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Are Crocs and Clogs Good or Bad for Plantar Fasciitis?

Crocs for plantar fasciitisThere’s no question that clogs and Crocs are amazing. We love the way they slide right on without laces and straps, softly cradle our tired feet, and take us everywhere from the beach to the grocery store.

But we all know that the things we love aren’t always good for us. And many people have questions about whether Crocs and clogs are actually good for plantar fasciitis.

Don’t worry — we won’t tell you to toss your favorite pair of Crocs or clogs. But there are a few things you should know!

Are Clogs Good for Plantar Fasciitis?

Clogs have been around for a very long time–and with good reason! Wooden clogs were worn by the Dutch while they farmed long hours on their feet, and people around the world have adopted them since–including people who suffer from plantar fasciitis!

It’s important to remember that not all clogs are created equal. Some can be a lifesaver for painful heels, while others can actually make your plantar fasciitis worse.

Benefits of Clogs for Plantar Fasciitis

You can find a staggering array of different clogs — from lightweight trendy slippers to orthopedic clogs made especially for professionals who spend a lot of time on their feet.

The right pair of clogs can offer easy-on, easy-off casual footwear that cradles and cushions sore heels, doesn’t compress your toes while you walk, and supports your damaged arch.

Clogs designed for working professionals or orthopedic support are ideal for individuals with plantar fasciitis. Choose clogs with a thick, cushioned sole, clear arch support, and a comfortable fit that leaves you plenty of room in the toe box but doesn’t slide around while you walk.

Drawbacks of Clogs for Plantar Fasciitis

Most of the drawbacks of wearing clogs for plantar fasciitis come from choosing the wrong type of clog or wearing a shoe that doesn’t fit properly. Ill-fitting or cheaply made shoes can place additional strain on your damaged arch, or cause additional wear to an already damaged heel pad.

Avoid clogs with a hard, thin sole and opt for a cushioned, thick sole with clear arch support. You’ll also want to make sure your clogs fit properly and don’t cause your foot to slide around too much while you walk (another hallmark of cheaper fashion clogs). A comfortably loose fit in the toe box is ideal, but your heel should be cupped securely, resting below the ball of the foot when you stand in the shoe.

Are Crocs Good for Plantar Fasciitis?

Crocs, which were originally made as non-slip, waterproof shoes for boating, have quickly become a popular choice for plantar fasciitis sufferers.

Benefits of Crocs for Plantar Fasciitis

Like clogs, Crocs come in a wide number of colors, styles, and brands! Some crocs are now made especially for individuals with heel pain, while others are meant to be worn as a casual, colorful waterproof shoe.

The right pair of crocs can help protect your feet, cushion your heel, and support your arch in situations that you might otherwise go barefoot (like the beach, pool, in the yard, or on a boat).

Crocs are typically extremely lightweight, breathable, and promote circulation which can be an advantage over clogs, especially in the summertime — or for individuals with diabetes. And like clogs, Crocs have lots of room in the toe box to promote a natural, healthy gait that doesn’t compress the toes.

Potential Drawbacks of Crocs for Plantar Fasciitis

Crocs weren’t meant to be running shoes, or even walking shoes for long distances. Don’t wear them while you walk or stand for long periods of time. Instead, opt for running shoes with orthotic inserts, which will offer better arch support and cushioning.

You’ll also want to be wary of “fashion crocs,” which are typically thinner, less cushioned, don’t have much in the way of arch support, and are less structurally stable while you walk.

Make sure you choose a pair of Crocs that has a supportive heel cup, arch support, and a thick, cushioned sole (instead of thinner plastic that may bend or distort as you walk).

How to Make Your Fashion Crocs or Clogs Better for Plantar Fasciitis

Have a pair of trendy Crocs or clogs you love — that aren’t exactly compatible with your plantar fasciitis because of a hard, thin sole or lack of arch support? There’s no need to toss your favorite pair of shoes.

Just add arch support and heel cushioning with Heel Seat Wraps. These lightweight, comfortable wraps can be worn all by themselves, or with almost any pair of shoes (including open toed sandals!) to help align and support a compromised arch, and soothe a damaged heel pad.

If you have plantar fasciitis, clogs and Crocs can make long hours on your feet more bearable and comfortable–as long as they have the proper arch support, cushioning, and fit! But even if your favorite pair of crocs or clogs lack arch support or cushioning, there’s still hope. Just add a pair of Heel Seat Wraps, so you can continue to wear the shoes you love without worrying about making your heel pain worse!

Pros and Cons of Custom Orthotics for Plantar Fasciitis

Custom Orthotics Whether you’ve been newly diagnosed with plantar fasciitis or have been struggling with heel pain for months, chances are you have wondered whether or not you need custom orthotics.

Let’s take a look at the pros and cons of custom shoe inserts that can help you make your decision!

Will Custom Orthotics Help Plantar Fasciitis?

A quality pair of custom orthotics can make a big difference in improving your plantar fasciitis, by supporting your arch and cushioning a sensitive, deteriorating heel pad. That’s why orthotics are one of the top-recommended conservative treatments for plantar fasciitis!

Unfortunately, just one set of custom orthotics can cost upwards of $200. Is the price worth it? Keep reading to learn more about the benefits, drawbacks, and alternatives to custom orthotics!

Benefits of Custom Orthotics

In the past, custom orthotics had to be created by a podiatrist. However, now it’s quite a bit easier to get a pair of custom orthotics without even leaving your home.

Several companies will send you a footprint imprint kit, along with a short questionnaire online, to determine where you’re feeling pain, the exact width and length of your foot, and any other particular needs you may have (e.g., correcting overpronation).

Within less than a month, you’ll get a pair of custom orthotics.

Drawbacks of Custom Orthotics

While custom orthotics can make a big difference in heel pain, there are a few drawbacks that you should know about before you decide to buy!

High Prices

One of the biggest drawbacks to custom orthotics is the high prices. For just one pair, your starting price is about $230 on the low end. While this isn’t nearly as high as many medical interventions, it is one of the highest priced conservative treatments for plantar fasciitis.

Accessibility

Because of the high prices of custom orthotics, they aren’t exactly accessible for people with a tight budget. And because of the turnaround time needed to ship you a kit, take your foot imprint, send the imprint back, plus time for creating the orthotics themselves, it’ll be about a month before they arrive at your door — which can feel like a long time if you’re suffering.

Minimal Evidence to Justify Custom Inserts

While there’s a good deal of evidence to show that orthotics can improve plantar fasciitis, there’s not much evidence to show that custom orthotic inserts do a superior job. In fact, a recent landmark meta-analysis of 20 studies shows that custom orthotics and prefabricated orthotic inserts perform pretty much identically.

So, Are Custom Orthotics Worth It?

Custom orthotics can be a lifesaver for some people, especially if you have several different foot issues you’re trying to beat. However, for most people, the benefits of high-quality non-custom orthotics, like Heel Seats are identical to custom orthotics (the main difference being that higher price tag!).

Still can’t decide? Test out a pair of 5-star, non-custom orthotics that come with a money-back guarantee (like Heel That Pain!). If you still wonder what you might be missing with a pair of custom orthotics, test drive a brand that offers a money-back guarantee (several do!). That way, you can make sure you love your custom orthotics before you get stuck with the cost. And at the end of the day, you’ll be able to rest assured that you have the best fit for your foot–and your wallet!

Alternatives to Custom Shoe Inserts

If you aren’t ready to drop more than $200 on a pair of custom orthotics, the good news is that you have some fantastic alternatives. Clinically proven orthotic inserts like Heel Seats cost about as much as lunch out on the town, which means that you can afford to outfit every pair of shoes in your closet for less than one pair of custom orthotics.

If you spend most of your summer in sandals, there’s also alternatives that can be worn with bare feet, such as Heel Seat Wraps, which lift and align the arch like an orthotic insert, but can be worn with open-toed shoes and sandals.

Have you tried custom orthotics? Tell us in the comments below — we love hearing from you!

How to Find a Foot Doctor Near Me

How to Find a Foot DoctorIf you’re suffering from chronic or severe symptoms of plantar fasciitis, the question, “How do I find a heel pain doctor near me?” is at the very top of your list.

And while that question might seem easy enough to answer in the information age, it can be surprisingly difficult to know where you should start in your search for an amazing plantar fasciitis doctor near you. Save yourself time and frustration with these helpful tips!

Tips for Finding a Plantar Fasciitis Doctor Near Me

Finding the right plantar fasciitis doctor near you is one of the most important steps you’ll take toward healing, particularly if your symptoms are severe or have not responded to conservative heel pain care.

Use these handy resources to quickly find the right podiatrist near you:

Talk to Your General Practitioner

While your GP might not be the right fit for specialized podiatric care, here or she is very likely to be connected with doctors in many different specialties, and be familiar with the experiences that other patients who have been referred to that doctor have fared!

Search the APMA

The APMA (American Podiatric Medical Association) allows you to search for a podiatrist near you, using either a zip code search or a mile radius search (since the podiatrist closest to you might have a different zip code). Using this tool also allows you to find out whether your potential podiatrist has been board certified in different specialties (like surgery), which may be important to you.

Use the APMA Search Tool to Find a Foot Doctor Near You

Check Out Your Insurance Provider Network Online

If your insurance network is choosy, and you want to make sure that the foot doctor you choose is going to be fully covered, you may want to check your provider’s online network. Most providers offer a searchable database of in-network doctors that can be narrowed by speciality and location.

Use RateMDs.com (and Cross-Reference with Google!)

The right bedside manner, and positive outcomes from other patients are (understandably!) important factors from patients. RateMds.com allows you to read reviews from patients in your area, and can help you find a doctor with high reviews. More than 2 million providers can be found on this site alone. Make sure to cross-reference your findings with Google reviews, especially when there are only a few experiences shared on RateMds.com.

Use Local Social Media

While Facebook and Instagram aren’t much help in finding a plantar fasciitis doctor, local forms of social media, like Nextdoor.com can connect you with people in your neighborhood and district. The site allows you to post questions, asking for recommendations about which podiatrist in the area comes highly recommended, or to search other people’s questions about finding a foot doctor.

What Kind of Foot Doctor Should I Look For?

In general, if you have chronic or severe plantar fasciitis, you’ll want to start by meeting with a podiatrist. He or she can help you explore many different medical treatments for your condition, and in many cases may be certified to perform surgery, should you decide on that option.

If you are pretty sure, based on your medical history and research, that you are headed toward a surgical procedure, you may want to look for an orthopedic surgeon, who will typically have additional surgical expertise — but may be more difficult to make an appointment with. Depending on your condition and the success of more conservative medical interventions, a podiatrist may refer you to an orthopedic surgeon.

Will I Need a Referral for a Plantar Fasciitis Doctor?

It can be confusing to know whether or not you need a referral for a specialist like a plantar fasciitis doctor.

For the most part, you do not need a referral to make an appointment with a podiatrist. However, you should still check with your insurance provider, since some carriers have more complex rules about coverage for specialized medical care.

Getting a referral can also be helpful in other ways. If you have had a good relationship with your family doctor or general practitioner, he or she will often be willing to send an introductory letter to the podiatrist they recommend, along with a patient history (including injuries, treatments you have already tried, and medications you may be taking).

How did you find your foot doctor? Share your experience and tips in the comments below!

Tenex Procedure for Plantar Fasciitis

Tenex for plantar fasciitis blog imageThe idea of removing scar tissue to treat soft-tissue injuries isn’t new. But there is a new, minimally invasive method of scar tissue removal that’s generating a lot of buzz!

The Tenex procedure, which was created in partnership with the Mayo Clinic as an alternative to surgery, has become an increasingly popular method for resolving chronic cases of plantar fasciitis. If you’re considering the Tenex procedure for plantar fasciitis, keep reading to learn everything you need to know about Tenex!

What Is the Tenex Procedure?

The Tenex procedure is a minimally-invasive, non-surgical medical treatment that uses high-frequency vibrations and a specialized tool to remove accumulated scar tissue from a damaged tendon (or in cases of plantar fasciitis, a damaged plantar fascia ligament)..

Tenex can be used to treat many different kinds of tendon and soft-tissue injuries, including rotator cuff tendonitis, Achilles tendonitis, and patellar tendonitis (jumper’s knee). Tenex can also be used to treat plantar fasciitis. By removing scar tissue, Tenex helps restore mobility and circulation to the injury site, as well as encouraging regrowth of healthy tissue.

Is the Tenex Procedure Effective in Treating Plantar Fasciitis?

Since Tenex was approved in 2013, more than 80,000 procedures have been performed. And the results, so far, are pretty promising. Clinical studies, as well as several years of followup research on post-treatment outcomes, are impressive — although some of the clinical studies are not specific to plantar fasciitis, but rather Achilles tendonitis or rotator cuff injuries.

One study, which followed 34 patients for more than three years after their Tenex procedure, found that even 3.5 years post-procedure, 70% were still satisfied with their procedure. Another larger study, specific to plantar fasciitis, evaluated 53 patients who underwent the Tenex procedure, and found that at 6 months post-procedure, the vast majority (96%) were pleased with their results and would recommend Tenex to a friend. The same study showed that patients’ average FADI (foot and ankle disability index) score improved from 59% to 90% by 24 weeks post-procedure (100% is the best possible score on the FADI).

What to Expect During the Tenex Procedure

After you arrive for your scheduled Tenex procedure, your doctor will use local anesthesia to numb your foot.

Once your foot is numb, your doctor will use ultrasound imaging to precisely locate the scar tissue that he or she will remove with the Tenex Procedure. Your doctor will then create a tiny incision on your heel, and insert a specialized instrument (the Tenex Tissue Removal System, which has a needle-like tip) that releases high-frequency vibrations to destroy scar tissue while leaving healthy tissue unharmed.

The entire Tenex Procedure should take less than 30 minutes, and should not be painful with the local anesthesia. Once completed, your incision will be bandaged, and you will be able to leave the treatment facility (many patients can drive themselves home, but you may want to plan for a ride just in case!).

Post-Procedure Care After Tenex

Expect up to 6 weeks of total healing time that includes extra rest, NSAIDs as needed, and icing for any swelling or tenderness. Your doctor may recommend the use of a walking boot for the first one or two weeks of recovery.

After your incision has fully healed and you are back on your feet (and hopefully feeling incredible!) you’ll want to take steps to keep your feet healthy — and keep your heel pain from returning. For instance, if your plantar fasciitis was caused by the repetitive strain of long days on your feet for work, or the stress of high-impact sports, consider wearing heel cups to support your plantar fascia, and making a new commitment to giving your feet enough rest throughout the day or activity.

Benefits of the Tenex Procedure

The Tenex procedure offers some unique benefits for people who struggle with chronic plantar fasciitis, especially in comparison with surgery:

  • Fast relief from heel pain following the procedure
  • Shorter healing time, compared to surgery (many people recover in as little as three weeks)
  • Small incision that doesn’t require stitches
  • No scarring, and very few potential side effects
  • Precise tool that, when used with guided ultrasound imaging, can destroy only damaged tissue while leaving healthy tissue intact
  • Promising results in clinical studies
  • Local anesthesia, instead of general anesthesia
  • Typically covered by insurance, making the procedure less expensive
  • Good alternative for patients who haven’t had success with conservative treatments, physical therapy, surgery, or cortisone shots

Possible Side Effects and Risks of the Tenex Procedure

There are very few documented side effects of the Tenex procedure, and all are minor and temporary.

As you recover, you may experience pain, redness, tenderness, or swelling in the foot that has been treated. You may also notice some bruising or minimal trauma to the treatment area. You can manage these symptoms with ice packs and NSAIDs as needed. Follow your doctor’s instructions about when to remove the bandage, rest the foot often, use your walking boot as needed, and keep the wound clean as directed for the fastest healing time.

How Much Does Tenex Cost?

The cost of a Tenex procedure will depend on whether or not it’s covered by your particular insurance company (most providers do cover the Tenex procedure), whether the procedure is performed in a hospital setting or a doctor’s office, and whether local anesthetic or sedation is used (most people just need local anesthetic).

Without insurance, Tenex can cost anywhere from $1,600-$5,000 according to representatives from Tenex Health.

What Type of Doctor Performs the Tenex Procedure?

Several different kinds of specialists are trained in the Tenex procedure, including orthopedic surgeons, podiatrists, radiologists, and sports medicine providers. You can find a provider trained in Tenex by using the Tenex locator.

Before you schedule or undergo the Tenex procedure, make sure you verify with your insurance that the procedure will be covered by your chosen provider, and find out whether or not you need a referral.

If you do need a referral as required by your insurance provider, talk to the podiatrist or general practitioner who has treated you for plantar fasciitis.

Have You Tried Tenex?

Have you undergone (or are thinking about undergoing) the Tenex procedure? We want to hear all about it. Tell us about your experience in the comments below!

Is Plantar Fasciitis a Hereditary Condition?

Is Heel Pain Hereditary blog imageAt first glance, the question of whether or not common sources of heel pain, including plantar fasciitis and heel spurs, are genetic looks like a firm “no.”

There is no such thing as a “plantar fasciitis gene,” or a DNA marker for heel spurs.

However, on closer inspection the question of whether or not plantar fasciitis or heel spurs are hereditary is a little more complex (and interesting!) We dug into the research on heel pain and genetics, as well as consulting some of the leading foot care experts to give you the full scoop!

Is Plantar Fasciitis Genetic?

Again, nobody has a “plantar fasciitis gene” hidden in their genetic makeup. However, there is a strong correlation between plantar fasciitis and other genetic factors.

Dr. Bela Pandit says, “Heel spurs and plantar fasciitis can certainly have a hereditary link. Both obesity (which places excessive stress on the plantar fascia) and foot type (particularly flat feet with tibial tendon weakness) are two significant factors that contribute to plantar fasciitis and have a strong genetic link.”

The Genetic Link Between Plantar Fasciitis and Flat Feet

Flat feet, which leads to pronation (and causes an excessive inward roll as the foot hits the ground), is a homozygous recessive genetic trait shared by about 10%-20% of the general population. If you have one parent with flat feet, your chances of having flat feet too are about 50%. If both of your parents have flat feet, all of their children will have flat feet.

The Genetic Link Between Plantar Fasciitis and Body Weight

Body weight is another significant risk factor for plantar fasciitis, since greater weight places greater strain on the plantar fascia ligament. And while most people tend to think of body weight as a result of caloric intake and expenditure, new research shows that genetics play a strong role in how the body stores and releases fat. Newer studies show that about 50 genes play a crucial role (about 40-70%) in whether or not a person will be overweight.

The Genetic Link Between Plantar Fasciitis and Plantar Fascial Disorder

Plantar fascial disorder, which develops as a combination of plantar fasciitis and plantar fibromatosis (a rare condition that results in excessive connective tissue), has a genetic link as well. Some studies have shown that genetics play a role in how likely a person is to have plantar fibromatosis and plantar fascial disorder.

How Significant Are Genetic Risk Factors for Developing Plantar Fasciitis?

It’s important to remember that genetics are complicated — and just a slice of the pie in determining whether or not a person actually develops plantar fasciitis or heel spurs.

While understanding your genetic risk factors can help you be more proactive in seeking treatment for heel pain or recognize warning signs you might have otherwise missed, genetic risk factors aren’t a surefire diagnosis.

Dr. Robert Kornfeld says, “There’s no simple answer to questions about genetics and heel pain. Diet, lifestyle, and environment (or epigenetics) will always interact with genetic factors like foot biomechanics. Meaning, two people with the exact same foot structure can have very different experiences with heel pain.”

In other words, even someone with “imperfect” feet can avoid heel pain. Dr. Kornfeld says, “Someone might inherit a structural predisposition for plantar fasciitis, but poor diet or lifestyle choices that put the tissues under stress will ultimately be the determining factors on whether or not the condition develops.” He adds, “This is exactly why preventative care is such an important part of modern medicine. We can catch structural or functional deficiencies that stem from genetics, while also intervening on behalf of different lifestyle factors to help prevent these painful and often chronic conditions.”

Are Heel Spurs Hereditary?

In most cases, heel spurs aren’t a result of genetics but rather a symptom of plantar fasciitis. A deteriorating, thinning heel pad combined with inflammation and pressure on the plantar fascia ligament can lead to these painful bone growths that dig into foot tissue.

However, there are also many cases in which heel spurs can develop separately from plantar fasciitis and ultimately cause heel pain. And there is some evidence that genetics play a role in such cases. Arthritic disorders like ankylosis spondylitis and reactive arthritis as well as diffuse idiopathic skeletal hyperostosis have a strong genetic connection — and a strong correlation with the growth of heel spurs.

The takeaway? Make sure to give your doctor a full accounting of your family medical history — even if you’re not sure the condition relates to foot pain!

Lifestyle Choices, Heredity, and Heel Pain

It’s also important to consider that lifestyle choices (like our line of work, hobbies, or activity level), while not genetic, are often tied to our family of origin. Understanding these factors, and making changes as needed, can help avoid plantar fasciitis or heel spurs.

Dr. Steven Rosenberg says, “We are certainly a byproduct of our parents. If they struggle with plantar fasciitis because of their body type or foot type (e.g., flat feet), we’re more likely to struggle as well. We’re also likely to follow in our parents’ footsteps when it comes to lifestyle choices (e.g., sports or running) that might make a person more vulnerable to plantar fasciitis.”

Field of Work

Jobs that involve a lot of time standing, especially on a hard surface like cement (like retail, construction, or nursing), can increase your risk of developing plantar fasciitis or heel spurs. Standing is actually a greater risk factor than jobs that require a lot of walking, since standing in steadily taxes the arch of the foot and supporting muscles, instead of the alternating rhythm of impact and rest while taking steps.

Activity Level and Hobbies

While staying active is a good thing (maintaining a healthy weight can help avoid excessive pressure on the arch of the foot), high-impact sports and exercise routines can increase your risk of plantar fasciitis.

So, if you inherited your parents’ love for running marathons, playing basketball, soccer, or even golf (lots of standing!) you’ll want to keep an eye out for the warning signs of plantar fasciitis.

Footwear Preferences

Was it the norm in your house to wear slippers often, or spend the summer in flip-flops? If unsupportive shoes were a hallmark of your childhood, it’s common to continue those habits into adulthood. Wear shoes that support your arch and help distribute impact properly, and avoid problem shoes like slippers, flip-flops, and high heels. For added cushioning and support to the plantar fascia ligament, wear Heel Seats daily.

Staying Ahead of Genetics and Lifestyle Factors

Remember, genetics and lifestyle factors aren’t a sentence of heel pain and plantar fasciitis. But by watching out for common risk factors, you can stay ahead of chronic pain.

Dr. Rosenberg says that, “If your parents had plantar fasciitis or heel spurs, and you know you’re likely to be more susceptible, don’t be afraid to take preventative care by supporting your feet with orthotics.”

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