Ask Your Physical Therapist: Hurt heel out of bed

One question patients ask me every day relates to their heel hurting when they get out of bed in the morning. Sometimes the pain is so bad, they end up limping.

There are a number of issues that could be contributing to the heel pain when you get out of bed and after getting up from sitting. The most common reason for your heel/arch pain would be plantar fasciitis.

Plantar fasciitis is an irritation of the tissue that connects from your heel to the balls of your feet. Its job is to provide shock absorption and to support the arch of your foot during weight bearing.

When the plantar fascia is overstretched, shortened or has repetitive stress applied to it, it becomes inflamed and causes pain. Flat feet and high arches can both be a contributing cause to plantar fasciitis for different reasons. Tight calf or tight big toe muscles can also be a culprit in causing plantar fasciitis.

The calf, big toe and plantar fascia all work together as a pulley system. If they cannot function as a pulley system, then too much pressure is placed on the plantar fascia and it becomes painful, which causes the patient to limp when walking.

Another cause of heel pain is calcaneal bursitis. In this case, the fluid filled “bursa sac” that cushions the heel bone becomes inflamed. Usually, irritation of the bursa can also be due to tight calf muscles, flat feet or high arches, which all alter the normal function of the foot, causing excess pressure on the calcaneal bursa at the heel bone.

So how do you get rid of the pain?

Heel pain that is present with the first few steps out of bed in the morning, as well as after you get up from sitting, usually responds well to a multi-faceted approach.

Improving your calf flexibility, strengthening the muscles that support the arch of your feet, as well as wearing the proper shoe for your foot type and using a custom foot orthotic that distributes your weight more efficiently across your foot, are all pieces of the puzzle to get you back to pain-free walking and weight-bearing activities.

You need an expert in the care of the foot and ankle to evaluate you and determine the root cause of your heel pain. Attacking the root cause will eliminate the heel pain versus just taking medication, resting or getting injections.

The physical therapists at Cardin and Miller Physical Therapy are experts in the treatment of the foot and ankle. We determine the cause of your heel pain and develop a custom rehab plan for you based on your medical history and what we find when we check your strength, range of motion, walking pattern, etc.

Call Cardin and Miller Physical Therapy at 717-245-0400, to schedule your free screen with one of our physical therapists so that we can help you resolve your heel pain and get your life back.

If you have a question you would like me to answer in one of my upcoming columns, please email your question to

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BREAKING: Michael Schumacher ‘Is No Longer Bed-Ridden’ After Making Progress – LADbible

December 29 will mark five years since Michael Schumacher sustained a serious brain injury after a skiing accident in the French Alps and it’s now believed he is no longer bed-ridden following extensive £50,000 a week healthcare costs.

Despite reports in March understanding that the former F1 legend had been left unable to speak or walk, Sportsmail understands that he ‘is not bed-ridden’.

The MailOnline reported that Schumacher is believed to be receiving extensive nursing and physiotherapy care which has been estimated to cost more than £50,000 ($62,900) a week.

Michael Schumacher and his wife Corinna before the accident. Credit: PA
Michael Schumacher and his wife Corinna before the accident. Credit: PA

The father-of-two is living alongside close family members in the main body of a £50m ($62,996,100) mansion on the banks of Lake Geneva.

Schumacher will turn 50 on January 3 – just five days after the anniversary of the life-changing tragedy and his medical condition has been kept closely under wraps since it happened.

His wife of over 20 years, Corinna, insisted that his progress was kept a secret with the MailOnline reporting that anyone who spoke out would no longer be regarded as a friend.

Michael Schumacher celebrates after winning the French Formula One Grand Prix on the Magny-Cours racetrack in France, 21 July 2002. Credit: PA
Michael Schumacher celebrates after winning the French Formula One Grand Prix on the Magny-Cours racetrack in France, 21 July 2002. Credit: PA

Earlier this year, Schumacher’s manager, Sabine Kehm said that the family appreciate the ’empathy’ coming from fans but added that they want to keep details about his health private.

She said: “What can be said is that the family really appreciates the empathy of the fans.

“The people really do see and understand [his health situation] is not to be shared in the public eye.”

Michael Schumacher poses with his wife Corinna on a piste during the traditional three-day Ferrari meeting in Madonna di Campiglio. Credit: PA
Michael Schumacher poses with his wife Corinna on a piste during the traditional three-day Ferrari meeting in Madonna di Campiglio. Credit: PA

Schumacher was on holiday with his 14-year-old son Mick when tragedy struck in December 2013. He fell, hitting the right side of his head on a rock, with such force his helmet split open.

He was rushed to hospital where surgeons removed blood clots from his brain, however, some had to be left behind as they were so deeply embedded.

He was stabilised and placed into a medically-induced coma, and was later brought round.

Featured Image Credit: PA

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Justice Ginsburg casts deciding vote from her hospital bed, strikes down Trump’s racist law

Justice Ginsburg casts deciding vote from her hospital bed, strikes down Trump's racist law

Justice Ruth Bader Ginsburg just underwent surgery at the Memorial Sloan Kettering Cancer Center in New York to remove two malignant modules from her left lung.

It’s said that she is recovering well and “no further treatment is needed.” That is good news.

Oh, and there’s some more good news on top of that:

Right after the surgery, while still bedridden, Ginsburg launched the deciding vote to block President Trump’s new restrictions on asylum. The court voted 5-4, with Justice Roberts siding with liberals. Justice Kavanaugh defended Trump in the move.

NBC News has learned Justice Ruth Bader Ginsburg voted FROM HER HOSPITAL BED to refuse to let the government enforce Pres. Trump’s proposed restriction on asylum. The court voted 5-4 to leave a lower court ruling in place that blocks enforcement of the crackdown. @PeteWilliamsNBC

— Gary Grumbach (@GaryGrumbach) December 21, 2018

“It’s a major blow to the Trump administration and sends a strong signal that there are at least five justices who agree with the district court that the asylum ban exceeds the President’s statutory authority,” said Steve Vladeck, CNN Supreme Court analyst and professor at the University of Texas School of Law.

Ruling aside, Ginsburg’s health is still an issue. While she may be recovering okay after the cancer detection, this is the second issue to plague Ginsburg in the last several weeks. She just recently broke her ribs last month and is the oldest member on the court at 85. That said, we think she will make it. She’s a tough cookie and a fighter. She proved that today.

Former Fox News host Bill O’Reilly, however, doesn’t think so. He just got blasted on Twitter for suggesting that she might die soon.

Justice Ginsburg is very ill. Another Justice appointment inevitable and soon. Bad news for the left.

— Bill O’Reilly (@BillOReilly) December 21, 2018

While the right is salivating at the idea that President Trump will get to appoint another Supreme Court Justice, Ginsburg is still making her voice and vote count. For right now, at least, today was a major win for progressive ideals.

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Beautiful Rustic Pieces of Furniture for the House or Garden

I found a passion for building timberframe structures to Duncan Dodds (local carpenter/joiner) and Tim Atkins (experienced chainsaw carving artist) from Artisan Structures, that are based in the Newmarket area in Suffolk. Their other passion is creating beautiful rustic pieces of furniture for the house or garden, using a wide range of hardwoods, letting the beauty of the wood come through. They can work from sketched ideas or CAD designs from an architect. They enjoy discussing with the customer what they are trying to achieve and coming up with ideas with them to make the perfect piece of furniture or structure. Here you can admire some of their works … How does it look?

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Border guards found 52 tons of guns and ammunition in 14 Conex containers disguised as “furniture” for Muslim immigrants | Jim Campbell’s

Border guards found 52 tons of guns and ammunition in 14 Conex containers disguised as “furniture” for Muslim immigrants

crew-2231211The western nation “Main Stream media.” won’t cover this …

That’s why if you want to know what is going on that they want us not to understand, go to a reputable blogger.

Of course, this is all illegal.

Here we disclose how your friendly Muslim next door is selling arms illegally.


That’s right, Fort Meyers, Florida.

Originally: September 28, 2016

Yeah, keep letting them into our country!!!

If this doesn’t convince you that this IMMIGRATION is nothing less than an ARMED INVASION then nothing

Wonder still why all those young (military age) men without children or wives are taking on the task of traveling all those miles posing as refugees?

Wonder no longer, it’s Obama and Hillary’s goal to have as many as possible granted refugee status where they become immediately able to receive all the goodies provide through our overly stretched safety net to be used for U.S. Citizens.

This will all be halted by President Donald Trump who has promised to lock down our borders.

If you have doubts about Muslim immigration, this might help clear them up!!!

82 Responses to Border guards found 52 tons of guns and ammunition in 14 Conex containers disguised as “furniture” for Muslim immigrants

  1. 1dragon says:

  2. hocuspocus13 says:

  3. Harely hunter says:

    Didnt castro do something like this allready. When will noth america learn from previous mistakes

  4. SIMPLEMAN says:


  5. howardnema says:

  6. Jecoliah says:

    In no case would gun smuggling be good, but this happened in Greece. The shipment, discovered by the Greek Coastguard, was headed for Libya.

  7. Freedom Rules says:

    The Leftist Are Communist, Everything Going On Is Straight Out Of Saul Alinsky’s “RULES FOR RADICLS” Which HRC And Obama Praised.. Look Whats Happening In Our Country, Paid Protesters, Communist Professors In Our Collages indoctrinating Our Youth, Some Of These Kids Have Complained About Harassment From Professors And Other Kids Who Are Brain Washed Bad Grades If They Disagreed With Their Communist Professors And So On.. Right Now Obama Has A Shadow Government That Is Working To Take Trump Down, No One In Our History Of exPresidents Has This Ever Happened.. Obama And Most Of The DemonRAT Party Are Communist.. You Can Find Out A lot More Information By Just Doing The Research.

  8. miers Richard c says:

    Hay this kind of stuff is already I’m America in every muslim house of prayer in in America and all those container sips bringing stuff to America how do we know they aren’t full of the same thing they found over there and don’t tell me there is to much security , muslims have worked there way into every place in America and we have let them they are or could be in the teamsters union and bring containers full of guns and ammo in anytime they want . WE MUST RID THE U.S. OFF ALL MUSLIMS AND DO IT SOON !. y’ALL MAY THINK THAT IS STUPID but 99% of all muslims [man woman and child] would cut your head off if given the order to do so I say clean your guns keep stocking up an ammo and protect your family by teaching them to use a weapon. Amen and God bless us all

  9. Carl says:

    Sad that i shared this without fact checking only to shown it IS A HOAX FROM SEPT LAST YEAR.
    If you wantto claim to be a “reputable blogger” you should fact check your stories – especially ones that align perfectly with your beliefs, otherwise you are no more reputable than CNN 😦This is not a hoax you didn’t understand what your read. The company that shipped the materials, Conex was from Florida.

  10. Gerrit Tienkamp says:

  11. Dave Ward says:

    Did I overlook where these conexes full of guns and ammo were found?

  12. Robert Prestwood says:

    Trumps executive order has legitimate basis. 9th Appeals Court sucks!!

  13. anthony postero says:

    I am all for the temporary ban on immigrants until we get our security checks properly in place but I would suggest all of you research your articles first.

  14. Kasey says:

    Yeah Thank God they did catch it this time, but how much and how many times prior to this load made it into those gentle little Muslims hands. If you think this was the first time they pulled this off, we’ll think again. It is not a matter of if the Muslims will try something, get real, it just a matter of when. They are not the near as dumb as Obama, they are not going to tell us play by play of what and when they intend to do something. Thank God for the men and women of the
    FBI, CIA, NSA, and all the other federal, and others gathering information to
    keep us safe.

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