Category Archives: Heel Pain

Cracked Heels

Splits in the epidermis at the back of the heel are frequent, are uncomfortable, and do not look very good. This occurs if the fat pad beneath the heel stretches out sideways beneath the foot and the dried-out skin cracks or splits to create a heel fissure. A good way to understand them is to use the analogy of a tomato being compressed. As you apply force to the tomato to squash it, the skin of the tomato cracks as the insides pushes outwards. So it is with the heel. As bodyweight squashes the fat under the heel it expands out laterally from under the heel, it attempts to tear the epidermis around the perimeter of the heel. If this succeeds or not is going to depend on how flexible and strong that the skin is. If the skin is dry, thicker or callused, it is going to tear quickly. If the skin is thicker with a layer of callus, that skin will crack easily and place stress on the good skin below that will become very painful, even bleeding. Each step that is taken with even further open the crack which will help prevent it from healing. Cracked heels are more common in those who wear open heel type footwear, as a closed in shoe should help keep the fat pad under the heel in position and help prevent or reduce the effects of this.


The most efficient short term management of cracked heels is to have the callused skin removed by a podiatrist and then use strapping to hold the sides of the split together so that it can heal. The long term prevention of cracked skin around the heel should be apparent from the mechanism that was described above. To start with, weight reduction will help lessen the problem, but this is a long term issue. To help stop the fat pad under the heel from expanding out sideways and trying to split the skin, a closed in shoe needs to be worn and frequently the use of deep heel cup insoles can help. A foot doctor should be consulted on a regular basis to debride any dry callused skin. Emollients really should be applied regularly to keep the skin flexible so that it does not fissure. The use of pedicure files to maintain the callus under control could also be used.

Plantar Fasciitis

Plantar fasciitis is probably the most prevalent condition that impacts the foot. As a result of how frequent it is, there are so many pretending to be “experts” about it on the net providing harmful recommendations on how to deal with this. The typical symptoms of plantar fasciitis are usually soreness under the rearfoot that is more painful when getting up from rest, especially first thing each morning.

Plantar fasciitis is a problem with the plantar fascia (which is a long structure which props up the mid-foot of the feet) when the cumulative load placed on the plantar fascia is higher than what the tissues can take. This means that there are only two important factors that cause plantar fasciitis: the collective force is too high or the tissues are too weak. The load is elevated by body weight, tight leg muscles, activity levels as well as biomechanical reasons. The tissues being too susceptible is due to nutritional issues along with genetic factors.

The reasonable strategy to improve from plantar fasciitis is usually to lessen the stress while increasing the capability of the tissues to accept the load. You reduce the stress by weight loss, using taping as well as foot supports, and stretching out the calf muscles. You increase the ability of the plantar fascia to accept the stress through making sure the dietary status is acceptable and perform progressing loading activities for the plantar fascia. You can’t do anything about the genetics. It really is that simple and there is no need for plantar fasciitis to be a really big issue that it is.

The issue with the cure for plantar fasciitis and all the tips being given on the web for this is that the natural history of plantar fasciitis is to get better without treatment sooner or later. Just check out the placebo groups in the many studies on different treatments for plantar fasciitis; they do improve. Eventually might be a long time and it is painful, so they nonetheless do need to be dealt with rather than wait until it improves. This means that, it doesn’t matter what therapy is used, a particular percent are sure to improve regardless resulting from that natural history. Because of this lousy solutions persist as they all do apparently assist a few, when in reality they didn’t assist any. People who seem to be correctly treated using that treatment are likely to advise that it is very helpful. This also means that the remedies that should be used are those that have been demonstrated to lead to superior results than just the natural history. Because of this we will not get deceived into believing a therapy will work when in fact it might not work any better in comparison to the natural history. We should be cautious taking any recommendations online for virtually any clinical problem.