Heel pain in adults may be due to numerous causes, however by far the most frequent cause is a condition called plantar fasciitis. The pain from plantar fasciitis typically occurs underneath the heel and the classic symptom is that the pain is even worse when getting out of bed first thing each morning for those initial few steps. After those initial steps the pain does typically ease to some extent, however gets worse once more as the day goes on. The plantar fascia is a long ligament under the bottom of the foot that is responsible for supporting the arch of the foot, so plantar fasciitis is because there is a lot of stress on the arch of the feet. The primary risk factors for plantar fasciitis are tight calf muscles, being obese and having higher amounts of exercise. Lower limb structural issues that raises the load in the plantar fascia are usually an issue in raising the load.
The primary approach to plantar fasciitis is pain relief by using ice following activity and maybe using anti-inflammatory as well as pain relief medicine. Taping may also be used in the short term to help you with the pain. Foot orthoses enables you to reduce the strain on the arch of the foot and improve any structural problems that might be a factor in leading to the plantar fasciitis. It is very important to stretch the calf muscles as this is a significant risk. Splints to wear at night could also be used to assist with that stretching as needed. Strengthening the muscles that also support the arch can also be advantageous as they take some stress of the plantar fascia. Over the long term, weight reduction is essential as this really does create a lot of load in the foot. When these strategies aren't helping to well, then it's time for you to look at things like shockwave therapy or corticosteroid injection therapy. A last resort would be surgical treatment.