. Taping could also be used temporarily to help you with the pain. Foot orthotics can be used to lessen the load on the arch of the feet and correct any biomechanical problems that might be a issue in causing the plantar fasciitis. It is very important to stretch the calf muscles as it really is a major risk. Splints to wear at night can also be used to help with this stretching if required. Strengthening the muscles that also support the arch could also be advantageous because they take some strain of the plantar fascia. In the long run, weight loss is important as this really does create a lot of load in the feet. Whenever these techniques may not be working to well, then it is time for you to consider things like shockwave therapy or corticosteroid injection therapy. A final consideration would be surgical procedures.