Heel pain in adults can be resulting from several disorders, but by far the most frequent cause is a condition known as plantar fasciitis. The pain from plantar fasciitis generally occurs beneath the heel and the classic symptom is that the discomfort is more painful when getting out of bed first thing in the morning for those initial few steps. Right after those initial steps the pain does ease to some extent, but it worsens again as the day goes on. The plantar fascia is a long ligament beneath the bottom of the foot that is responsible for supporting the arch of the foot, so plantar fasciitis is caused by there being excessive weight on the arch of the foot. The main risk factors for plantar fasciitis are tight calf muscles, being obese and having higher levels of exercise. Lower limb structural issues that adds to the load in the plantar fascia will also be an issue in increasing the stress.

The initial approach to plantar fasciitis is pain alleviation with the use of ice after activity and maybe the use of anti-inflammatory and also pain relief medication. Taping could also be used temporarily to help with the pain. Foot supports enables you to decrease the load on the arch of the foot and improve any alignment problems that maybe a factor in leading to the plantar fasciitis. It is very important to stretch the leg muscles as this is a major risk. Splints to wear at night can also be used to help with this stretching when necessary. Strengthening the muscles which also support the arch could also be advantageous as they take some strain of the plantar fascia. In the long run, losing weight is really important because this actually does produce a lot of load in the foot. If these kinds of methods are not working to well, then it is time to consider treatment such as shockwave therapy or corticosteroid shots. A final option would be surgical procedures.