Health & Wellness

Recommend a Pedorthist/therapist for heel pain

[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto

Recommend a Pedorthist/therapist for heel pain

I have started having pain in my heels. Pain gets worst with walking or standing. Little or no pain when I get up in the morning. Pain eases with rest. My family doctor suspect Plantar Fasciitis and has written me a prescription for orthotics and orthopedic footwear as well suggested physiotherapy. I went to a chiropractor close to my place but didn't get much relief from his therapy. I'm now looking to get an orthopedic footwear before I look into orthotics. I read some people think orthotics are not good for foot muscles so I would consider orthotics only after orthopedic footwear and therapy doesn't help. My insurance has a generous coverage for orthopedic footwear provided it is bought from a podiatrist or a similarly licensed shop. I called 'Walking Mobility' close to my place and they suggested New Balance 840/880 are a good walking shoes. Anyone recommend a good pedorthist or a shop selling good orthopedic footwear and/or orthotics? Also, if you know of any therapist for foot/heel therapy?

P.S. I recently learned pedhorthists also sell the same shoes (eg: New balance 840/880) sold by other retailers, Previously I thought podiatrist only sells some 'special' shoes called 'orthopedic shoes' so was surprised to see them carrying a large selection of shoes also available at big box stores.
Last edited by sillycat on Aug 10th, 2021 5:31 pm, edited 2 times in total.
21 replies
Sr. Member
Dec 12, 2005
921 posts
341 upvotes
Richmond
Lookup Kintec, I am not sure if there is one in your area. My husband went to one recently and they did a good job. He needed a new orthotics but did a great job in the whole thing as they took videos and looked into his walking posture, how he walked, etc. so they analyzed things and give you advise. Unlike where he got his old orthotics, they just did a cast/ measured his feet and that's it. Good after service too as they called several weeks after to see how things are doing.
Jr. Member
Jun 15, 2015
153 posts
59 upvotes
Calgary, AB
Not enough information. If it wasn't from trauma, shoes posture, I am wondering do you have any kidney problems.
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
wildmen wrote: Not enough information. If it wasn't from trauma, shoes posture, I am wondering do you have any kidney problems.
No kidney problems.
Deal Addict
Jun 27, 2006
1953 posts
2217 upvotes
Did the chiropractor give you exercises and did you do them? Going to physio/Podiatrist/therapist, chances are they will give you exercises and it is important that you do them along with having realistic expectation. They will work but doubt that doing them once or twice will address the causes of the issue that you are having. Same thing with getting new shoes or orthotics. They will help mask some of the pain associated with the issue but do not address the underlying concerns that need to be looked at. GL
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
maple1 wrote: Did the chiropractor give you exercises and did you do them? Going to physio/Podiatrist/therapist, chances are they will give you exercises and it is important that you do them along with having realistic expectation. They will work but doubt that doing them once or twice will address the causes of the issue that you are having. Same thing with getting new shoes or orthotics. They will help mask some of the pain associated with the issue but do not address the underlying concerns that need to be looked at. GL
The chiropractor advised to freeze a water bottle and roll the foot over it and yes I'm doing it twice a day as he suggested. So how do I address the underlying concern?
Deal Addict
Nov 7, 2014
1235 posts
896 upvotes
Vancouver, BC
Your doctor gave you s$&@#y advice. Your symptoms are the EXACT OPPOSITE of PF. PF is worst in the morning and gets better during the day.

BTW I was misprescribed orthotics for 25 years (by a podiatrist, kintec, and... Paris orthotics). Messed up my foot all the way up to my obliques. They are little more than salesmans unfortunately.

All of them had no issue with the full weight of my body coming down on the tendon that attaches my big toe to the heel. Extremely limited my mobility but who cares, they surely don't.


I currently have the "same" (not enough detail to really know though) pain as you in my feet. This is a Longshot but it turns out much of the pain was due to food intolerances (IBS, pain in all my joints, excruciating pressure pain on entire bottom and outside of feet). Stopping to eat the offending foods got rid of the pain. Opioids didn't even help it, only avoiding offending foods did.

Now as I have aged that pain is back to a lesser extent. I haven't been able to figure this one out this time. Doctors and other professionals have been pros at red herrings. If your symptoms don't match the diagnosis then you may as well ask a homeless person.... Strive for some kind of objective test ( I don't think these even exist unfortunately).

Remember anything that limits your mobility will just lead you down a vicious cycle. Be extremely suspicious of any option that results in this.

I would highly recommend posting this in https://www.reddit.com/r/FootFunction/ to get a different POV. Maybe it will be helpful, maybe not, but in general there are some great in depth discussions about this sort of thing
Deal Expert
User avatar
Jun 12, 2007
19667 posts
6385 upvotes
London
smehmood wrote: I have started having pain in my heels. Pain gets worst with walking or standing. Little or no pain when I get up in the morning. Pain eases with rest. My family doctor suspect Plantar Fasciitis and has written me a prescription for orthotics and orthopedic footwear as well suggested physiotherapy. I went to a chiropractor close to my place but didn't get much relief from his therapy. I'm now looking to get an orthopedic footwear before I look into orthotics. I read some people think orthotics are not good for foot muscles so I would consider orthotics only after orthopedic footwear and therapy doesn't help. My insurance has a generous coverage for orthopedic footwear provided it is bought from a podiatrist or a similarly licensed shop. I called 'Walking Mobility' close to my place and they suggested New Balance 840/880 are a good walking shoes. Anyone recommend a good podiatrist or a shop selling good orthopedic footwear and/or orthotics? Also, if you know of any therapist for foot/heel therapy?

P.S. I recently learned podiatrist also sell the same shoes (eg: New balance 840/880) sold by other retailers, Previously I thought podiatrist only sells some 'special' shoes called 'orthopedic shoes' so was surprised to see them carrying a large selection of shoes also available at big box stores.
It's definitely not Plantar Fasciitis

Go see a good physiotherapist. They can evaluate your body mechanics.

In my case, my heel pain was caused by a combination of problems - one leg slightly longer than the other, overpronation and my worn out work boots. My work boots didn't have any heel stability support, even when new. Overpronation caused the outside of the work boot heels to wear rapidly so my own heels weren't sitting properly on level ground. My longer leg was doing all the balancing work and the leg muscles eventually became overloaded and inflamed trying to maintain balance. . (Edit - Tendinitis )

Everything felt fine until one day I suddenly had foot swelling and heel pain - I could barely walk. It didn't go away, I initially thought I had broken my foot. I went to emergency and the doctor knew right away as soon as I took my sock off and sent me to a physiotherapist. (Edit - Tendinitis )

She looked at my footware and tossed a few pairs of shoes like my worn work boots.. In my new work boots, she added "superfeet" carbon fibre inserts for more heel support (they are made for ski boots) https://www.superfeet.com/en-us/carbon. For walking shoes, I went with a stability running shoe like the NB 840 (from SportChek)

These small changes, exercises plus 6 physio sessions and everything is back to normal again.

I asked her about orthotics. Her shop does have a podiatrist on staff, however they look at orthotics as a last resort. (orthotics / othopetic footware - not needed for tendinitis, just proper regular footware )
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
panckage wrote: Your doctor gave you s$&@#y advice. Your symptoms are the EXACT OPPOSITE of PF. PF is worst in the morning and gets better during the day.

BTW I was misprescribed orthotics for 25 years (by a podiatrist, kintec, and... Paris orthotics). Messed up my foot all the way up to my obliques. They are little more than salesmans unfortunately.

All of them had no issue with the full weight of my body coming down on the tendon that attaches my big toe to the heel. Extremely limited my mobility but who cares, they surely don't.


I currently have the "same" (not enough detail to really know though) pain as you in my feet. This is a Longshot but it turns out much of the pain was due to food intolerances (IBS, pain in all my joints, excruciating pressure pain on entire bottom and outside of feet). Stopping to eat the offending foods got rid of the pain. Opioids didn't even help it, only avoiding offending foods did.

Now as I have aged that pain is back to a lesser extent. I haven't been able to figure this one out this time. Doctors and other professionals have been pros at red herrings. If your symptoms don't match the diagnosis then you may as well ask a homeless person.... Strive for some kind of objective test ( I don't think these even exist unfortunately).

Remember anything that limits your mobility will just lead you down a vicious cycle. Be extremely suspicious of any option that results in this.

I would highly recommend posting this in https://www.reddit.com/r/FootFunction/ to get a different POV. Maybe it will be helpful, maybe not, but in general there are some great in depth discussions about this sort of thing
Thanks for your feedback! May I know the foods you limited that helped with your pain? I'm not sure what you mean by "anything that limits your mobility".
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
l69norm wrote: It's definitely not Plantar Fasciitis

Go see a good physiotherapist. They can evaluate your body mechanics.

In my case, my heel pain was caused by a combination of problems - one leg slightly longer than the other, overpronation and my worn out work boots. My work boots didn't have any heel stability support, even when new. Overpronation caused the outside of the work boot heels to wear rapidly so my own heels weren't sitting properly on level ground. My longer leg was doing all the balancing work and the leg muscles eventually became overloaded and inflamed trying to maintain balance. . (Edit - Tendinitis )

Everything felt fine until one day I suddenly had foot swelling and heel pain - I could barely walk. It didn't go away, I initially thought I had broken my foot. I went to emergency and the doctor knew right away as soon as I took my sock off and sent me to a physiotherapist. (Edit - Tendinitis )

She looked at my footware and tossed a few pairs of shoes like my worn work boots.. In my new work boots, she added "superfeet" carbon fibre inserts for more heel support (they are made for ski boots) https://www.superfeet.com/en-us/carbon. For walking shoes, I went with a stability running shoe like the NB 840 (from SportChek)

These small changes, exercises plus 6 physio sessions and everything is back to normal again.

I asked her about orthotics. Her shop does have a podiatrist on staff, however they look at orthotics as a last resort. (orthotics / othopetic footware - not needed for tendinitis, just proper regular footware )
Thanks for sharing. Sounds like you got a good physiotherapist, mind sharing the location.

Anyone has experience with Athletes care Scarborough, Rebalance Physio or Cornerstone Physio?
Deal Addict
Nov 7, 2014
1235 posts
896 upvotes
Vancouver, BC
smehmood wrote: Thanks for your feedback! May I know the foods you limited that helped with your pain? I'm not sure what you mean by "anything that limits your mobility".
I have a lot of food intolerances. They really depend on the person. If you don't have IBS symptoms along with foot pain then I don't think it's worth looking into. That said soy, gluten, most spices etc give me problems. I am a pretty extreme case though.

As for limiting mobility, I mean for orthotics. I had to limit my mobility while wearing them to prevent them from injuring me more. Sounds obvious but the orthotics places didn't see this as an issue.
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
panckage wrote: I have a lot of food intolerances. They really depend on the person. If you don't have IBS symptoms along with foot pain then I don't think it's worth looking into. That said soy, gluten, most spices etc give me problems. I am a pretty extreme case though.

As for limiting mobility, I mean for orthotics. I had to limit my mobility while wearing them to prevent them from injuring me more. Sounds obvious but the orthotics places didn't see this as an issue.
Thanks for the reply. I never thought orthotics will limit mobility, I thought it provides more support or cushioning according to your feet.
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
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I'm attaching pictures of the sole of my shoe. Does it tell anything? Could my my issue be because of the shoe? This is a New balance Fuel Core shoe. I'm hoping a good new footwear may solve my issue. On that note is NB 840 or 880 a good walking shoe or if there is a better shoe? Is it the physiotherapist or the podiatrist who recommend shoes based on my walking and arch?
Deal Guru
User avatar
Aug 20, 2012
13859 posts
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Pacific Ocean
sillycat wrote:
I'm attaching pictures of the sole of my shoe. Does it tell anything? Could my my issue be because of the shoe? This is a New balance Fuel Core shoe. I'm hoping a good new footwear may solve my issue. On that note is NB 840 or 880 a good walking shoe or if there is a better shoe? Is it the physiotherapist or the podiatrist who recommend shoes based on my walking and arch?
Looking at shoe wear shows your pressure points and it's generally even imo. I dont see heavy pronation at all - either inner or outer pronation. Fairly even throughout the outer sole. There's more wear on the heel but that's expected as mos peeps walk/run heel to toe. As for shoes NB 900's series are the best for walking, stability for heel, etc. Specifically the 928, 990, 992's. The last two are NB premium shoes with the best workmanship (made in usa) and are NB's top of the line hybrid walking/running shoes. But they will cost ya - $229.99/$259.99 respectively. Chiro/podiatrist discount gives you 10% off. All NB shoes fit custom orthotics.

Read thru the thread. Have you had xrays of foot? Nuclear imaging/bone scan of foot? You may have a spur in heel bone. That will result in symptoms you experience apart from plantis. Depending on seriousness you may require surgery to remove the spur. Otherwise in benign cases things like orthotics, cushioning will help dampen the symptoms. I've worn custom sports orthotics in NB shoes for over 10yrs. No issues here.

NB 990 v5
https://www.newbalance.ca/en_ca/pd/made ... quantity=1

NB 992
https://www.newbalance.ca/en_ca/pd/made ... quantity=1
If the glove don't fit you must acquit! #WINNING
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
aznnorth wrote: Looking at shoe wear shows your pressure points and it's generally even imo. I dont see heavy pronation at all - either inner or outer pronation. Fairly even throughout the outer sole. There's more wear on the heel but that's expected as mos peeps walk/run heel to toe. As for shoes NB 900's series are the best for walking, stability for heel, etc. Specifically the 928, 990, 992's. The last two are NB premium shoes with the best workmanship (made in usa) and are NB's top of the line hybrid walking/running shoes. But they will cost ya - $229.99/$259.99 respectively. Chiro/podiatrist discount gives you 10% off. All NB shoes fit custom orthotics.

Read thru the thread. Have you had xrays of foot? Nuclear imaging/bone scan of foot? You may have a spur in heel bone. That will result in symptoms you experience apart from plantis. Depending on seriousness you may require surgery to remove the spur. Otherwise in benign cases things like orthotics, cushioning will help dampen the symptoms. I've worn custom sports orthotics in NB shoes for over 10yrs. No issues here.

NB 990 v5
https://www.newbalance.ca/en_ca/pd/made ... quantity=1

NB 992
https://www.newbalance.ca/en_ca/pd/made ... quantity=1
No, i did not have xrays or any scan of foot done. I don't think it is a bone spur as I do not feel an 'extra' bone growth anywhere on my heels.
Thanks for the shoes recommendation! My plan covers two pair of shoes in a year for upto $500 each so I'm well covered for the shoes if I purchase through a podiatrist. I'm thinking to get one sandal as well. I understand Birkenstocks is a popular brand for sandals. Any particular model of Birkenstocks or is there another brand/model recommended?
Sr. Member
Dec 12, 2005
921 posts
341 upvotes
Richmond
Have you or any specialist considered flatfeet?
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
ai_c wrote: Have you or any specialist considered flatfeet?
Nope
[OP]
Sr. Member
Apr 23, 2008
638 posts
86 upvotes
Toronto
So I went for physio and the physiotherapist suspects it is 'Heel Fat Pad Atrophy'. In simple terms loss of fat tissues that provide cushioning to heels. I don't remember doing anything recently that could have caused this so it seems it is caused by normal wear and tear. The therapist did 'taping' to try to get fat tissues from around to the bottom of heels. She also suggests to wear sandals or shoes at home while walking on hard surfaces in addition to ice the heels. Also, get heel pads/gels/cups that provide cushioning to heels. I know Dr. Scholl's has some similar products that are available at drug marts.

Anyone tried or recommend any of these products for heels?

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