When the first step of the morning is accompanied by a sharp, stabbing sensation in the heel, plantar fasciitis may be to blame. It is one of the most common foot complaints, affecting one in ten people. Most prevalent during middle age, it also causes discomfort in younger individuals who spend hours on their feet. Shoe orthotics for plantar fasciitis helps relieve the pressure that is a primary cause of this condition.

Orthotics is a term describing shoe inserts designed to eliminate pressure on the foot. They are commonly known as arch supports, but the job they do involves more than just placing a foam pad inside a shoe. Supports are designed to make standing, walking and even running feel more natural, reduce existing pain, and prevent future problems from developing by changing the way feet meet the ground.

Self-diagnosis may miss a more serious issue causing foot pain because other conditions have similar symptoms. When pain is long-lasting, severe, but localized, and causes difficulty with mobility, it is important to get an accurate assessment from a podiatrist. While the discomfort may be minimal, it can still take a year or more to completely resolve. Resting the foot is commonly recommended.

Exercises to stretch and strengthen the foot are also helpful, but may not be useful in every situation. Poorly fitting shoes are the number-one cause of pain. Even though they might be considered less than stylish, footwear with comparatively cushioned, thick soles constructed from impact-absorbing, dense materials is best during activity. People with flat feet due to low arches may require greater support.

Although arches actually do not collapse, they can become a source of trouble. Those born with flat feet may not be able to absorb impacts as well as people with an ideally shaped footprint. The most common way to add support is through taping, wearing specially designed shoes, or by inserting foam pads. These solutions are often more effective in relieving pain than daily use of NSAID pain relievers.

Although they are not a cure-all, over-the-counter padded shoe inserts can also prove helpful. Some provide more relief than others, depending primarily on the materials used in the manufacturing process. The cushioning pad should be firm enough to resist complete flattening, yet provide enough support to make activities more comfortable. They can be ideal for young people who are still growing.

The most promising solution for many adults involves custom-made orthotics. Potential problem areas can be revealed by taking a foot imprint, which forms the template for the creation of an insert specific to the problem. They are generally more rigid than commonly sold versions, and provide greater longitudinal support. The addition of heel cups may be necessary in stubborn cases.

Although the cost of creating custom inserts is not insignificant, and may not be paid for by insurance, the outcome can be worth the investment. Foot pain makes all activities more difficult, and impacts all aspects of life. If taping, rest, strengthening and stretching exercises, and standard arch supports are not effective, orthotics created under the guidance of a doctor can be a welcome solution.