Three of the Most Common Heel Pain Causes
One of the most excruciating and debilitating pains that one can experience is heel pain. Heel pain can actually interfere with your activities of daily living limiting the things that you want or need to do. In fact, many people often avoid certain activities such as exercise because of the pain and end up gaining weight and becoming depressed as a result. Unfortunately, most people don't know how to treat their heel pain and end up suffering needlessly because of it. The following are the three most common causes of heel pain and what you can do to treat them.
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Foot Orthoses: Customized Or Prefabricated - Which is Better?
The relative merit of customised versus prefabricated foot orthoses continues to be the subject of passionate debate among foot health professionals. Although there is currently insufficient evidence to reach definitive conclusions, a growing body of research literature suggests that prefabricated foot orthoses may produce equivalent clinical outcomes to customised foot orthoses for some conditions. Consensus guidelines for the prescription of customised foot orthoses need to be developed so that the hypothesised benefits of these devices can be thoroughly evaluated.
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Understanding Foot Pain: Nature and Mechanisms
Approximately one-quarter of the population are affected by foot pain at any given time. It is often disabling and can impair mood, behaviour, self-care ability and overall quality of life. Currently, the nature and mechanism underlying many types of foot pain is not clearly understood. Here we comprehensively review the literature on foot pain, with specific reference to its definition, prevalence, aetiology and predictors, classification, measurement and impact. We also discuss the complexities of foot pain as a sensory, emotional and psychosocial experience in the context of clinical practice, therapeutic trials and the placebo effect. A deeper understanding of foot pain is needed to identify causal pathways, classify diagnoses, quantify severity, evaluate long term implications and better target clinical intervention.
Disabling foot pain appears to occur typically in association with other pain regions, including hip/leg pain, axial skeletal pain and/or shoulder pain; and is more likely to occur in patients previously diagnosed with arthritides, diabetes and/or stroke [4,5,10]. In the largest study to date, Garrow et al. [4] reported people with rheumatoid arthritis were three times more likely to report disabling foot pain, although this did not reach statistical significance due to the very small number of people included in this part of the analysis.
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Plantar Fasciitis
The plantar fascia provides support when the foot rises up on the toes during walking, running, or climbing. It supports the long arch of the foot. Plantar fasciitis is caused by strain of the plantar fascia. The injured tissue causes pain at the bottom of the foot when starting to walk or when standing still for a long period of time. It is one of the most common causes of foot pain in adults [1,2].Jumping, running, or prolonged standing often causes strain on the plantar fascia. The outcome is generally good, with approximately 80 percent of people having no pain within one year. Flat feet can be a predisposing cause for plantar fasciitis as can a high arched foot (pes cavus) [2].
Plantar fasciitis usually occurs in people without underlying medical problems, but it can be associated with other rheumatic disorders such as fibromyalgia, rheumatoid arthritis, or gout.
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