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Plantar Fasciitis

One of the strongest ligaments in the body, the plantar fascia runs along the bottom of your foot and supports your arch. Improperly supported arches can cause this ligament to stretch and tear at the heel, leading to a much-too-common and painful condition known as plantar fasciitis.

An inflamed plantar fascia can lead to other problems such as heel pain, arch pain and heel spurs.

Plantar-fasciitis Symptoms:

  • With plantar fasciitis, the bottom of the foot usually hurts near the inside of the foot where the heel and the arch meet.
  • The pain is often worst first thing in the morning or after a period of rest. This is due to the fascia contracting back to its original shape when the foot is at rest.
  • The first few steps after sleeping or sitting for extended time periods are typically painful and difficult until the fascia stretches back out.
  • Over time, the tiny bands that make up the fascia tissue may break, causing the pain to worsen. These breaks in the fascia tissue can create scarring, which is the body’s signal to protect the area.

Plantar-fasciitis Causes

Excessive stress to the plantar fascia leads to inflammation and discomfort. This stress can be caused by:

  • Overpronation/Hyperflexibility.
  • Unusually high-arched feet.
  • Overuse or a sudden increase in physical activity of the foot.
  • Excessive weight on the foot due to obesity, pregnancy or lifting heavy loads.
  • Climbing ladders without the use of proper shoes and support.
  • Improperly fitted footwear. If the arch of the shoe is not fully securing the arch of the foot, the foot is short-changed of proper arch support. Plantar fasciitis can then become a problem.

Plantar-fasciitis Treatment

While plantar fasciitis is the most common foot pain complaint, it is often the easiest to heal when treated properly. Effective treatment for plantar fasciitis includes:

  • ezWalker® Performance Custom Orthotic
    • Unlike typical custom orthotics, the ezWalker® Performance Custom Orthotic is designed to completely correct and support the arch of your feet. The ezWalker® orthotic uses a unique method of capturing your optimal foot position for the best functionality possible.
    • A restored arch significantly reduces the daily pull on the plantar fascia ligament and often brings immediate pain relief within the first week of use. As a truly custom product, ezWalker® orthotics are the only practical way to address both the symptoms and the underlying cause of plantar fasciitis.
  • Ice/Heat Therapy
    • Ice and heat therapy are recommended to reduce inflammation and speed the healing process.
  • Night Splint Use
    • Sleeping with a night splint is essential to healing plantar fasciitis. The plantar fascia must remain in an elongated position to avoid re-injury upon weight bearing. Night splints are recommended during long periods of rest and sleep.
  • Continuous Foot Support
    • Never go barefoot during the healing process. The foot should be supported at all times while healing plantar fasciitis. Comfort clog-type shoes with built-in arch support are ideal for use around the house. ezWalker® Custom Orthotics can also be worn in slippers, which typically lack proper support.
    • Follow these recommendations and allow your plantar fascia adequate time to heal. In general, it takes about half the time to heal the pain as the length of time you have experienced the condition.

 

Note: If you follow these guidelines and your bunion pain persists, you must seek the counsel of a physician for proper diagnosis and treatment.

Plantar-fasciitis Prevention

Preventing plantar fasciitis starts with proper foot support and correct footwear:

  • Proper Shoe Fit
    • Make sure your shoes fit correctly. Feet naturally change as we age, so having your foot size and fit checked regularly is important.
  • Don’t Rely Only on Shoe Size
    • The size shown on a measuring device is only a reference. Mass-manufactured shoes are not all created equal, and fit can vary widely between brands and styles.
  • Use Proper Fitting Guidelines
    • Refer to the Shoe Fitting Reference Guide for best practices on selecting shoes that provide the right fit, support, and comfort to help prevent plantar fasciitis from returning.

 

Note: If you follow these guidelines and problems persist, seek the counsel of a physician for proper diagnosis and treatment.

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Footwear Size Chart
Men’s Footwear Size Chart
Foot Length (cm) 24.0 24.5 25.0 25.5 26.0 26.5 27.0 27.5 28.0 28.5 29.0 29.5 30.0 30.5 31.0 31.5
Foot Length (inch) 9.45" 9.65" 9.84" 10.04" 10.24" 10.43" 10.63" 10.83" 11.02" 11.22" 11.42" 11.61" 11.81" 12.01" 12.20" 12.40"
US 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13.0 13.5
UK 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5
EU 39 39.5 40 40.5 41 42 42.5 43 43.5 44 44.5 45 45.5 46 46.5 47
Women’s Footwear Size Chart
Foot Length (cm) 21.0 21.5 22.0 22.5 23.0 23.5 24.0 24.5 25.0 25.5 26.0 26.5 27.0 28.0
Foot Length (inch) 8.27" 8.46" 8.66" 8.86" 9.06" 9.25" 9.45" 9.65" 9.84" 10.04" 10.24" 10.43" 10.63" 11.02"
US 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 10 11 12
UK 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 8 9 10
EU 35 35.5 36 36.5 37 37.5 38 38.5 39 40 40.5 41 42 43
Toddler Footwear Size Chart (Age approx. 1–4 years)
Foot Length (cm) 8.0 8.5 9.0 9.5 10.0 10.5 11.0 11.5 12.0 13.0 14.0 15.0 16.0 17.0
Foot Length (inch) 3.15" 3.35" 3.54" 3.74" 3.94" 4.13" 4.33" 4.53" 4.72" 5.12" 5.51" 5.91" 6.30" 6.69"
US 1 1.5 2 2.5 3 3.5 4 4.5 5 6 7 8 9 10
UK 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5.5 6.5 7.5 8.5 9.5
EU 16 17 18 18.5 19 19.5 20 20.5 21 22 23 24 25 27
Children’S Footwear Size Chart (Age approx. 4–12 years)
Foot Length (cm) 17.0 17.5 18.0 18.5 19.0 19.5 20.0 20.5 21.0 21.5 22.0 22.5 23.0 23.5 24.5 25.5
Foot Length (inch) 6.69" 6.89" 7.09" 7.28" 7.48" 7.68" 7.87" 8.07" 8.27" 8.46" 8.66" 8.86" 9.06" 9.25" 9.65" 9.84"
US 10.5 11 11.5 12 12.5 13 13.5 1 1.5 2 2.5 3 4 5 6 7
UK 10 10.5 11 11.5 12 12.5 13 13.5 1 1.5 2 2.5 3 4 5 6
EU 28 29 30 30.5 31 31.5 32 33 33.5 34 35 35.5 36 37 38 40