Plantar Fasciitis

8 Horrible Things High Heels Do to Your Body

“Yes, your favorite stilettos make your feet hurt, but high heels may also be hurting your ankles, knees, and back if you’re wearing the wrong type too often.”

Heels can give you varicose veins… ew…

When your legs move forward in heels to float over your toes, your calf muscles contract and stay contracted, instead of contracting and releasing as they usually do in lower-heeled shoes. As a result, your blood can’t use that regular calf muscle contraction as a pump to move up and out of your legs, and blood flow throughout your lower limbs slows down, according to Mayo Clinic. When blood can’t escape your legs, it pools in veins that swell and rise into what are widely known as varicose veins. Horse chestnut may help treat varicose veins.

Heels put more pressure on the ball of your foot

Your upright foot is used to balancing on both its front and its back, so when you tilt it into your favorite black stilettos, it’s no wonder your forefoot starts to feel so much more pressure. According to Jane Pontious, DPM, chair of the department of podiatric surgery at Temple University, this pain in the joints in the ball of the foot, known as metatarsalgia, can even lead to stress fractures over time. The good news is that you can easily decrease the pain by decreasing your heel’s height. Research from the Spinal Health Institute shows that while three-inch heels put 76 percent of your foot’s pressure on your forefoot, two-inch heels decrease the pressure to about 57 percent, and one-inch heels lower it to 22 percent. That’s cutting the pain by more than half with a decrease of just two inches. Here’s what your shoe salesperson is secretly thinking about you.

High heels can cause plantar fasciitis in the heel and arch of your foot

Your Achilles tendon, or the band of tissue stretching from the back of your heel all the way to your calf, lengthens and shortens with your foot movement. When you point your toes and your heel rises closer to your calf (like you do when wearing heels), your Achilles tendon shortens. But too much shortening is a bad thing, according to Dr. Pontious. Because the Achilles connects to the plantar fascia, or the ligament that stretches along the bottom of your foot, shortening your Achilles tendon pulls on the plantar fascia, causing it stress. The result is a form of pain in your heel and arch known as plantar fasciitis.

Their pointy ends push your toes together

Dr. Pontious has noticed that many popular high heels are not only tall, but narrow, too. “The reason for that is because it makes our feet look smaller, and smaller feet are viewed in general as being more attractive,” she says. But when fashion starts to compromise foot function, there’s a problem. Women who regularly wear heels with narrow, pointy toes develop muscle imbalances, hammertoes, or bunions as a result of the pressure the shoes put on their toes when they shove them together. Sometimes pointy toed-shoes can even irritate or inflame the nerves enough to cause nerve conditions in the feet that cause pinching and pain sensations. To avoid these, make sure to buy a shoe that doesn’t narrow too much at the toe, especially if it’s a heel. Here are foot doctors’ tips for pain-free sandals.

High heels put extra stress on your knees

When you shift the pressure on your foot forward by strapping on high heels, the center of gravity of your body immediately moves forward, too. Unfortunately your knees feel the brunt of this change as they struggle to keep your body up and balanced in this shifted position. In fact, a 2014 study published in the Journal of Orthopaedic Research showed that increasing your heel height or your weight hurts your knees even more, and possibly increases the risk of arthritis in the knees. Here are proven knee pain treatments and when to try them.

Heels change your posture for the worse

Because your legs are pushed forward in high heels, your upper body is forced backward to counterbalance your lower body. Your lower back arches, your chest is pushed forward, and the normal “s-curve” of the spine, which typically acts as a shock absorber for the vertebrae, is shifted, according to the Spinal Health Institute. As a result, muscle overuse can lead to back pain, not to mention other issues like spondylolisthesis, or the crowding of vertebra over each other in the lower back, where weight is suddenly more concentrated in heels. These easy tricks can correct your posturefast.

Heels decrease your ankle strength over time

Maybe you’ve only just started wearing heels regularly and have yet to experience much pain at all. Unfortunately, that’s quite normal for women who a few years later experience ankle injuries from high heels. A 2015 study in the International Journal of Clinical Practice showed that women who wore high-heeled shoes often actually strengthened their ankle muscles over the first one to three years through wearing the shoes, only to experience a weakening of the same muscles when they continued to wear them after that time period (for four years or more). Weak ankles detract from your dynamic balance, lessening your ability to avoid falling, spraining your ankle or otherwise hurting yourself. To protect your ankles and yourself while wearing heels, try practicing ankle-strengthening exercises on a regular basis, like “heel walking” (practicing balancing on your heels to walk) and “heel raises” (standing on your toes and raising and lowering your heels).

They can be too small for your feet

Just as narrower feet are perceived as more attractive, so, too, are shorter feet, and some women are willing to sacrifice the comfort of their feet to make them appear smaller. According to WebMD, nine out of 10 women wear shoes that are too small, causing bunions, corns, and blisters, and irritating foot joints enough to potentially cause arthritis. If you’re going to wear a heel, make sure it’s a comfortable size for your foot; you’ll thank yourself later. Should you get a blister anyway, try one of these home treatments to heal blisters quickly.

 

**This article and picture was found on the Readers Digest website. Read the complete article here: http://www.rd.com/health/wellness/high-heels-pain/

Exercises to help heal Plantar Fasciitis

“With the start of the new year, fitness resolutions are on everyone’s mind. Couch potatoes and exercise enthusiasts have started new physical activities and routines, runners have upped their mileage and weekend warriors are working hard to advance quickly in their chosen sport or activity-all trying to achieve the goal of leading a healthier lifestyle.

Advancing too quickly in physical activity can lead to an increase in heel pain-commonly known as Plantar Fasciitis. Faulty foot mechanics or improper shoes can also contribute to this condition. Other possible causes include: obesity, age, family tendency, and disease (arthritis and diabetes).

The Plantar Fascia is a shock absorbing tissue that expands when you walk, run, or exercise. Continuous tension on the fascia can cause irritation or inflammation. The pain associated with Plantar Fasciitis is generally located on the bottom of the heel. The first steps out of bed in the morning are often the most painful.
Irritation of the Plantar Fascia is treated with rest, ice, stretching and strengthening, correction of faulty footwear, and proper foot mechanics. Several stretches/strengthening exercises that have helped our clients get “back on their feet” are: The Plantar Fascia Stretch-standing with the ball of foot on stair, reach for the bottom step with heel until a stretch is felt through the arch of the foot. Hold for 30 seconds. Repeat 3 times, 3 times per day.
Single Leg Toe Curling-With foot resting on a towel, slowly bunch towel up as you curl toes. Repeat 3-5 times, 2 times per day.
Lacrosse Ball Massage-while sitting in a chair, roll lacrosse ball under your foot to massage the painful area. Perform for 1 minute, 3 times per day.

Increasing activity levels can be done safely and strategically to avoid overuse injuries. Always check for proper footwear, consider cross training (alternate between running, walking, biking, and swimming) on your exercise days, rest, and diet all aid in injury prevention and rehabilitation. So get out there and get your HEALTHY FEET MOVING!”

Eight Common Running Injuries – Bo Shirey, LAT/ATC

This article was written by one of Encore’s LAT/ATCs, Bo Shirey. Bo has worked with Encore since 1996 and is also a BLS instructor with the American Heart Association

Runners knee or Patellofemoral Pain Syndrome (PFPS)

    1. Irritation of the cartilage on the underside of the kneecap
    2. Flares up during or after long runs
    3. Hurts after sitting after period of time
    4. Risk factors are overpronation, weak quads, hips, or glutes
    5. Uphill running may be less painful, so avoid going downhill
    6. Strengthen weak hip and glute muscles
    7. Stretch your hip flexors
    8. Shorten your stride length while running with knee slightly bent will help
    9. Ice after runs and anti-inflammatory (Ibuprofen, Aleve, etc)

Achilles Tendinitis

    1. Achilles tendon connects two major calf muscles to the back of heel
    2. When under too much stress the tendon tightens and becomes irritated
    3. When you dramatically increase training and you have tight calves it can flare up
    4. Ice it 
    5. Strengthen calves with heel drops
    6. Take  anti-inflammatory (Ibuprofen, Aleve, etc)

Hamstring Issues

    1. The muscles in the back of your thighs that helps drive up hills and power finish kicks
    2. Often are irritated because of weak muscles
    3. Too flexible or too tight can cause problems in your hamstrings
    4. Muscle imbalance where quadriceps over power their hamstrings
    5. If pain is sudden and bruises you need to rest for a period of time
    6. Avoid intervals or hills
    7. Strengthen your hamstrings with hamstring curls
    8. Use a foam roller to alleviate tightness before and after runs
    9. Stay strong with bridges
    10. Take  anti-inflammatory (Ibuprofen, Aleve, etc)
    11. Ice after you run and heat before you run to help loosen it up

Plantar Fasciitis

    1. Small tears or inflammation of the tendons and ligaments on the bottom of foot
    2. Usually worse in the mornings and gets better after you take a morning shower
    3. Runners with high or low arches are vulnerable 
    4. Extreme pronation or supination and increase mileage too quickly can irritate it
    5. Tight hip flexors, weak core muscles, and a history of back pain can also contribute
    6. Recovery time may take as long as 3 months to a year
    7. Roll your feet over a frozen water bottle (ice it)
    8. Stretch it by rolling over a ball
    9. Use a foam roller to stretch out calves
    10. Do core work like planks
    11. Custom orthotic or proper running shoes will help
    12. Joint manipulation by a professional has shown signs of relief

Shin Splints

    1. It is a catch all term for pain in your lower leg on the front side
    2. It is when small tears occurs in muscles around your shin bone
    3. Common among new runners
    4. Signs of doing too much too quickly
    5. Make sure you have the proper shoes or orthotic might help
    6. Best cure is rest
    7. Ice massage by using paper cup filled with water and freezing it
    8. Compression tape or sleeve may help
    9. Make sure you increase your mileage gradually
    10. Take  anti-inflammatory (Ibuprofen, Aleve, etc)

Illiotibial Band Syndrome (ITBS)

    1. IT band lies along the outside of the thigh from the hip to the knee
    2. The IT band will rub on the side of the femur which can cause irritation if you increase your mileage too quickly or too much downhill running
    3. Runners with ITBS may overpronate, have a leg length difference, or suffer from weak hip abductor and glutes
    4. Decrease your mileage when it flares up
    5. Strengthen the hip abductors with lateral side steps
    6. Strengthen glutes with monster walks
    7. Use a foam roller of the IT Band
    8. Shortening your stride so your weight centers on front of heel or midfoot as you land
    9. Do not run if pain radiates up and down your leg when walking or stairs
    10. Take  anti-inflammatory (Ibuprofen, Aleve, etc)
    11. Heat before you run and ice afterwards
    12. Stretch the IT band

Stress Fractures

    1. They develop over time from repetitive strain on the bone
    2. Runners mostly develop them on the shins, feet, or heels.
    3. Runners who over train are more likely to develop them
    4. Your bones need time to recover
    5. Women are more likely to get them than men because of low estrogen levels or not enough caloric intake
    6. Must rest for 6-12 weeks if you develop this
    7. It will not show up on x-ray but it will with a bone scan
    8. May have to wear a walking boot

Hip Bursitis

    1. Also known as trochanteric bursitis and is inflammation of bursa between tendon and bone which prevents friction
    2. Pain on the outside of the hip and is worse during activities
    3. Usually gets worse when pressing on the outside of the hip
    4. Pain may radiate down the outside of the thigh
    5. Overpronate may cause it because the knee falls inwards which increases the angle of the hip
    6. Weakness in the hip abductors and glutes will also increase the angles of the hip
    7. Tight structures around the hip like the IT band, hip flexors, and hamstrings can be a cause of hip bursitis
    8. Runners need to rest, ice and take  anti-inflammatory (Ibuprofen, Aleve, etc)

**If you have asthma avoid anti-inflammatories like Ibuprofen or Aleve