Heel Pain Part 1 – Plantar Fasciitis
Recently a client asked me “is having heel pain first thing in the morning, just one of those things you have to put up with as you get older”?.
What are the causes of Heel Pain?
There are two major causes of heel pain, firstly a grumbling Achilles Tendon and secondly Plantar Fasciitis. This week I am going to focus on Plantar Fasciitis. Plantar Fasciitis is inflammation of the Plantar Fascia or the strong band of tissue on the sole of your foot that stretches from your heel to your toes that supports the arch of your foot and acts as a shock absorber when you walk. The usual site of the pain with Plantar Fasciitis is on the sole of the foot, see diagram below.
How can I tell if my heel pain is Plantar Fasciitis?
Plantar Fasciitis is characterised by the gradual onset of soreness and aching under the heel at its mid-point, which spreads forward along the inner side of the arch of the foot. The ache or pain is often for the first few steps when you get out of bed every morning or after sitting at your desk for a long period of time.
What causes Plantar Fasciitis
- Sedentary Lifestyles
- Being overweight
- Wearing shoes with too little arch support or cushioning
- Vigorous take off’s, landings are fast turns during weight bearing sports.
- Wearing high heels too much.
- Excessive foot eversion (your weight is too much on the outside of your foot).
What can I do to help myself?
If you are in pain, then simply rest and ice. A simple solution is to freeze a plastic water bottle which is about 75% full of water – when it is frozen wrap it in a tea towel, so you don’t burn your skin and roll it under the sole of your feet to provide pain relief.
The following exercises, done either with or without shoes on, can be used to help treat Plantar Fasciitis:
- Stand about 40 cm away from a wall and put both hands on the wall at shoulder height, feet slightly apart, with one foot in front of the other. Bend your front knee but keep your back knee straight and lean in towards the wall to stretch. You should feel your calf muscle tighten. Keep this position for several seconds, then relax. Do this about 10 times then switch to the other leg. Now repeat the same exercise for both legs but this time, bring your back foot forward slightly so that your back knee is also slightly bent. Lean against the wall as before, keep the position, relax and then repeat 10 times before switching to the other leg. Repeat this routine twice a day.
- Stand on the bottom step of some stairs with your legs slightly apart and with your heels just off the end of the step. Hold the stair rails for support. Lower your heels, keeping your knees straight. Again you should feel the stretch in your calves. Keep the position for 20-60 seconds, then relax. Repeat six times. Try to do this exercise twice a day.
- Sit on the floor with your legs out in front of you. Loop a towel around the ball of one of your feet. With your knee straight, pull your toes towards your nose. Hold the position for 30 seconds and repeat three times. Repeat the same exercise for the other foot. Try to do this once a day.
- Sit on a chair with your knees bent at right angles and your feet and heels flat on the floor. Lift your foot upwards, keeping your heel on the floor. Hold the position for a few seconds and then relax. Repeat about 10 times. Try to do this exercise five to six times a day.
- For this exercise you need an object such as a rolling pin or a drinks can. Whilst sitting in a chair, put the object under the arch of your foot. Roll the arch of your foot over the object in different directions. Perform this exercise for a few minutes for each foot at least twice a day. This exercise is best done without shoes on.
Finally, a deep tissue massage to the calf muscles, achilles tendon and foot will help too.
Related Posts
What is Acupressure Massage?
What is Acupressure? Acupressure has its roots in traditional Chinese and Japanese cultures through Shiatsu and Anma. How does Acupressure Work? Acupressure points are places on the body that are especially sensitive to bioelectrical impulses and conduct these impulses readily. In Chinese medicine terms acupressure points are junctions on the meridians that carry human energy, which the Chinese call Chi and the Japanese call Ki. Western scientists have also mapped out and proven the existing of this system of acupressure points by using sensitive electrical devices. Stimulating these acupressure points with pressure, acupressure massage triggers the release of endorphins which are the neurochemicals that relieve pain. Tension tends to concentrate around the acupressure points. When a muscle is chronically tense or in spams, the muscle fibres contract due to the secretion of lactic acid caused by fatigue, trauma, stress, chemical imbalances or poor circulation. When acupressure points are pressed, the muscle tension yields to the pressure, enabling the muscle fibres to elongate and relax. Seated Acupressure Massage incorporates the pressing of a number of acupressure points, depending upon the length of treatment up to 100 points may be stimulated. Below are the some of the points that may be incorporated into a Seated Acupressure Massage for someone who is experience neck pain or stiffness:
What is the difference between Acupressure and Acupuncture? With acupressure the acupressure points are stimulated with pressure, with acupuncture the same acupressure points are stimulated with needles. What is the difference between Acupressure and Seated Acupressure Massage? Seated Acupressure Massage is very modern; it was created in 1984 by David Palmer who used traditional Acupressure techniques to give 15 minute treatments on the neck & shoulders of clothed employees at Apple Computers in the USA to relieve neck & shoulder pain. You can think of Seated Acupressure Massage as utilising the ancient wisdom and healing art of acupressure to address the modern office woes of stiffness due to muscular tension and pain in the upper back, neck and shoulders.
GV16 Wind Mansion – which aids the release of headaches, stiff necks and neck pain. GB20 Gates of Consciousness – which aid the release of neck pain and headaches. TW16 Window of heaven – aids the release of stiff necks, shoulder & neck pain and headaches. B10 Heavenly Pillar – which helps relieves stress and stiff necks. GB21 Shoulder Well – which as the name suggests helps relieve tension and pain in the shoulders. Do your friends impact your health?
In our day to day lives, during the times when we are deciding what to eat or whether to watch TV or take a walk, who is more likely to be around us, our family, friends, flat mates or a doctor? Even for individuals living with a chronic condition who will probably only spend a few hours a year with medical professionals compared to the thousands of waking hours with family and friends. Recently researches discovered that women are more likely to survive breast cancer if they have a strong social network of friends and family, whereas those who are more isolated are twice as likely to die of the disease. University of Pennsylvania have found that good health is more likely if people see fewer doctors and more of their family and friends especially if they get their support and help. They discovered that people are more likely to make healthier choices - like going for a walk over watching TV if they are around family and friends. In addition people are more likely to go to the gym if they have someone to go with. Being part of a group e.g. family, friends, book club, tennis club, social group, religious/spiritual practice seems to aid our motivation to be healthier in terms of diet, exercise, smoking or drinking. This could be because being part of a group enhances your sense of meaning in life, which in turn leads you to better take care of yourself. Or it could be down to feeling a sense of responsibility towards other or even just wanting to fit in. References D A. Asch, and R Rosin, Engineering Social Incentives for Health, N Engl J Med 2016; 375:2511-2513 Kroenke, C. H., Michael, Y. L., Poole, E. M., Kwan, M. L., Nechuta, S., Leas, E., Caan, B. J., Pierce, J., Shu, X.-O., Zheng, Y. and Chen, W. Y. (2017), Postdiagnosis social networks and breast cancer mortality in the After Breast Cancer Pooling Project. Cancer, 123: 1228–1237. doi:10.1002/cncr.30440 Tarrant, M., Warmoth, K., Code, C., Dean, S., Goodwin, V. A., Stein, K., & Sugavanam, T. (2016). Creating psychological connections between intervention recipients: development and focus group evaluation of a group singing session for people with aphasia. BMJ Open, 6(2), e009652.
Good news for the desk bound…
We have all heard about the target of walking about 10,000 steps per day which roughly equates to walking 5 miles per day. Well many years ago when I worked long hours in IT some days, and lets be frank even some months, the possibility of me walking 10,000 steps per day was a pipe dream. I would say this was especially true in the winter when the dark skies, cold, wind and rain didn't exactly entice me to go outside even though I love walking. Researchers in Trondenheim University in Norway have discovered that in heart patients after just 12 weeks of walking 3000 steps every day, the hearts pumping function improved which in turn improved their ability to exercise. They concluded that moderate continuous exercise, such as walking 3,000 steps or 1.5 miles in 30 minutes had as much benefit on the heart as more vigorous, intensive exercising. Moderate walking decreased the strain on the heart, improved heart muscle function, improved blood vessel dilatation, helped form new blood vessels and lowered blood pressure. On average a sedentary person completes between 1,000 to 3,000 steps per day. Which is good news for the desk bound as you can now aim for 3,000 continuous steps which is much easier to achieve than 10,000! Reference http://circ.ahajournals.org/content/early/2017/01/19/CIRCULATIONAHA.116.022924
