Heel pain in adults is caused by numerous causes, however by far the most common one is a disorder known as plantar fasciitis. The pain from plantar fasciitis typically are underneath the heel and the traditional sign is that the discomfort is worse when getting up first thing each morning for those first few steps. Right after those initial steps the discomfort does typically ease to some degree, however gets worse again as the day goes on. The plantar fascia is a long ligament beneath the bottom of the foot that is responsible for assisting the arch of the foot, so plantar fasciitis is because there being a lot of weight on the arch of the foot. The main risk factors for this are tight calf muscles, being overweight and having higher amounts of exercise. Foot dysfunctional issues that raises the load in the plantar fascia are usually a factor in increasing the load.
The initial approach to plantar fasciitis is pain alleviation by using ice following exercise and perhaps the use of anti-inflammatory and also pain relief medication. Taping may also be used for the short term to help you with the pain. Foot orthotics can be used to decrease the stress on the arch of the foot and correct any dysfunctional problems that might be a issue in leading to the problem. You should stretch the calf muscles as this is a big risk. Splints to wear at night may also be used to help with that stretching if necessary. Strengthening the muscles which also support the arch could also be of great benefit since they take some strain of the plantar fascia. In the long run, weight reduction is really important as this truly does create a lot of stress in the foot. Whenever these types of methods aren't working to well, then it is time for you to look at things like shockwave therapy or corticosteroid injection therapy. A final option could be surgical procedures.