Heel pain in adults could be caused by many different conditions, however by far the most frequent one is a disorder called plantar fasciitis. The pain from plantar fasciitis commonly are beneath the heel and the classic symptom is that the pain is even worse when getting up first thing each morning for those first few steps. Right after those first steps the discomfort does ease to some extent, but gets worse once more as the day goes on. The plantar fascia is a long ligament under the bottom of the foot which is responsible for assisting the arch of the foot, so plantar fasciitis is because there being excessive load on the arch of the foot. The leading risk factors for plantar fasciitis are tight calf muscles, being obese and having higher amounts of exercise. Lower limb biomechanical issues that increases the load in the plantar fascia are usually a factor in raising the stress.
The first approach to plantar fasciitis is pain alleviation by using ice following exercise and possibly the use of anti-inflammatory and pain relief drugs. Strapping may also be used temporarily to help with the pain. Foot orthotics can be used to reduce the load on the arch of the feet and fix any dysfunctional issues that might be a issue in leading to the problem. It is very important to stretch the calf muscles as that is a big risk. Splints to wear at night can also be used to help with this stretching as needed. Strengthening the muscles which also support the arch could also be of great benefit since they take some strain of the plantar fascia. Over the long term, losing weight is really important since this actually does create a lot of strain in the foot. When these kinds of techniques are not working to well, then it is time for you to consider things like shockwave therapy or corticosteroid injection therapy. A last consideration could be surgical treatment.