Is the first step of the day your worst? Plantar fasciitis may be your problem.
Risk factors for plantar fasciitis are
- excessive running,
- high arch,
- when one leg is longer than the other,
- occupations with prolonged standing or walking,
- sedentary lifestyle, and
- Achilles tendon tightness.
Your physician will perform a history and physical which may reveal plantar fasciitis as the diagnosis. X-rays are rarely needed.
Treatment can be done in stages. Initial treatment should be tried for a few weeks.
- modification of activities,
- ice massage,
- pain medication, and
If heel pain persists, then physical therapy, foot orthotics, and night splinting (see picture) may be needed.
Foot orthotics are inserts that fit into shoes. Ones that may help include over-the-counter heel cups, over-the-counter heel or arch orthotics, and custom-made foot orthotic.
90% of patients will improve with the above techniques. Pain lasting 6 months depspite therapy may require shock wave therapy or a surgery called plantar fasciotomy.
Here’s a video of stretching exercises http://www.youtube.com/watch?v=t2KkdMlqRZU
Hope this helps.