Effective Solutions for Heel Pain from Prolonged Standing - Orthopedics

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Heel problems?


Recently, due to work, I have to stand for about nine hours every day, which has caused pain in my feet, particularly in the heel area.
Even though I soak my feet in warm salt water and use ointments when I get home, they haven't been very effective.
I would like to consult a doctor on what to do...
Is there something I can place under my heels for support?

A-Ming, 10~19 year old female. Ask Date: 2001/05/12

Dr. Lin Junliang reply Orthopedics


Prolonged standing can lead to heel pain, with the majority of cases caused by plantar fasciitis.
Treatment primarily relies on rehabilitation, and the fundamental approach is to avoid standing for extended periods.
Using a heel cushion can also help alleviate symptoms.

Reply Date: 2001/05/12

More Info


Heel pain from prolonged standing is a common issue, especially for individuals whose jobs require them to be on their feet for extended periods. This condition can be attributed to several factors, including plantar fasciitis, heel spurs, or general fatigue of the foot muscles. Here are some effective solutions and recommendations to alleviate heel pain:

1. Footwear Choices
- Supportive Shoes: Invest in high-quality shoes that provide adequate arch support and cushioning. Look for shoes specifically designed for standing or walking, as they often have better shock absorption.

- Avoid High Heels and Flip-Flops: These types of footwear can exacerbate heel pain due to lack of support and cushioning.


2. Orthotic Inserts
- Custom Orthotics: Consider using custom-made orthotic inserts that can provide additional support to your arches and distribute pressure more evenly across your feet.

- Over-the-Counter Inserts: If custom orthotics are not an option, over-the-counter arch supports can also help alleviate heel pain. Look for those that offer cushioning and arch support.


3. Stretching and Strengthening Exercises
- Calf Stretches: Tight calf muscles can contribute to heel pain. Stretching these muscles can help relieve tension. Stand facing a wall, place your hands on the wall, and step one foot back, keeping it straight while bending the front knee.

- Plantar Fascia Stretch: Sit down, cross one leg over the other, and pull your toes back towards your shin to stretch the plantar fascia.

- Strengthening Exercises: Strengthening the muscles in your feet and calves can help support your heel. Exercises like toe raises and heel raises can be beneficial.


4. Rest and Recovery
- Take Breaks: If possible, take short breaks throughout your workday to sit down and relieve pressure on your feet.

- Elevate Your Feet: When resting at home, elevate your feet to reduce swelling and improve circulation.


5. Cold and Heat Therapy
- Ice Therapy: Applying ice to the affected area for 15-20 minutes can help reduce inflammation and numb the pain. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

- Heat Therapy: After the initial inflammation has subsided, using heat can help relax and loosen tissues and stimulate blood flow.


6. Pain Relief Medications
- Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Always follow the recommended dosage and consult with a healthcare provider if you have any underlying health conditions.


7. Consult a Healthcare Professional
- If your heel pain persists despite these measures, it may be beneficial to consult a podiatrist or orthopedic specialist. They can provide a thorough evaluation and recommend further treatment options, which may include physical therapy, corticosteroid injections, or other interventions.


Conclusion
Heel pain from prolonged standing can significantly impact your quality of life, but with the right strategies, you can manage and alleviate the discomfort. Start by making adjustments to your footwear and incorporating supportive inserts. Regular stretching and strengthening exercises, along with proper rest and recovery techniques, can also play a crucial role in relieving heel pain. If symptoms persist, seeking professional medical advice is essential to rule out any underlying conditions and to receive tailored treatment options.

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