What causes sharp pain in the bridge of your foot. How can you alleviate discomfort in the bottom of your foot. What are the most effective treatments for foot pain. When should you consult a podiatrist for persistent foot issues.

Understanding Plantar Fasciitis: A Common Culprit of Foot Pain

Foot pain can be a debilitating condition that affects our daily activities and quality of life. One of the most frequent causes of foot discomfort is plantar fasciitis, a condition characterized by inflammation of the plantar fascia – the ligament connecting the heel to the toes. This ligament plays a crucial role in supporting the arch of your foot.

Plantar fasciitis often manifests as a sharp pain in the bridge of the foot or a dull ache in the heel. The pain can range from mild to severe and may worsen with prolonged standing or walking. Understanding the symptoms, causes, and treatment options for plantar fasciitis is essential for managing this common foot condition effectively.

Recognizing the Symptoms of Plantar Fasciitis

How does plantar fasciitis feel? The symptoms can vary from person to person, but common experiences include:

• A sharp, stabbing pain in the heel
• Aching or burning sensation along the bottom of the foot
• Stiffness and pain, especially when taking the first steps after rest
• Discomfort that intensifies throughout the day with increased activity

Is the pain always in the same location? While heel pain is the most common symptom, some individuals may also experience discomfort in the arch of their foot. It’s important to note that if you’re feeling pain above your heel or in the back of your ankle, it might be indicative of a different condition, such as Achilles tendonitis.

The Root Causes of Plantar Fasciitis

Plantar fasciitis occurs when the plantar fascia ligament is strained, leading to weakness, swelling, and inflammation. This strain can result in tiny tears in the ligament, exacerbating the condition. But what causes this strain in the first place?

Several factors can contribute to the development of plantar fasciitis:

1. Repetitive motion or high-impact activities
2. Prolonged periods of standing or walking, especially on hard surfaces
3. Obesity or sudden weight gain
4. Age (most common between 40-60 years)
5. Pregnancy
6. Foot structure (high arches, flat feet, or tight Achilles tendons)
7. Improper footwear or worn-out shoes

Are certain individuals more prone to developing plantar fasciitis? While anyone can be affected, some people are at higher risk. For instance, runners have about a 10% chance of experiencing plantar fasciitis. Additionally, those who spend long hours on their feet, such as teachers, nurses, or retail workers, may be more susceptible to this condition.

Diagnosing Plantar Fasciitis: When to See a Podiatrist

How is plantar fasciitis diagnosed? A podiatrist, a specialist in foot and ankle conditions, can provide an official diagnosis. During your visit, the podiatrist will likely:

• Perform a physical examination of your foot
• Ask you to stand and walk to observe your gait
• Inquire about your medical history, including past illnesses and injuries
• Discuss the location and intensity of your pain
• Ask about your exercise habits and daily activities

Are X-rays necessary for diagnosing plantar fasciitis? In most cases, X-rays aren’t required since plantar fasciitis involves ligament inflammation rather than bone injury. However, your podiatrist may recommend imaging if they suspect other conditions, such as a bone spur or stress fracture.

Effective Treatment Strategies for Plantar Fasciitis

What are the most effective treatments for plantar fasciitis? The good news is that many cases can be managed with conservative, at-home treatments. Here are some strategies that can help alleviate pain and promote healing:

1. Rest and Activity Modification

Giving your feet a break is crucial for recovery. This may involve reducing high-impact activities or modifying your exercise routine to include low-impact options like swimming or cycling.

2. Supportive Footwear and Orthotics

Investing in shoes with proper arch support and cushioning can make a significant difference. Custom orthotics or over-the-counter inserts can provide additional support and help distribute pressure more evenly across your foot.

3. Stretching and Strengthening Exercises

Specific exercises targeting the plantar fascia and calf muscles can help improve flexibility and reduce pain. Some beneficial exercises include:

• Toe stretches
• Calf stretches
• Rolling a tennis ball or frozen water bottle under your foot
• Towel curls

4. Hot and Cold Therapy

Alternating between heat and cold can help reduce inflammation and provide pain relief. Apply ice to your foot for 15-20 minutes, followed by heat for the same duration.

5. Night Splints

Wearing a night splint can help keep the plantar fascia stretched while you sleep, potentially reducing morning pain and stiffness.

Advanced Treatment Options for Persistent Plantar Fasciitis

What if conservative treatments don’t provide relief? If you’ve been consistently using home remedies for several months without improvement, your podiatrist may recommend more advanced treatment options:

1. Cortisone Injections

A corticosteroid injection can help reduce inflammation and provide temporary pain relief. However, these injections are typically used sparingly due to potential side effects.

2. Extracorporeal Shock Wave Therapy (ESWT)

This non-invasive treatment uses sound waves to stimulate healing in the affected area. It can be effective for chronic cases of plantar fasciitis.

3. Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves injecting a concentration of your own platelets into the affected area to promote healing and reduce inflammation.

4. Surgery

In rare cases where conservative treatments have been ineffective, surgery may be considered. This typically involves releasing a portion of the plantar fascia from the heel bone.

Prevention Strategies: Keeping Plantar Fasciitis at Bay

How can you prevent plantar fasciitis from recurring or developing in the first place? While it’s not always possible to prevent this condition entirely, there are steps you can take to reduce your risk:

• Maintain a healthy weight to reduce stress on your feet
• Wear supportive shoes with good arch support and cushioning
• Replace athletic shoes regularly, especially if you’re a runner
• Stretch your calves and feet before and after exercise
• Gradually increase the intensity and duration of your workouts
• Avoid going barefoot, especially on hard surfaces
• Use proper technique when exercising to avoid overpronation

By incorporating these preventive measures into your daily routine, you can significantly reduce your risk of developing plantar fasciitis or experiencing a recurrence.

The Road to Recovery: What to Expect

How long does it take to recover from plantar fasciitis? The recovery timeline can vary depending on the severity of your condition and how consistently you follow treatment recommendations. Typically, plantar fasciitis can take anywhere from 3 to 12 months to resolve completely.

Factors that can influence your recovery time include:

• The duration and severity of your symptoms before seeking treatment
• Your overall health and fitness level
• Compliance with recommended treatments and activity modifications
• The presence of any underlying conditions that may affect healing

It’s important to be patient and consistent with your treatment plan. Many people experience significant improvement within the first few months of treatment, but complete resolution of symptoms may take longer.

When to Seek Professional Help for Foot Pain

When should you consult a podiatrist for foot pain? While many cases of plantar fasciitis can be managed at home, there are situations where professional help is necessary:

• Your pain persists or worsens despite several weeks of home treatment
• You experience sudden, severe pain or swelling in your foot
• Your pain is accompanied by numbness, tingling, or weakness in your foot
• You have diabetes or another condition that affects blood flow to your feet
• You develop an open sore or wound on your foot

A podiatrist can provide a comprehensive evaluation of your condition, rule out other potential causes of your pain, and develop a personalized treatment plan to address your specific needs.

Understanding the causes, symptoms, and treatment options for plantar fasciitis is crucial for managing this common foot condition effectively. By recognizing the early signs of plantar fasciitis and taking proactive steps to address it, you can minimize its impact on your daily life and prevent long-term complications. Remember, while foot pain can be frustrating, with proper care and patience, most cases of plantar fasciitis can be successfully managed, allowing you to return to your normal activities pain-free.

What is plantar fasciitis and how to know if I have it?

A dull, annoying heel pain that’s getting worse. A sharp pain in your arch that has you hobbling to keep your stride. Do you have plantar fasciitis?

Plantar fasciitis is one of the most common foot conditions and causes of heel pain in adults. But how do you know if you have it?

Here’s what you need to know about plantar fasciitis symptoms and causes, how it’s diagnosed, and when to see a podiatrist.

What is plantar fasciitis?

Plantar fasciitis is an inflammation of the plantar fascia, which is the ligament that connects your heel to your toes and helps support the arch of your foot.

What are symptoms of plantar fasciitis?

Plantar fasciitis doesn’t look like anything on the outside, but it sure can be felt on the inside. Heel pain is the most common plantar fasciitis symptom. Some people also feel pain in the arch of their foot.

What does plantar fasciitis feel like?

Everyone experiences plantar fasciitis a little differently. But plantar fasciitis pain is often described as:

• Dull to sharp, stabbing pain in your heel
• Aching or burning that extends from your heel through the bottom of your foot
• Pain and stiffness, especially when you take your first steps after getting out of bed in the morning, or if you’ve been sitting or lying down for a while
• Pain that may become more intense as the day goes on, particularly if you’ve been standing or walking a lot

If you’re feeling a stabbing pain above your heel or back of your ankle, it’s more likely that an injury or Achilles tendonitis is to blame.

Plantar fasciitis causes

How do you get plantar fasciitis? Plantar fasciitis happens when the plantar fascia ligament is strained. This strain causes the ligament to become weak, swollen and inflamed, which leads to heel and arch pain. Repeated strain can cause tiny tears in the ligament, too.

What causes that ligament strain? Plantar fasciitis is often caused by repetitive motion or anything that puts a lot pressure on the arch of your foot.

So, activities like running, jogging and walking, or consistent long periods of standing or being on your feet, can often lead to plantar fasciitis.

How do you get plantar fasciitis? Are some people more likely to get it than others?

Anyone can get plantar fasciitis. But you may be more prone to developing it if:

• You’re overweight
• You’re between the ages of 40 and 60
• You’re pregnant
• You’re a runner – about 1 in 10 runners get plantar fasciitis
• You’re on your feet for long periods of time, possibly on hard surfaces
• You walk on the inside of your foot
• You have high arches, flat feet or a tight Achilles tendon
• Your shoes don’t fit well, offer arch support or are worn out

How to diagnose plantar fasciitis?

Plantar fasciitis can be officially diagnosed by a podiatrist, a doctor who specializes in foot and ankle conditions.

To confirm a diagnosis, your podiatrist will do a physical examination of your foot and ask you to stand and walk around. They’ll also ask you about things like:

• Your health, past illnesses and injuries
• Where and when the pain hurts the most
• Your level of exercise and activity

Oftentimes, X-rays aren’t necessary since plantar fasciitis is ligament inflammation, rather than a bone injury. But depending on your symptoms, your podiatrist may recommend one if they think you may have a plantar bone spur, stress fracture or another issue.

How is plantar fasciitis treated?

The good news is there are effective at-home treatments for plantar fasciitis  and simple foot exercises to relieve pain. And treatment starts with rest.

Since plantar fasciitis is caused by repetitive motion and pressure, you need to lighten the load for your feet to give your ligament time to heal. So, that can mean cutting back on or modifying activities that make your foot hurt.

Other treatments include investing in more supportive footwear and orthotics, no walking around barefoot, wearing night splints, hot and cold therapy, and targeted exercises to strengthen your plantar fascia.

If you’ve been consistently using home remedies for a couple of months, and you’re not seeing an improvement in pain or it’s worsening, a podiatrist may recommend a cortisone injection. In more serious cases, surgery may be an option if conservative treatments have lost their effectiveness.

How long does plantar fasciitis last?

Plantar fasciitis can typically take anywhere from 3-12 months to get better. But how fast you heal depends on your level of activity and how consistently you’re using at-home treatments.

But again, if you’re not feeling relief, don’t wait to get care. Make an appointment with a podiatrist. They’ll be able to rule out other possible injuries and suggest additional treatments or techniques that can speed up your recovery.

Contact a podiatrist to heal your heel even faster

If you think you have plantar fasciitis, start by giving your feet some rest by taking it easy, wearing supportive shoes both inside and outside the house, and staying consistent with your care routine. This will help things heal on their own.

But if the pain doesn’t get better or worsens, or you’re concerned about another injury, schedule an appointment with a podiatrist.

Arch Pain Running – Pain in Arch of Foot for Runners

As a busy sports-medicine podiatrist in Orangeburg, New York, Robert Conenello, D.P.M., sees runners with a wide range of foot problems, from Achilles problems to bunions to stress fractures.

But more than anything else—along the lines of 15 times a day—athletes walk into his office complaining of heel and arch pain when running. “In the close to 30 years I’ve been practicing, it has definitely increased,” he says.

What’s to blame for this parade of aching feet—and what can you do if find yourself suffering? Here’s what Conenello and other sports medicine experts advise.

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What causes arch pain when running?

In some cases, arch pain when running signals plantar fasciitis. If runners know the term, they probably associate it with heel pain, Conenello says. Indeed, many cases involve a stabbing, stepped-on-a-nail sensation near the back of the foot, especially first thing in the morning.

But the plantar fascia is a thick band of tissue that runs all the way from your heel to the base of your toes. When the four plantar muscles underneath it become weak or deconditioned, the plantar fascia sustains more stress with each step, triggering inflammation. This can cause soreness anywhere along the bottom of your foot, including your arch, he says.

Like many other foot issues, plantar fasciitis and other types of arch pain can come from two primary sources, says Maggie Fournier, D.P.M., a sports podiatrist in LaCrosse, Wisconsin, and past president of the American Academy of Podiatric Sports Medicine: Intrinsic factors, which are related to your individual anatomy and physiology, and extrinsic factors, which come from outside your body—think shoes, terrain, or training habits.

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On the intrinsic side, high arches can cause pain if you don’t have the right footwear to support them. Conversely, low arches or flat feet can also contribute, especially in the wrong shoe, says Judith Sperling, D.P.M., a podiatrist at the Twin Cities Foot & Ankle Clinic in Woodbury, Minnesota, who has worked as part of the medical teams for the New York City, Boston, L.A., and Twin Cities Marathons.

As your arch caves in, your posterior tibial tendon—which attaches the calf to the inside of the foot—works overtime to support it, and eventually can become fatigued and painful. Arch pain when running can also result from osteoarthritis in the joints across the middle of the foot, she says.

External causes of arch pain from running include ramping up your training too quickly. Adding too many fast miles proves especially risky, due to the added pounding, Fournier says.

Making a switch from running on softer surfaces to harder ones—say, going from trails to roads or gravel to concrete—can also bring on tenderness in this area, as can always running on the same side of the road, if the street is sloped or cambered. Fournier also sees arch pain in runners who hang on to their running shoes well past their expiration date.

And then there are the things you do the 23 or so hours of the day you’re not running. Wearing non-supportive shoes, especially for activities that involve lots of standing or walking, don’t do your feet any favors. Of course, staying sedentary isn’t the solution—sitting too much contributes to weakness in your plantar muscles, Conenello points out.

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How can you manage arch pain from running on your own—and when should you see a doctor?

More than three-fourths of the time, Conenello believes, runners can address arch pain from running at home. Try this stretch throughout the day: While seated, grab your big toe, pull it back as far as you can tolerate, and hold it for 10 seconds. Repeat 10 times. This will help release the plantar fascia.

While you have your foot in your hand, rub gently along the bottom. If you find a spot that’s particularly sensitive, massage it using a lacrosse ball to break up scar tissue, he says. You can also use a frozen water bottle, which adds the pain-relief and potential anti-inflammatory properties of ice. Just be sure not to leave your foot resting in one spot on it for too long, or you can get frostbite, Sperling warns.

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Going barefoot at times might strengthen foot muscles when you’re healthy, but if you’re already in pain, wear supportive shoes at all times, even just around the house, Fournier says. Over-the-counter arch supports can give your plantar fascia an added bit of support and respite until you’re pain-free.

Anti-inflammatory medications can sometimes help relieve symptoms. “But if it’s not responding right away—within the first few days—stop,” Conenello says. It’s likely inflammation isn’t the culprit, and “you’re just going to be taking medication that you don’t really need and can actually be detrimental in the long run,” posing a risk of side effects like kidney damage and gastrointestinal issues.

If your arch pain doesn’t diminish with time and home treatment, if it alters your gait, or if you see external signs such as swelling, redness, or bruising, it’s a good idea to pause your running and book a doctor’s visit, Fournier says.

A podiatrist, orthopedic specialist, or other sports-medicine provider can use MRI or other imaging to rule out serious injuries, such as stress fractures or ruptures of the plantar fascia. They can also assess both your history and your body’s structure and function to determine the underlying cause of your pain.

What are the best treatments for arch pain from running?

If treatments like ice, rest, and massage fail to provide relief, your doctor may offer other options, depending on your diagnosis and contributing factors. Physical therapy often proves effective, Fournier says. Protocols may include strengthening, stretches, and hands-on manipulation.

Some doctors will suggest a cortisone injection, but Conenello recommends against it for athletes. “It’s a Band-Aid that’s short-lived and [the pain] is going to come back with a vengeance,” he says.

Many types of arch pain when—from plantar fasciitis to posterior tibial tendinitis to osteoarthritis—respond well to a newer treatment called extracorporeal shock wave therapy, or ESWT, Conenello and Sperling say. ESWT uses pressure waves to stimulate the production of proteins that may reduce inflammation, promote blood vessel growth, and allow soft tissue and nerves to regenerate.

While increasing evidence supports its use for these conditions, according to a recent research review in the Journal of Bone and Joint Surgery, some insurance companies consider it experimental and don’t cover it. Discussing the pros and cons with your doctor can help you determine if it’s worth it in your case.

Often, you can keep running while you have treatment. “If it doesn’t hurt while you’re doing it or when you’re done or the next day, then that distance is fine to do,” Sperling says. “But if the pain increases, then you really need to back off or hold off for a couple of weeks until it calms down.”

Cross-training—pool running, swimming, or cycling with a low resistance and high rpm—can replace some or all of your mileage, helping you maintain fitness with less strain on your feet, she says.

How can you prevent arch pain?

“As far as prevention goes, I think the shoe is the number one,” Sperling says. There’s no magical footwear type that’s right for everyone, though—head to your local shoe retailer, ask trained shoe-fitters for their advice, and choose a model that fits comfortably.

The shoe you end up with “might be against the shoe that I would normally recommend,” Conenello says. “But if that’s the one you feel good in, that’s the one you should wear.”

For example, minimalist shoes can relieve arch pain for some people by activating foot muscles. But for people whose issues stem from their posterior tibial tendon, the very same pair can prove aggravating, Sperling says.

In fact, consider buying more than one brand and model and rotating them, so you aren’t putting the exact same pressure on your foot with each run, Conenello suggests. Once you find the perfect fit or fits, track your mileage, and replace them approximately every 350 miles or so, Fournier recommends.

Related Story

• Running ‘Softer’ Might Reduce Your Injury Risk

Besides good footwear, a proper training program—one that progresses slowly over time—also can prove protective. Instead of logging the same 30 minutes at a moderate pace on the treadmill or six-mile loop around your neighborhood, try faster runs, slower jogs, hills, trails, and track workouts. Not only will you protect your arches from too much repetitive motion, Conenello says, you’ll likely also wind up a stronger, faster runner.

Cindy Kuzma

Contributing Writer

Cindy is a freelance health and fitness writer, author, and podcaster who’s contributed regularly to Runner’s World since 2013. She’s the coauthor of both Breakthrough Women’s Running: Dream Big and Train Smart and Rebound: Train Your Mind to Bounce Back Stronger from Sports Injuries, a book about the psychology of sports injury from Bloomsbury Sport. Cindy specializes in covering injury prevention and recovery, everyday athletes accomplishing extraordinary things, and the active community in her beloved Chicago, where winter forges deep bonds between those brave enough to train through it.

symptoms, causes, diagnosis and treatment

• Medical Center

• Directory of Diseases

• Fasciitis

A calcaneal spur causes a person pain when moving and can impair quality of life. Treatment is carried out by conservative methods. The operation is rarely performed.

Contents

• What is Plantar Fasciitis
• Causes of Plantar Fasciitis
• Signs of Plantar Fasciitis
• Diagnosis of Plantar Fasciitis
• Treatment of Plantar Fasciitis
• How to Relieve the Pain of Plantar Fasciitis
• Prognosis and Prevention of Heel Spurs

What is plantar fasciitis

Plantar fasciitis (calcaneal spur) is a bony growth on the plantar surface of the calcaneal tubercle.

At an early stage of pathology, a person notes pain when walking, which occurs from time to time. Gradually, the pains become sharp, starting and decrease with movement.

Causes of plantar fasciitis

The plantar fascia is a bundle of fibers that connects the heel tuberosity and phalanges of the toes and also helps to maintain the shape and arch of the foot. Normally, the structure of the foot allows a person to move without pain. This is possible due to the plantar aponeurosis, which acts as a shock absorber (bridge) for the arch of the foot.

Increased loads on the feet lead to microdamage to the fibers of the plantar fascia or the Achilles tendon. Where ruptures have occurred, places of aseptic inflammation appear. The affected areas are replaced by tough fibrous tissue.

The aponeurosis loses its former strength. Rigid scars damage neighboring tissues, provoking new microdamages. Due to inflammation, a seal forms over time, and the tendon fibers ossify with the formation of a bone outgrowth.

Factors predisposing to the development of fasciitis:

• flat feet (in most cases), low or high arch of the foot;
• overweight;
• neurodystrophic pathologies;
• arthritis;
• diseases of the spine;
• vascular pathology;
• standing for a long time at work;
• wearing uncomfortable shoes;
• metabolic pathologies, for example, diabetes mellitus;
• prolonged excessive stress on the feet in professional runners.

Signs of plantar fasciitis

In pathology, a person experiences pain when resting on the heel after a long rest, for example, a night’s sleep.

Pain syndrome:

• may be acute or gradually increasing, turning into chronic;
• usually stinging;
• is localized along the inner edge of the heel, sometimes diverges over its entire area;
• can be of different severity;
• usually subsides after 5-10 minutes from the start of walking;
• reappears throughout the day and may become more intense.

Often there is a feeling of a foreign body in the heel region. Because of the pain, a person tries not to step on the heel, walks on tiptoe, or turns the foot inward.

The size of the spur does not affect the severity of pain, but small and flat spurs cause the greatest discomfort, and acute ones usually do not have clinical manifestations.

Plantar Fasciitis Diagnosis

The diagnosis is made by an orthopedist based on the results of a survey and examination of the patient. To differentiate a heel spur from other pathologies with similar manifestations, as well as to clarify the treatment plan, they carry out:

1. X-ray of the calcaneus. This is the most popular study, and is often prescribed for typical cases of the disease. Radiography is mandatory for the elderly and children. Fasciitis is indicated by a bony growth on x-ray. Its dimensions may vary.
2. Ultrasound of the foot. It allows you to establish signs of inflammation, as well as thickening of the plantar aponeurosis. Ultrasonography provides sufficient information even if no exostasis is detected on x-ray. It helps to develop a treatment plan, taking into account the severity of the pathology and concomitant diseases.

Treatment of plantar fasciitis

As a rule, therapy is carried out by conservative methods. The operation is indicated for a long-term disease, as well as severe disability.

Preference is given to non-drug methods. Drugs are rarely used. The patient is recommended:

1. Decrease standing time and walking time. This usually helps to achieve a reduction in the severity of pain in 6 months.
2. LFK. Classes are designed to stretch the plantar aponeurosis and are performed only during the absence of pain.
3. Wear orthopedic insoles, heel pads. Orthoses may be used at night to lengthen the plantar fascia.
4. Immobilization. If the pain is very strong and does not stop, then an orthosis-boot is placed on the lower limb, allowing it to be leaned on. This method is not used for a long time to avoid muscle atrophy.
5. Corticosteroid injections. Such drugs eliminate even severe pain, but increase the risk of rupture of the plantar fascia. For this reason, they are used when other measures are ineffective.

SWT is considered a promising method of treatment. Taping gives good results, but it is inconvenient for the patient, so it is usually used only at an early stage of therapy, before the use of insoles.

Surgery (fasciotomy of the plantar aponeurosis) is rarely performed. The indications are:

• very severe pain;
• failure of conservative methods for 6-12 months.

How to relieve the pain of plantar fasciitis

To relieve pain, you can use NSAIDs, as well as stretching the feet and lower legs, wearing orthopedic shoes or shoes with soft soles. Together with other methods of conservative therapy, it is allowed to use ointments with a warming effect. They not only reduce pain, but also reduce the need for a large dosage of painkillers in tablets.

Prognosis and prevention of heel spurs

The prognosis for plantar fasciitis is good. Pain syndrome usually disappears in 1-2 years. Exostosis remains forever, but in the future does not lead to discomfort. Chronic bursitis prolongs the course of the disease.

To prevent heel spurs, you need to normalize weight, eliminate increased stress on the legs, wear comfortable shoes, and treat pathologies that increase the risk of developing fasciitis in time.

In the rehabilitation clinic in Khamovniki, you can get a consultation with an orthopedist, undergo diagnostics, as well as exercise therapy and other medical procedures.

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Which shoes are dangerous to wear in summer

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Photo: archive “MK in Kaluga”

What shoes are dangerous to wear in summer? Some types of summer shoes are harmful to the feet, orthopedic traumatologist Sergei Aleksutov told Sputnik radio.

These shoes can cause illness and injury. It takes into account cushioning and fixation of the foot. So, beloved by many sneakers can contribute to overloading the feet. Flat shoes, like all flat shoes, deprive the foot of additional cushioning. “When we wear them, the load on the heel is 1.5 times greater than on the forefoot,” says the doctor.

Shoes without a heel cushion contribute to the overload of the foot and may be a risk factor for diseases such as heel spurs.

Many people choose open shoes at this time of the year. These are slippers or slates. They are harmful because there is no heel and the foot is not fixed. It is possible to change the biomechanics of the forefoot to fix the slippers.

In addition, flip flops can contribute to injury. The slipper may fall off, a person at this time may incorrectly put his foot on the step and simply tuck it in or even break it. Flip flops are best used to get to the beach. On an excursion, a person in flip flops runs the risk of significantly overloading the feet and getting pain.