The birds are singing. A lone ray of sunshine slips past the curtains, saturating your bedroom in a warm, orange hue. Moments later, the sound of Styx from your clock radio penetrates the morning silence, signaling to you, that it's time to start the day. Groggy, you push the warm comforter off your pajamas, swing your feet off the bed, and sit up. It's at this moment when you're met with a sharp pain in your feet. Rubbing the sleep out of your eyes, you look down in search of the thumb tacks you had just stepped on. After your eyes adjust to the light, you realize that there aren't any push-pins on your floor. Nor are there any toy cars, yet the pain in your heel remains. Confused by this mystery twinge of severe discomfort, you make your way to the shower, the stinging pain dissipating ever so slightly with each step. By the time you finish your cereal and coffee, the foot pain is gone. You write it off as just a bizarre episode of "old age", until you get up from your desk at work. It's back.
It seems that more and more customers are describing this situation to us in the store(albeit the ridiculous imagery). So I thought it would be time to talk Plantar Fasciitis. Say it with me: "PLAN-Tar-FASH-E-EYE-TIS". It's not planter's fashalatta. Planter's fascism would also be incorrect. Heck, planter's fasheeitis is wrong, too(though that's much closer). It's Plantar Fasciitis.

As the name implies it's an inflammation (that's what words that end in "-itis" mean in the medical world) of the plantar fascia (or aponeurosis is you ever find yourself on Jeopardy). Your plantar fascia/aponeurosis is this thick, fibrous band of tissue similar to a tendon that starts (originates) on the heel bone (Jeopardy synonym: calcaneous) and fans out to the metatarsal heads on the bottom of the foot. Asides from becoming inflamed, the PF (that's more doctor's speak for you) aids in supporting the medial longitudinal arch (the big one we all know and love) of the foot and propulsion when running and walking. Plantar fasciitis has been associated with individuals who are overweight, increased their training too much/too soon, wore flexible shoes, excessively pronate, have tight calf muscles, or even a leg-length discrepancy.
It's at this point in the blog that you say to yourself "Alright, it sounds like I might have a case of PF, but what can I do? My heels are killing me!" Fortunately, because there's such a large percentage of the population which suffers from this -itis, there's quite a few things to try. We all learned in kindergarten that everyone's different. Because of this sterling fact, different people respond to different treatments...differently. In spite of us being a retail outlet, I'll start with the inexpensive suggestions and progress to more (financially) involved treatments. Keep in mind that you might respond to just one recommendation, no recommendations, or a combination of recommendations...
Alrighty, here it goes:
1) Stretch! One of the most effective ways to combat PF is to stretch it. Oddly enough, this entails stretching your achilles tendons and calves. You know which one's I'm talking about, too. The classic "try to push the tree/wall over" and "try to push the tree/wall over with a bent knee". Hold 10-15 seconds, 10 or so times per heel, a couple times a day. Rinse. Wash. Repeat. It's like anything else, though- don't overdo it right off the bad. A little can go a long way.
You might also want to try taking a towel in the morning (before you even get out of bed!) and pulling your toes back. This will stretch the plantar fascia, which should feel pretty good.
2) Ice, Ice, Baby! If you're still hurtin' for certain, try the ice-bottle trick: Freeze a cheap plastic bottle 3/4s of the way up, with water and freeze. When you come home, roll it around under the foot. Between the massage and cryotherapy, you're well underway to foot-bliss. Oh, and stay away from the Fiji water bottles- they don't roll so good.
3) Being Supportive: If you're reading this far, it might be time to introduce some arch supports- there's a few different ways of going about this...
a) Tape- There's a few different ways out there where you can actually use
athletic tape to pull the arch up, and provide support. Google is an amazing little tool. If you want something with a little easier application, you might want to look into the
Count'R Force Arch Support- it's essentially taping the arch with hook-and-loop straps. And by "hook and loop" straps I mean Velcro straps. Velcro.
b) OTS Orthotic- OTS simply means "off the shelf". I try to pepper abbreviations in whenever I can. In any event, an
off the shelf orthotic will unload the plantar fascia, which in turn, will relieve the pain in your heel. The tricky part is finding one feels good for you. Check the
Superfeet cheat sheet for a bit of guidance.
Side notes:a) You know those gel inserts you put in your shoes that thought would take care of your heel pain? You know how they're not working? They're not supportive enough. If you can twist/bend/squish an insert with your fingers...imagine what your body weight will do to it. Something that flexible won't unload your plantar fascia...
b) I like OTS orthotics for a few reasons (which is why we sell them in the first place): they're cheaper than customs. They're usually more comfortable than customs. There's no literature that suggests a custom is any better than an OTS. There's also no guarantee that a custom (or OTS) will work. However, if they don't work, I'd rather lose $40 dollars, than $400...
4) Doin' the splints! If you're still not finding relief, it might be time to step it up (no pun intended, they just come naturally) to a night splint. As the name implies, these devices tend to keep the foot in a stretched position while you sleep. When you're stretching at night, you're allowing for the foot to heal in a "more optimum"- stretched position. There's two basic types- The
traditional night splint and "
the sock". The "best" one is the one that's most effective. I like the hard, bulky one, because I think it does a better job holding the foot in place. Some people, however, like the sock because it's a bit more natural. They both have their advantages and disadvantages.
Of course, I'll make the usual disclaimer that NONE of the information you've just read is an appropriate substitution for a consultation with your local health care professional.Well, I think this more than makes up for the lack of entries this past month. Thoughts?
Labels: Custom Insoles, Pain Management and Relief, Plantar Fasciitis, Rehabilitations, SOLE, Stretching, Super Feet