Heel pain in adults is caused by several disorders, but the most common one is a condition called plantar fasciitis. The pain from plantar fasciitis commonly are under the heel and the traditional symptom is that the discomfort is more intense when getting out of bed first thing in the morning for those initial steps. Right after those initial steps the pain does ease somewhat, however gets worse once again as the day goes on. The plantar fascia is a long ligament underneath the bottom of the foot which is responsible for supporting the arch of the foot, so plantar fasciitis is because there is excessive weight on the arch of the foot. The main risk factors for this are tight calf muscles, being obese and having increased amounts of activity. Lower limb structural issues that adds to the load in the plantar fascia can also be a factor in raising the load.
The first approach to plantar fasciitis is pain alleviation with the use of ice after exercise and possibly the use of anti-inflammatory and pain relief drugs. Taping may also be used for the short term to help with the pain. Foot orthoses could be used to reduce the strain on the arch of the foot and correct any structural problems that might be a factor in leading to the problem. It is important to stretch the leg muscles as it really is a significant risk. Splints to wear at night could also be used to help with that stretching as needed. Strengthening the muscles that also support the arch may also be of great benefit as they take some load of the plantar fascia. In the long run, weight reduction is crucial because this truly does produce a lot of stress in the feet. In the event these kinds of approaches may not be working to well, then it's time for you to try things like shockwave therapy or corticosteroid shots. A final consideration could be surgical treatment if none of the conservative approaches work..