Foot Pain Can Stop You in Your Tracks By Pamela Adams D.C.
Ever stepped out of bed in the morning only to hop back in because you felt a
sharp pain in the bottom of your foot? Arch pain or heel pain can signal a
condition called plantar fascitis and can keep you off your feet for months at a
time. It's hard to treat, slow to heal and hurts like heck with every step.The
best way to deal with this condition is to prevent it.
You're a candidate for plantar fascitis if you walk or stand for a living. Or
if you're a jogger, or player of any sport that involves regular, sustained
running. Especially if you rarely stretch afterwards. Years of wearing
flip-flops or going barefoot can do it, too. You're even more at risk if either
or both of your feet pronate.
What is pronation? Normally when you put weight on your feet-- standing,
walking, running-- your arches flatten out. If you pronate, your arches flatten
too much. They actually collapse. Have you've been told you have flat feet? You
may be a pronator. . Do this test: Stand barefoot and have a friend try to place
two fingers under your arch. It should be easy. If not, you probably pronate. Do
your feet turn out? If you look at the soles of your shoes, is there more wear
on the outsides of your heels? If so, you probably pronate.
What to do? First, you must wear supportive shoes. On the job, it's not
enough to wear shoes with cushioned insoles. You need shoes that support your
arch. Once you've endured the pain of plantar fascitis, you'll gladly forego
fashion for support. If all else fails, consider orthotics.
Orthotics are shoe inserts made of a variety of materials some flexible, some
not, and are designed to fit and support your foot. A good all-around insert can
be found at http://www.hapad.com Debilitating, chronic foot pain usually calls
for a custom orthotic made by a podiatrist.
Physiologically speaking, plantar fascitis is inflammation of the connective
tissue, or fascia, on the bottom of your foot. This fascia connects your heel
with the ball of your foot. Constantly over-stretching it results in
inflammation and pain. If it is ignored long enough, it can cause something
called a heel spur.
Bone is dynamic. It is constantly changing and renewing itself. It changes in
response to stress, mechanical stress. When the fascia is constantly tugging on
the bone at the insertion point, the bone responds by adding more bone at that
spot to relieve the tension. It's as if it were trying to give the fascia some
slack. It's how a heel spur forms. But if you take care of it, when the plantar
fascitis heals, the bone spur is a non-issue.
Being on your feet 8-10 hours a day is an athletic event. Make a practice of
stretching achilles and calf muscles throughout the day, and, of course, after
each run, hike, ride or game. To stretch your achilles, find a curb, step, or
rung of a chair that's 3"to 4" high.
Keeping your heel on the ground, place the ball of your foot (not your toes)
on the curb. Bend the knee and lean forward until you feel a stretch just above
your heel bone. Hold for 10 seconds. Next straighten your knee until you feel
the stretch higher in your calf. Hold 10 seconds. Switch to the other leg.
A tight achilles and calf will pull up on your heel bone thereby stretching
that fascia. Wearing high heeled shoes will shorten the achilles, so stretch
after you take those shoes off.
When you're driving or biking, make sure you push the pedals with your whole
foot, not just your toes. Bending your toes up will stretch the fascia.
Here's an exercise to strengthen your arch to prevent pronation: toe curls.
Sit down, take your shoes off, and curl your toes under as hard as you can and
as many times as you can. In the beginning, you might get a cramp. Just walk
around and try the curls again.
If you are right now suffering plantar fascitis pain, stay off your feet, ice
and wait patiently. When the pain lessens take some of the steps I've outlined
above to prevent it from ever happening again.
Postscript: John Vonhof provides a great free newsletter specializing in the
care of your feet. I look forward to it every month. To subscribe, mail to:
FixingYourFeetEZine-subscribe@yahoogroups.com _______________________
By Pamela Adams D.C. (c) 2003 Painless Guides Inc. For more articles and
health tips or to subscribe to the free newsletter, Self-Health News, visit
http://www.painlessguides.com