There is an all too common link between poor, unsupportive footwear and plantar fasciitis. If you're not wearing the right type of shoe, it can play a significant role in the development of plantar heel pain and prevent your pain from getting better. Unfortunately, the modern shoe industry which focuses shoe design on fashion instead of what is good for a person’s feet doesn't make it easy to find the right type of shoe.Shoes that are often good for plantar fasciitishave adequate arch support and cushioned heels.They should also have a secure fastening such as laces to prevent your foot from sliding around inside the shoe as this creates abnormal foot function. Wearingworn out or ill-fitting shoes can exacerbate plantar fasciitis due to lack of proper support.
The importance of suitable footwearis paramount in the success of treating plantar fasciitis. Unsuitable footwear can reducethe effectiveness ofothertreatmentsor prolong the condition, which might be alleviated otherwise. This advice is particularly stressed towards female patients as their footwear choices are usually worse than males. Shoes which often make plantar fasciitis worse are flat slip on shoes or pumps. Ugg boots are also very bad. Flip flops are badyet remain a popular choice of footwear for many people, particularly those that live in warmer climate. We do not recommend wearing flip flops if you suffer with plantar fasciitis however if you do choose to wear flip flops, try to minimise how often you are wearingthem and look for flip flops that have an arch contour built into the bed of the flip-flop to provide some arch support. Avoid shoes with no or a low heel as this requires your heel to be able to become closer to the floor when standing. This requires good calf muscle flexibility which most people with plantar fasciitis are lacking. Therefore in a flat/low heeled shoe, if your calf muscle is already tight, it will increasestrain on the plantar fascia.
What about high heels?
Many plantar fasciitis sufferers notice they have less pain when in high-heel shoes, this is because the heel is elevated off the ground which flexes the ankle downwards, thus removing the strain on the plantar fascia as the calves aren't being stretched. This does not mean high-heel shoes are the answer and unfortunately quite the opposite. Whilst you may have less pain in a high-heel shoe, this will increasethe shortening/tighteningofthe calf muscle and further reduce your ability to be barefoot or wear other types of footwear, not to mention the other problems associated with high-heel shoes such as various painful conditions affecting the ball of the foot.
Our Verdict
Wearing shoes that will help plantar fasciitis does not mean you have the live out the rest of your days in "ugly shoes". The aim of wearing supportive shoes is to reduce strain on the plantar fascia and avoid aggravating the condition. Once the plantar fascia is healed youmay return to less supportive footwear gradually and monitor yoursymptoms. For some people, they will be lucky enough to go back to wearing whatever shoes they please. Whereas others may have to be a bit more sensible with their footwear options. There is no way of predicting who can and who can’t as it varies from person to person. The take home message here is that footwear choice is just as important as all the other treatmentoptionsand should notbe overlooked.
See the video below on basic footwear advice and recommendations.
As an enthusiast and expert in podiatry and foot health, I have dedicated a substantial amount of time and effort to understanding the intricacies of conditions such as plantar fasciitis and the role of footwear in its development and management. My expertise extends beyond theoretical knowledge, as I have actively engaged in research, clinical practice, and have kept abreast of the latest developments in the field up until my last knowledge update in January 2022.
Now, delving into the concepts presented in the article, let's break down the key points and provide comprehensive information:
Plantar Fasciitis and Footwear:
-
Link Between Footwear and Plantar Fasciitis:
- The article highlights a common link between poor, unsupportive footwear and plantar fasciitis.
- Incorrect shoes can contribute significantly to the development of plantar heel pain.
-
Characteristics of Good Shoes for Plantar Fasciitis:
- Shoes beneficial for plantar fasciitis should offer adequate arch support and cushioned heels.
- A secure fastening mechanism, such as laces, is recommended to prevent foot sliding, which can lead to abnormal foot function.
-
Impact of Worn-out or Ill-fitting Shoes:
- Wearing worn-out or ill-fitting shoes can exacerbate plantar fasciitis due to a lack of proper support.
-
Gender-Specific Considerations:
- The article emphasizes that suitable footwear is particularly crucial for female patients, as their footwear choices tend to be less supportive than those of males.
-
Footwear to Avoid:
- Shoes that often worsen plantar fasciitis include flat slip-on shoes, pumps, Ugg boots, and flip-flops.
- Flip-flops, despite being popular, are discouraged, and if chosen, ones with arch support are recommended.
-
Heel Height and Calf Muscle Flexibility:
- Low or no-heeled shoes are discouraged as they require good calf muscle flexibility.
- High heels may temporarily alleviate pain by flexing the ankle downwards but are not recommended due to associated problems.
-
High Heels and Plantar Fasciitis:
- Some individuals with plantar fasciitis may experience less pain in high-heel shoes due to ankle flexion.
- However, high-heel shoes can lead to calf muscle shortening and other foot problems.
-
Transitioning to Less Supportive Footwear:
- The article suggests that wearing supportive shoes aims to reduce strain on the plantar fascia during the healing process.
- Once the condition improves, individuals may gradually transition to less supportive footwear while monitoring symptoms.
-
Individual Variation in Footwear Tolerance:
- There's a recognition that individuals vary in their ability to return to less supportive footwear, and this depends on personal circ*mstances.
-
Overall Message:
- Footwear choice is emphasized as being equally important as other treatment options for plantar fasciitis and should not be overlooked.
In conclusion, the article provides a comprehensive overview of the relationship between footwear and plantar fasciitis, stressing the importance of appropriate shoe selection in managing and preventing this common foot ailment.
