Are you having pain below your feet? Is the pain increases in the morning hours when you awake? Heel pain has become a widespread problem affecting people of all ages. It can affect anyone, whether they are students, office workers, athletes, or even homemakers who spend long hours standing in the kitchen. 

Many of us ignore heel pain in the beginning, assuming that it will go away on its own but it is not so. If it is left untreated, the pain can become worse and make simple daily activities difficult. It can greatly reduce comfort and our quality of life. So, it is very important to understand the causes of it and find the best treatment at the right time.

Etiology

The most common reason of heel pain is plantar fasciitis. In this condition, the thick band of tissue under the foot gets inflamed due to stress or overuse. Other causes include heel spurs (calcium deposits in the heel), Achilles tendonitis, arthritis, or wearing the wrong footwear. People who are overweight or have flat feet are also at higher risk. 

Treatment Modalities

  • Rest: The first thing which you have to do is give your feet enough rest. One should avoid long hours of standing or running on hard surfaces. The patient should use cushioned shoes or soft insoles that can reduce pressure on the heel and provide immediate comfort.
  • Ice Therapy: Ice is a simple and effective way to reduce heel pain. Application of an ice pack to the heel for 15 to 20 minutes, two or three times a day, helps in controlling swelling and provides  quick relief. 
  • Stretching and Exercises: Stretching is one of the best long-term treatments for heel pain. Gentle exercises for the calf muscles and plantar fascia make the tissues more flexible and reduce stiffness. Rolling of foot over a tennis ball or stretching toes before getting out of bed in the morning can ease discomfort.
  • Pain Relief Medicines: Over-the-counter painkillers like ibuprofen or paracetamol can reduce pain and inflammation. However, these should only be taken for short-term relief and not as a permanent solution.
  • Proper Footwear Support: Wearing the right type of shoes makes a big difference. Shoes with good arch support and soft cushioning protect the heel from pressure. Avoiding high heels, thin-soled sandals, or old worn-out shoes is important for preventing further damage.
  • Medical Treatments: If home remedies do not work, a doctor may recommend medical treatments. These can include:
  • Physical therapy to strengthen the foot and leg muscles.
  • Steroid injections for severe inflammation.
  • Shockwave therapy (ESWT) which uses sound waves to stimulate healing.
    Surgery is suggested in cases where other treatments fail.
  • Lifestyle Changes: Maintaining a healthy weight reduces stress on the feet. Switching to low-impact exercises like swimming or cycling instead of running helps keep the body active without putting extra pressure on the heels.

Conclusion

The best treatment for heel pain depends on its cause and severity. For most people, rest, ice therapy, stretching, and supportive footwear bring good results. If pain continues for more than a few weeks, medical care may be necessary. Ignoring heel pain can lead to long-term problems, so it is always better to take early action. By making small lifestyle changes and giving your feet the right care, you can stay active, healthy, and pain-free.

with Dr. Bharat Bahre

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