Tag Archives: heel pain

8 Ways to Prevent Heel Pain After Long Walks or Standing  

Plantar fasciitis is one of the most common causes of heel pain. This condition is characterized by inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot. This tissue helps the foot absorb and disperse pressure and high impact forces through the foot. Preventing this condition will help you maintain a healthy foot and ensure you can continue living an active lifestyle. Below, we’ll explore various strategies to prevent plantar fasciitis in more detail.

1. Proper Footwear

Wearing the right shoes is fundamental in preventing heel pain especially if you are participating in more physically active activities. Footwear should have:

  • Arch support: First, your shoes should provide adequate support for your arch of the foot. Particularly, this is important for individuals with flat feet or high arches
  • Cushioning: Often, you should look for shoes with good cushioning to help absorb shock and reduce stress on the plantar fascia
  • A good fit: For example, the width and length of the shoe should be appropriate for the shape of your foot. They should not be too tight or too loose so that your foot slides around inside, as both can lead to additional strain

Avoid flat shoes, flip-flops, or high heels, as these can exacerbate your foot problems and increase the risk of aggravation.

2. Foot Exercises

Incorporating specific exercises into your routine can enhance foot strength and flexibility, helping to prevent heel pain and plantar fasciitis:

  • Stretching: Regularly stretch your calves, Achilles tendon, and plantar fascia. For example, calf stretches can be done in a lunge position, standing with your hands against a wall and pushing your back heel down
  • Strengthening: Strengthening exercises, such as toe curls (picking up small objects with your toes), calf raises, or balancing on one foot can improve the stability and strength of your foot muscles

3. Gradual Increase in Activity

When engaging in physical activities, it’s best to increase intensity and duration gradually to avoid overtraining injuries. Sometimes, sudden increases in activity levels can place excessive strain on the plantar fascia. Follow these guidelines:

  • Follow the 10% rule: As a general rule of thumb, when increasing mileage in running or walking, aim to increase by no more than 10% per week. This will help you to manage a safe increase in training load
  • Cross-training: Engage in a variety of activities that to vary the impact on the feet. Particularly, activities like swimming or cycling still provide excellent cardiovascular benefits without the stress of running on the lower body

4. Maintaining a Healthy Weight

Excess body weight can put additional stress on your feet, particularly the plantar fascia as it now has to manage more load. Maintaining a healthy weight through a balanced diet and regular exercise can significantly reduce the risk of developing heel pain.

5. Use of Orthotics

Orthotics
Orthotics may help correct foot posture that increases the risk of developing plantar fasciitis

Orthotic devices can provide additional support and correction for foot mechanics. If you have structural issues such as flat feet or high arches, consider the following:

  • Custom orthotics: A podiatrist can create custom orthotics tailored to your foot’s specific needs. Here at PhysioNow, we are able to fit and order custom orthotics for our patients!
  • Over-the-counter inserts: There are many supportive insoles available that can provide different levels of arch support and cushioning

6. Vary your Training Surface

Always walking or running on hard surfaces, such as concrete, greatly increases the impact on your feet. To minimize this:

  • Choose softer surfaces: First, trail walking or running including grass and dirt trails are great alternatives. For both, opt for an indoor or outdoor track surface when exercising.
  • Use mats or padding: If standing for long periods, consider using cushioned mats (anti-fatigue mats) in areas where you frequently stand, such as kitchens or workshops.

7. Taking breaks

For individuals whose jobs require long periods of standing or walking, it’s vital to take regular breaks to rest the feet:

  • Scheduled breaks: Incorporate short breaks every hour to sit down or change positions and relieve pressure on your feet.
  • Foot elevation: During breaks, you can try elevating your feet to reduce swelling and discomfort.
  • Compression stockings: Some individuals find that compression socks/stocking help them remain comfortable all day, especially if they have to walk many steps

8. Warm-Up and Cool Down

Proper warm-up and cool-down routines are essential for any exercise regimen:

  • Warm-up: Begin with gentle movements to increase blood flow to the feet and lower legs. Dynamic stretches can help prepare your muscles for activity.
  • Cool down: After exercising, spend time stretching your feet, calves, and legs to maintain flexibility and reduce stiffness.

Ultimately, if these strategies do not work for you or you need help with your, look for PhysioNow! Physiotherapy offers effective treatment plans for the management of plantar fasciitis. Your Physiotherapist will develop a personalized plan to address the root cause of your foot pain. PhysioNow offers same day urgent assessment and treatment. With 10 locations from Burlington, Oakville, Mississagua and Etobicoke, book with PhysioNow today to start your new health journey!

Achilles Tendonitis Pain

Physio 101: Achilles Tendinopathy

Achilles Tendonitis Pain

Achilles tendinopathy is a common condition that affects the Achilles tendon, which connects the calf muscles to the heel bone. This tendon plays a crucial role in walking, running, and jumping, making it essential for various physical activities, especially high intensity ones. Achilles tendinopathy can be significantly painful and uncomfortable and disrupt not only your athletic performance but daily life as well. In this blog, we’ll explore the causes, symptoms, and treatment options for Achilles tendinopathy.

What Causes Achilles Tendinopathy?

Achilles tendon stages and progression from a normal tendon, to tendinitis, to tendinosis, to potential rupture

Diagram showing the different stages of Achilles tendon problems

 

Achilles tendinopathy occurs when the Achilles tendon is subjected to repetitive stress and overuse. For example, Several factors can contribute to this condition including:

  • Repetitive movements and overuse – Firstly, engaging in activities that involve repetitive motion, such as running, jumping, or intense physical training, can lead to micro-tears in the tendon.
  • Sudden increase in activity level – Rapidly increasing the intensity or duration of physical activity without adequate preparation can strain the Achilles tendon. Alternatively, starting a new training regimen without proper load management can also contribute to the issue.
  • Improper footwear – Wearing shoes that lack proper support or cushioning can increase the strain placed on the tendon
  • Biomechanical issues – Abnormal foot mechanics, such as flat feet or high arches, can place additional stress on the Achilles tendon.
  • Age and degeneration – Naturally, as people age, the Achilles tendon can become less flexible and more prone to injury due to natural age-related changes

 

Signs and Symptoms

The symptoms of Achilles tendinopathy can vary depending on the severity of the condition. However, the most common signs and symptoms include:

  1. Pain and Stiffness – Pain is typically felt along the back of the leg near the heel. Most often, it is more pronounced in the morning or after periods of inactivity.
  2. Swelling and tenderness – The affected area may become swollen and tender to the touch.
  3. Restricted mobility – Flexing the foot or standing on your tiptoes may be difficult due to pain and stiffness in the area

Diagnosis

A healthcare professional like a physiotherapist will typically diagnose Achilles tendinopathy based on a physical examination and your subjective report of your experiences. Imaging tests, such as ultrasound or MRI, may be used to assess the extent of the tendon damage if deemed necessary.

Treatment

Achilles tendonitis Shockwave therapy

Shockwave therapy has shown to be effective treatment in Achilles tendonitis

Treatment for Achilles tendinopathy focuses on reducing pain, promoting healing, and preventing further injury. Here are some effective treatment options:

  1. Rest and activity modification: Reducing or avoiding activities that make the pain worse is crucial. Switching to low-impact exercises, such as swimming or cycling, can help maintain fitness without putting excessive stress on the tendon while it heals.
  2. Ice and compression: Applying ice packs to the affected area and using compression bandages can help reduce swelling and pain in the acute stages.
  3. Stretching and strengthening: Physical therapy exercises that focus on stretching the calf muscles and strengthening the Achilles tendon can aid in recovery. Eccentric exercises, where the tendon is lengthened under load, are particularly beneficial.
  4. Orthotics and Proper footwear: Wearing supportive shoes and using orthotic inserts can help alleviate pressure on the Achilles tendon.
  5. Shockwave Therapy: This non-invasive treatment uses shockwaves to stimulate healing in the tendon. Clinical research supports the greater benefits with shockwave combined with physical therapy.
  6. Surgery: In severe or chronic cases that do not respond to conservative treatments, surgical intervention may be necessary to repair the damaged tendon. This is usually a last resort, and many patients recover through conservative treatments under the guidance of a physical therapist.

Need help with Achilles tendinopathy?

If you suspect you may have Achilles tendinopathy or are experiencing any kind of ankle or pain, look for PhysioNow. We have many experienced Physical Therapists who would love to help you out. With 9 locations across the GTA including Burlington, Oakville, Mississauga and Etobicoke, you can get help fast. Book with PhysioNow today for you first assessment and treatment!