| If you have chronic pain in your heel, you may have a condition known as plantar fasciitis. This condition occurs when the ligament that runs across the bottom of your foot becomes inflamed. It is often associated with heel spurs (calcium deposits on your heel) but you don’t have to have heel spurs in order to have plantar fasciitis. This condition can be extraordinarily painful and usually occurs as the result of injury (particularly running or jumping on hard surfaces), chronic stress on your feet, obesity or ill-fitting footwear. If you notice that your heel pain occurs first thing in the morning, or right after you’ve been resting for a considerable period of time, chances are the ligament underlying your arch is inflamed.
If you believe you have plantar fasciitis, you should talk with a podiatrist about your treatment options. Most podiatrists will recommend resting and icing the foot. But proper footwear can also help to alleviate heel pain (especially for those whose non-supportive footwear caused the plantar fasciitis in the first place). Some people claim that a simple change such as replacing flat-soled sandals with Birkenstocks completely eliminated any heel tenderness, even when they spent all day on their feet. Others aren’t so lucky. In more serious cases, a podiatrist may recommend customized shoe inserts (orthotics).
There are several brands of orthopedic shoes that may be appropriate for people suffering from plantar fasciitis. Names to look for include: Acor, Bite, Comfortrite, Darco, GentleStep, Finn Comfort, Kumfs, Mephisto, Merrels, Naot, Orthofeet, PW Minor, Standing Comfort and Sanita.
In general, you want a shoe with a slightly raised heel (look for something elevated 1 to 1 ½ inches). The shoe should be highly supportive. Make sure it has a heel counter. This is a plastic insert that cups your tendon and heel and is concealed within the fabric of the shoe. Take your thumb and press down on the back of the heel. If the heel bends inward (so that it is inside the shoe), the heel counter is weak and won’t give you much support. You will also want a shoe with a removable insole so that you can insert your own orthotics if you need customized support. |