What can I do to help plantar fasciitis or heel spurs? My feet hurt with standing.
1. Have custom orthotics made; most physical therapy companies can make them. This will hold your arch in its original anatomical position,
2. Learn the exercises to perform daily to keep the soft tissue stretched and relaxed. This will decrease pain and inflammation. Your physical therapy can help you learn these exercises.
3. Lose weight if you are overweight. This will take pressure off of your arch.
4. Non-steroidal anti-inflammatory medications like Aleve or Motrin can be used to help reduce inflammation. Take them with a meal to reduce inflammation. Cutting sugar and simple carbohydrates out of diet also decreases the inflammation, which, in turn, decreases the pain.
5. If you stand on hard surfaces, buy good footwear and try to stand on a soft mat to help cushion your arches.
6. As a last resort, there are injections and surgery. These are best avoided.
Gay Fulkerson, MD, is a board certified family physician and wound care/hyperbaric specialist.