Many of my patients that I see in the office in Worcester, Massachusetts for heel pain or plantar fasciitis are in need of orthotics that can help correct the heel position. When I talk about heel position, it is when you look at someone from the back, you can see their heel. Normally you want to look at the Achilles tendon, which is the tendon that goes from the back of the heel up the leg. That should be very straight. If it’s slanting to the right or to the left, that means that person is maybe flattening out too much, or going inward too much, and that can be a problem. If you are able to correct the heel position or put it to where it should be in the center, there is not excess movement in the foot that can put strain on the plantar fascia or on the tendons on the back of the leg. Therefore, correcting heel position with a good supportive sneaker and an orthotic is very important to help heal plantar fasciitis as well as prevent it from coming back. The absolute worst type of shoe to wear is a flip flop when you have heel pain because it does not allow for any stability.
To Your Health,
Dr. Donald Pelto