Heel pain in adults can be due to numerous causes, but the most common cause is a disorder called plantar fasciitis. The pain from this typically occurs beneath the heel and the classic sign is that the discomfort is even worse when getting up first thing in the morning for those initial steps. Following those initial steps the discomfort does typically ease to some degree, however it worsens once again as the day goes on. The plantar fascia is a long ligament under the bottom of the foot which is responsible for supporting the arch of the foot, so plantar fasciitis is because there is too much strain on the arch of the feet. The main risk factors for this are tight calf muscles, being obese and having increased levels of activity. Foot dysfunctional problems that raises the load in the plantar fascia can also be a factor in increasing the stress.
The first approach to plantar fasciitis is pain alleviation by using ice after activity and perhaps the use of anti-inflammatory as well as pain relief medicine. Low dye strapping could also be used in the short term to help with the pain. Foot orthoses could be used to lessen the load on the arch of the foot and fix any dysfunctional problems that maybe a issue in leading to the problem. It is important to stretch the calf muscles as that is a big risk. Night could also be used to help with this stretching if necessary. Strengthening the muscles that also support the arch is usually advantageous because they take some stress of the plantar fascia. Over the long term, weight reduction is very important because this really does produce a lot of stress in the feet. In case these types of approaches are not working to well, then it is time for you to look at treatment such as shockwave therapy or corticosteroid injections. A last option could be surgical procedures.