Heel raises for plantar fasciitis

NewsBot · Dec 12, 2017

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The effectiveness of raising the heel height of
shoes to reduce heel pain in patients with
calcaneal spurs
Dwi Basuki Wibowo et al
J. Phys. Ther. Sci. 29: 2068–2074, 2017

[Purpose] To investigate the effect of heel height on the distribution of plantar foot force and heel pain
in patients with a heel spur. [Subjects and Methods] Plantar force was measured using 8 force sensors in 16 patients
(3 men, 13 women), with symptomatic heel spur for 4 heel heights (0–4 cm). Sensors were located at the hallux (T1);
medial to lateral metatarsals (M1 through M3), mid-foot (MF); and at the central, lateral, and medial heel (CH, LH,
and MH). Pain was evaluated using the minimum compression force that caused pain and was measured using an
algometer. [Results] Load bearing shifted from the heel (CH) to the mid-foot (MF) and hallux (T1) with increasing
heel height. Raising the heel from 2 to 3 cm reduced the magnitude of load bearing, relative to the minimum
compression force for pain, by 3.70% at the LH and 2.35% at the MH. Excellent clinical outcomes, defined by a
70–100% decrease in pain, were achieved in 10/16 participants with the use of a 2-cm and 3-cm heel height in men
and women, respectively. [Conclusion] Increasing heel height effectively decreases the plantar force on the heel during
weight-bearing activities.
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