Well-paying jobs with
openings
Source: Bureau of Labor Statistics, Occupational Outlook Quarterly,
Spring 2004
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
10 least expensive cars to
insure
If you really want a car that's inexpensive to insure, go down the middle of the road when it comes to buying your next car. Cars likely to have the lowest claims rate of injury, theft and collision are going to get the best rates. Go for a model that is big enough to provide protection to you and your passengers, but not so big as to cause excessive damage in a wreck. Bigger cars provide better protection, but cost more in liability claims because they do more damage to others. The opposite is true for little cars: They don't do much damage to cars they collide with, but their passengers are not as well protected.
Runzheimer International, a
Model Annual Premium Value
Saturn Ion $1,127 $11,975
Saturn L300 $1,158 $16,995
Chevrolet
Chevrolet Aveo $1,216 $11,785
Ford Escape XLS $1,216 $19,300
Mazda 3 $1,216 $14,200
Dodge Caravan $1,250 $21,795
Honda Accord DX $1,250 $17,190
Hyundai
Best Metros to Live
1. Madison, WI
2. Raleigh-Durham, NC
3. Austin, TX
4. Washington,
DC
5. Atlanta, GA
6. Provo, UT
7. Boise, ID
8. Huntsville, AL
9. Lexington, KY
10. Richmond,
VA
Top housing
markets
Second-quarter numbers are in. See how your town stacks
up.
|
Median Value | ||||
|
Q2 2004 |
||||
|
Anaheim-Santa Ana, CA |
CA |
38.7% |
$655,300.00 |
$472,458.54 |
|
San Francisco |
CA |
15.5% |
$647,300.00 |
$560,432.90 |
|
San Diego |
CA |
37.5% |
$559,700.00 |
$407,054.55 |
|
Honolulu |
HI |
20.3% |
$451,000.00 |
$374,896.09 |
|
Los Angeles-Long Beach |
CA |
30.4% |
$438,400.00 |
$336,196.32 |
|
NY: Nassau-Suffolk |
NY |
14.1% |
$414,800.00 |
$363,540.75 |
|
NY: Bergen-Passaic |
NJ |
2.4% |
$393,300.00 |
$384,082.03 |
|
NY: New York-North NJ-Long Island |
NY |
11.8% |
$392,200.00 |
$350,805.01 |
|
NY: Newark, NJ |
NJ |
12.7% |
$370,600.00 |
$328,837.62 |
|
Boston, MA |
MA |
3.1% |
$366,500.00 |
$355,480.12 |
|
Washington |
DC/MD/VA |
23.3% |
$352,400.00 |
$285,806.97 |
|
NY: Middlesex-Somerset-Hunterdon |
NJ |
13.9% |
$346,800.00 |
$304,477.61 |
|
NY: Monmouth-Ocean |
NJ |
14.5% |
$314,300.00 |
$274,497.82 |
|
Sacramento |
CA |
27% |
$308,600.00 |
$242,992.13 |
|
West Palm Bch-Boca Raton-Delray Bch |
FL |
25.9% |
$294,000.00 |
$233,518.67 |
|
Riverside-San Bernadino |
CA |
38.5% |
$294,500.00 |
$212,635.38 |
|
Seattle |
WA |
7.1% |
$293,200.00 |
$273,762.84 |
|
Worcester |
MA |
11.9% |
$279,200.00 |
$249,508.49 |
|
Ft. Lauderdale-Hollywood-Pompano Bch, FL |
FL |
24.8% |
$277,300.00 |
$222,195.51 |
|
Miami-Hialeah |
FL |
25.9% |
$271,900.00 |
$215,965.05 |
|
Las Vegas |
NV |
52.4% |
$269,900.00 |
$177,099.74 |
|
Sarasota |
FL |
29.9% |
$264,800.00 |
$203,849.11 |
|
Chicago, IL |
IL |
8.8% |
$263,300.00 |
$242,003.68 |
|
Providence |
RI |
14.5% |
$262,000.00 |
$228,820.96 |
|
Lake County |
IL |
-3.3% |
$254,600.00 |
$263,288.52 |
|
Baltimore |
MD |
23.3% |
$251,700.00 |
$204,136.25 |
|
New Haven-Meriden |
CT |
15.6% |
$246,800.00 |
$213,494.81 |
|
Denver |
CO |
1.6% |
$241,800.00 |
$237,992.13 |
|
Trenton |
NJ |
11.1% |
$235,900.00 |
$212,331.23 |
|
Portland |
ME |
23.4% |
$231,200.00 |
$187,358.18 |
|
Aurora-Elgin |
IL |
5.9% |
$225,500.00 |
$212,936.73 |
|
Hartford |
CT |
11.6% |
$221,500.00 |
$198,476.70 |
|
Minneapolis-St. Paul |
MN/WI |
10.6% |
$218,000.00 |
$197,106.69 |
|
Bradenton |
FL |
25.1% |
$213,100.00 |
$170,343.73 |
|
Portland |
OR |
7.9% |
$206,700.00 |
$191,566.27 |
|
Madison |
WI |
9.9% |
$199,700.00 |
$181,710.65 |
|
Milwaukee |
WI |
6% |
$197,300.00 |
$186,132.08 |
|
Tacoma |
WA |
11.1% |
$195,500.00 |
$175,967.60 |
|
Atlantic City |
NJ |
18.6% |
$194,800.00 |
$164,249.58 |
|
Charleston |
SC |
13.6% |
$191,900.00 |
$168,926.06 |
|
Philadelphia |
PA/NJ |
12.9% |
$189,300.00 |
$167,670.50 |
|
Colordo Springs |
CO |
4.3% |
$189,600.00 |
$181,783.32 |
|
Raleigh-Durham |
NC |
7% |
$185,900.00 |
$173,738.32 |
|
Ft. Myers-Cape Coral-Punta Gorda, |
FL |
14.9% |
$183,800.00 |
$159,965.19 |
|
Wilmington |
DE/NJ/MD |
13% |
$182,200.00 |
$161,238.94 |
|
Tucson |
AZ |
10.4% |
$175,800.00 |
$159,239.13 |
|
Richmond-Petersburg |
VA |
10.3% |
$173,000.00 |
$156,844.97 |
|
Orlando |
FL |
23.5% |
$170,100.00 |
$137,732.79 |
|
Gainesville |
FL |
17.5% |
$167,100.00 |
$142,212.77 |
|
Phoenix |
AZ |
8.6% |
$165,600.00 |
$152,486.19 |
|
Eugene-Springfield |
OR |
8.2% |
$163,000.00 |
$150,646.95 |
|
Salt Lake City-Ogden |
UT |
5.8% |
$161,500.00 |
$152,646.50 |
|
Tampa-St.Petersburg-Clearwater |
FL |
14.1% |
$158,200.00 |
$138,650.31 |
|
Austin/San Marcos |
TX |
-1.3% |
$158,900.00 |
$160,992.91 |
|
Albany-Schenectady-Troy |
NY |
13.9% |
$158,700.00 |
$139,332.75 |
|
Atlanta |
GA |
3.6% |
$156,800.00 |
$151,351.35 |
|
Jacksonville |
FL |
18.1% |
$154,500.00 |
$130,821.34 |
|
Melbourne-Titusville-Palm Bay |
FL |
18.3% |
$153,900.00 |
$130,092.98 |
|
Springfield |
MA |
1% |
$152,200.00 |
$150,693.07 |
|
Kansas City |
MO/KS |
5.1% |
$152,100.00 |
$144,719.31 |
|
Norfolk-Va.Beach-Newport News |
VA |
12.5% |
$151,100.00 |
$134,311.11 |
|
Boise |
ID |
18% |
$151,500.00 |
$128,389.83 |
|
Columbus |
OH |
0.3% |
$150,400.00 |
$149,950.15 |
|
Birmingham |
AL |
5.4% |
$149,500.00 |
$141,840.61 |
|
Tallahassee |
FL |
10.1% |
$148,800.00 |
$135,149.86 |
|
Richland/Kennewick/Pasco |
WA |
0% |
$147,200.00 |
$147,200.00 |
|
Daytona Beach |
FL |
20.4% |
$147,900.00 |
$122,840.53 |
|
Cincinnati, OH-KY-IN |
OH/KY/IN |
5.4% |
$147,500.00 |
$139,943.07 |
|
Albuquerque |
NM |
3.8% |
$145,400.00 |
$140,077.07 |
|
Des Moines |
IA |
5.5% |
$141,800.00 |
$134,407.58 |
|
Dallas, TX |
TX |
0.8% |
$141,000.00 |
$139,880.95 |
|
Lansing-E.Lansing |
MI |
1.8% |
$140,400.00 |
$137,917.49 |
|
Greensboro/Winston Salem/High Point |
NC |
-0.4% |
$140,300.00 |
$140,863.45 |
|
Lexington-Fayette |
KY |
6.1% |
$139,400.00 |
$131,385.49 |
|
Houston |
TX |
1.7% |
$139,200.00 |
$136,873.16 |
|
Memphis |
TN/AR/MS |
2.4% |
$138,300.00 |
$135,058.59 |
|
New Orleans |
LA |
3.2% |
$137,500.00 |
$133,236.43 |
|
Lincoln |
NE |
1.8% |
$135,300.00 |
$132,907.66 |
|
Grand Rapids |
MI |
3.1% |
$134,500.00 |
$130,455.87 |
|
Omaha |
NE/IA |
3.9% |
$133,200.00 |
$128,200.19 |
|
Pensacola |
FL |
16% |
$132,700.00 |
$114,396.55 |
|
Knoxville |
TN |
-7% |
$131,400.00 |
$141,290.32 |
|
Chattanooga |
TN/GA |
10.5% |
$131,800.00 |
$119,276.02 |
|
Cedar Rapids |
IA |
7.3% |
$131,900.00 |
$122,926.37 |
|
Greenville-Spartanburg |
SC |
-0.2% |
$130,900.00 |
$131,162.32 |
|
Sioux Falls |
SD |
2.3% |
$129,700.00 |
$126,783.97 |
|
Saint Louis |
MO/IL |
4.5% |
$128,800.00 |
$123,253.59 |
|
Baton Rouge |
LA |
4.2% |
$128,200.00 |
$123,032.63 |
|
Kalamazoo |
MI |
3.8% |
$127,100.00 |
$122,447.01 |
|
Appleton |
WI |
10.1% |
$127,600.00 |
$115,894.64 |
|
Spokane |
WA |
7.1% |
$125,700.00 |
$117,366.95 |
|
Indianapolis |
IN |
2.9% |
$125,900.00 |
$122,351.80 |
|
San Antonio |
TX |
2% |
$124,700.00 |
$122,254.90 |
|
Gary-Hammond |
IN |
3.5% |
$124,600.00 |
$120,386.47 |
|
Fargo |
ND |
6.3% |
$124,200.00 |
$116,839.13 |
|
Mobile |
AL |
3.3% |
$123,600.00 |
$119,651.50 |
|
Champaign |
IL |
-0.7% |
$121,800.00 |
$122,658.61 |
|
Rockford |
IL |
7.1% |
$120,100.00 |
$112,138.19 |
|
Columbia |
SC |
-1.8% |
$120,700.00 |
$122,912.42 |
|
Dayton-Springfield |
OH |
4.5% |
$119,700.00 |
$114,545.45 |
|
Jackson |
MS |
4.3% |
$118,600.00 |
$113,710.45 |
|
Toledo |
OH |
2.3% |
$116,700.00 |
$114,076.25 |
|
Pittsburgh |
PA |
5.2% |
$116,300.00 |
$110,551.33 |
|
Montgomery |
AL |
-3.3% |
$116,900.00 |
$120,889.35 |
|
Akron |
OH |
-3% |
$116,000.00 |
$119,587.63 |
|
Charleston |
WV |
3.2% |
$115,100.00 |
$111,531.01 |
|
Canton |
OH |
-0.4% |
$115,600.00 |
$116,064.26 |
|
Tulsa |
OK |
1.6% |
$113,300.00 |
$111,515.75 |
|
Biloxi-Gulfport |
MS |
4.1% |
$113,100.00 |
$108,645.53 |
|
Ocala |
FL |
27% |
$112,300.00 |
$88,425.20 |
|
Shreveport |
LA |
8.6% |
$111,400.00 |
$102,578.27 |
|
Corpus Christi |
TX |
6.6% |
$111,500.00 |
$104,596.62 |
|
Little Rock-N. Little Rock |
AR |
4% |
$109,400.00 |
$105,192.31 |
|
Oklahoma City |
OK |
6.8% |
$107,000.00 |
$100,187.27 |
|
Davenport/Moline/Rock Island |
IA/IL |
0.7% |
$107,900.00 |
$107,149.95 |
|
Wichita |
KS |
7.4% |
$105,800.00 |
$98,510.24 |
|
Rochester |
NY |
7% |
$105,100.00 |
$98,224.30 |
|
Topeka |
KS |
3% |
$103,700.00 |
$100,679.61 |
|
Springfield |
IL |
1.2% |
$98,300.00 |
$97,134.39 |
|
Peoria |
IL |
2.8% |
$98,400.00 |
$95,719.84 |
|
Ft. Wayne |
IN |
1.6% |
$98,600.00 |
$97,047.24 |
|
Buffalo-Niagara Falls, NY |
NY |
7.3% |
$97,000.00 |
$90,400.75 |
|
El Paso |
TX |
3.2% |
$96,000.00 |
$93,023.26 |
|
Amarillo |
TX |
-1.2% |
$96,400.00 |
$97,570.85 |
|
Waterloo/Cedar Falls |
IA |
2.5% |
$95,400.00 |
$93,073.17 |
|
Beaumont |
TX |
9.9% |
$95,900.00 |
$87,261.15 |
|
Syracuse |
NY |
2% |
$94,700.00 |
$92,843.14 |
|
South Bend-Mishawaka |
IN |
3.1% |
$93,800.00 |
$90,979.63 |
|
Costliest places to own a
car |
|
Insurance accounted for the lion's share of the difference between the costs of having a new car in different U.S. cities. Detroiters pay $4,540 a year for liability, collision, and comprehensive coverage. In the second most expensive city on the list, Los Angeles, car owners pay just $2,987 for insurance and a total of $10,016.
|
|
| |||
|
|
Place |
Annual cost |
|
|
Detroit |
$11,114 | ||
|
Los Angeles |
$10,016 | ||
|
Hempstead, N.Y. |
$9,880 | ||
|
New Orleans |
$8,957 | ||
|
St. Louis |
$8,600 | ||
|
Buffalo, N.Y. |
$8,286 | ||
|
Atlanta |
$8,039 | ||
|
Topeka, Kas. |
$7,845 | ||
|
Fort Meyers, Fla. |
$7,747 | ||
|
Portland, Ore. |
$7,485 | ||
|
Knoxville, Tenn. |
$7,176 | ||
|
Sioux Falls, S.D. |
$7,131 | ||
13 Ways to Fix Your
Life:
1. Set your priorities
2.
Learn to meditate
3. Quit your job
4. Take time to play
5. Have more
sex
6. Fix your finances
7. Make an emergency plan
8. Master your
data
9. Exercise
10. Go to bed
11. Eating Better
12. Get married
13. Forgive
Action Plan
· Take regular time to reflect on your
life. You might meditate, for example, or perhaps you'd rather jot down some
thoughts in a journal. Of course, if the only thing that really centers you is
screaming at the trees in your backyard for 10 minutes a day, go for it.
· Mind your nutrition. Don't eat soon
before going to sleep. Eat more early in the day and less later in the day. Opt
for fruit, whole wheat bread, and brown rice over other sugars, white bread, and
white rice. Drink lots of water, eat balanced meals, and don't supersize your
portions.
· Exercise! It might seem like a gruesome
proposition, but ease into it. Even walking for just 30 minutes a few times a
week is a lot better than nothing. Walking briskly for an hour a day could even
be enough for you. (That might be a good time to get some reflecting and
life-planning done, too.)
· Get your personal habits and ailments in
check. Research your ailments online and see if you can improve or
eliminate them.
· Socialize. Get more connected with your family and friends. Make more friends. Join communities. Be involved.
THE
NEW SCIENCE OF HAPPINESS
Thank
God It's Monday!
If workers feel engaged and content at work, they're more
productive.
The Real Truth About Money
Why
we remain keen for green even though it often gives us more social anxiety than
satisfaction.
Is There a Hitch?
Does marriage make you happy? Or do
happy people tend to be the marrying kind?
Does God Want Us to Be
Happy?
How American believers allowed themselves everyday joy.
Chasing
the Evanescent Glow
Happiness is not cozy. It gleams most vividly against a
background of black.
The Funny Thing About
Laughter
It's no joke: laughing may be one of nature's cleverest tricks for
keeping us healthy and safe.
The Biology of Joy
Scientists know plenty about depression. Now they are starting to
understand the roots of positive emotion.
Dancing to Evolution's
Tune
The good news: we're born for fun. The bad
news: it's not built to last.
Beyond Happy?
You're Exuberant!
An extravagantly upbeat writer discovers that even joy has
its ups and downs.
The Power to Uplift
Religious people are less
stressed and happier than nonbelievers. Research is beginning to explain
why.
The Importance Of Resilience
Why do some
children bounce back from adversity better than others--and can that quality be
taught?
It's a Glad, Sad, Mad World
Where you
live, as much as how you live, is a key influence on the feel-good
factor.
A Smile Doesn't Always Mean Happy
To Make A Happier Society, Slow Down The Rat
Race
Five
Foods You Should Eat Every Day
The wider the variety of the
foods you eat, the better chance you have to get all
the nutrients needed for good health. But there are some foods with such a
strong link to disease prevention and a wealth of nutrients that it makes sense
to eat them every day.
1.
2.
Dark Leafy
Greens: Full of
anti-cancer compounds, vitamins and minerals. Contains folic acid to help
prevent neural-tube birth defects, antioxidants beta-carotene and vitamin C,
fiber, and anti-cancer compounds beta-carotene and lutein. Try spinach,
collard greens, kale, turnip greens. Eat raw or
lightly cooked. Use in salads and stir-fry.
3.
Bran
Cereal (or other rich
source of wheat bran): Prevents constipation, is a potent anti-cancer agent,
prevents polyps, may fight breast cancer by diminishing estrogen supplies. Mix
in with your other cereals, make bran muffins, sprinkle on salads, mix into casseroles, even eat out of hand with a mix of
raisins and nuts.
4.
Yogurt (low fat, with
live cultures): Supplies calcium to prevent osteoporosis, boosts immune
function, fights bacteria, has anti-cancer properties, may prevent yeast
infections. Make fruit and yogurt smoothies, top vanilla yogurt with fresh fruit
and granola, use on baked potatoes instead of sour
cream.
|
|
5. Soy: Contains phyto-estrogens that
may help relieve hot flashes and fight osteoporosis in postmenopausal women,
anti-cancer activity may be antagonistic to breast
cancer, source of high-quality protein. Eat as
tofu, tempeh, soymilk or boiled soybeans. Add tofu to stir-fry, grill
tempeh instead of burgers, use soybeans instead of
pintos for refried beans. Add chilled cooked soybeans to salads, make bean soup with soybeans, use soymilk instead of
cow's milk on cereal.
Sleep Dos & Don'ts
'Sleep Hygiene' Solutions for Better SleepReducing sleep by as little as one and a half hours for just one night reduces daytime alertness by about one-third. Excessive daytime sleepiness impairs memory and the ability to think and process information, and carries a substantially increased risk of sustaining an occupational injury. Long-term sleep deprivation from sleep disorders like apnea have recently been implicated in high blood pressure, heart attack, and stroke.
All that said, here are some sleep hygiene tips to help you relax, fall asleep, stay asleep, and get better sleep so that you wake up refreshed and alert.
1. Avoid watching TV, eating, and discussing emotional issues in bed. The bed should be used for sleep and sex only. If not, we can associate the bed with other activities and it often becomes difficult to fall asleep.
2. Minimize noise, light, and temperature extremes during sleep with ear plugs, window blinds, or an electric blanket or air conditioner. Even the slightest nighttime noises or luminescent lights can disrupt the quality of your sleep. Try to keep your bedroom at a comfortable temperature -- not too hot (above 75 degrees) or too cold (below 54 degrees).
3. Try not to drink fluids after 8 p.m. This may reduce awakenings due to urination.
4. Avoid naps, but if you do nap, make it no more than about 25 minutes about eight hours after you awake. But if you have problems falling asleep, then no naps for you.
5. Do not expose your self to bright light if you need to get up at night. Use a small night-light instead.
6. Nicotine is a stimulant and should be avoided particularly near bedtime and upon night awakenings. Having a smoke before bed, although it may feel relaxing, is actually putting a stimulant into your bloodstream.
7. Caffeine is also a stimulant and is present in coffee (100-200 mg), soda (50-75 mg), tea (50-75 mg), and various over-the-counter medications. Caffeine should be discontinued at least four to six hours before bedtime. If you consume large amounts of caffeine and you cut your self off too quickly, beware; you may get headaches that could keep you awake.
8. Although alcohol is a depressant and may help you fall asleep, the subsequent metabolism that clears it from your body when you are sleeping causes a withdrawal syndrome. This withdrawal causes awakenings and is often associated with nightmares and sweats.
9. A light snack may be sleep-inducing, but a heavy meal too close to bedtime interferes with sleep. Stay away from protein and stick to carbohydrates or dairy products. Milk contains the amino acid L-tryptophan, which has been shown in research to help people go to sleep. So milk and cookies or crackers (without chocolate) may be useful and taste good as well.
10. Do not exercise vigorously just before bed, if you are the type of person who is aroused by exercise. If this is the case, it may be best to exercise in the morning or afternoon (preferably an aerobic workout, like running or walking).
11. Does your pet sleep with you? This, too, may cause arousals from either allergies or their movements in the bed. Thus, Fido and Kitty may be better off on the floor than on your sheets.
Good sleep hygiene can have a tremendous impact upon getting better sleep. You should wake-up feeling refreshed and alert, and you should generally not feel sleepy during the day. If this is not the case, poor sleep hygiene may be the culprit, but it is very important to consider that you may have an unrecognized sleep disorder. Many, many sleep disorders go unrecognized for years, leading to unnecessary suffering, poor quality of life, accidents, and great expense. Since it is clear how critical sound sleep is to your health and well-being, if you are not sleeping well, see your doctor or a sleep specialist.
Plantar Fasciitis is a Common Cause of
Heel Pain
Plantar fasciitis, which may cause the heel to hurt, feel hot or swell, is
inflammation of the plantar fascia, a thin layer of tough tissue supporting the
arch of the foot. Repeated microscopic tears of the plantar fascia cause pain.
Sometimes plantar fasciitis is called "heel spurs", but this is not always
accurate, since bony growths on the heel may or may not be a factor. Diagnostic
testing, such as X-rays, usually is not necessary to diagnose plantar fasciitis,
although it may be useful to rule out other potential causes of heel pain.
Typically with plantar fasciitis, the pain is worse when first getting out of
bed, or is noticeable at the beginning of an activity and gets better as the
body warms up. Prolonged standing may cause pain, as well. In more severe cases,
the pain may worsen toward the end of the day. There are a number of possible
causes for plantar fasciitis and they often work in combination. Tightness of
the foot and calf, improper athletic training, stress on the arch or weakness of
the foot are potential causes. Shoes that don’t fit, certain play or work
actions or overuse (running too fast, too far, too soon) may hurt the plantar
fascia. People with low arches, flat feet or high arches are at increased risk
of developing plantar fasciitis. Treatments Symptoms usually resolve more
quickly when the time between the onset of symptoms and the beginning of
treatment is as short as possible. If treatment is delayed, the complete
resolution of symptoms may take 6-18 months or more. Treatment will typically
begin by correcting training errors, which usually requires some degree of rest,
the use of ice after activities, and an evaluation of the patient’s shoes and
activities. For pain, nonsteroidal anti-inflammatory drugs (e.g. aspirin,
ibuprofen, etc.) may be recommended. Next, risk factors related to how the
patient’s foot is formed and how it moves are corrected with a stretching and
strengthening program. If there is still no improvement, night splints (which
immobilize the ankle during sleep) and orthotics (customized shoe inserts) are
considered. Cortisone injections are usually one of the treatments of last
resort, but have a success rate of 70% or better. The final option, surgery has
a 70-90% success rate. In one study, 25% of plantar fasciitis patients cited
rest as the treatment that worked the best. Wearing shoes with more arch support
may help decrease stress on the area. Changing shoe size may also help. Athletes
and active people may have to reduce the amount running or jumping they do to
relieve stress on the plantar fascia. Using an ice pack or ice bath on the area
for about 15 minutes may relieve pain and inflammation after exercise and work.
Massaging the foot in the area of the arch and heel before getting out of bed
may help. Stretching is also important. As reported in one study, 83% of
patients in a stretching program were successfully treated for plantar
fasciitis; 29% of study participants cited stretching as the most helpful
treatment, compared with nonsteroidal anti-inflammatory drugs, orthotics, ice,
heat, steroid injection, heel cups, walking, night splints, plantar strapping
and shoe changes. Stretching and Strengthening To reduce pain and help prevent
future episodes of discomfort, stretch the calves on a regular basis. Stand with
your hands against a wall. With one foot forward and one back, press against the
wall, shifting weight over the front foot, while straightening the back leg.
Keep the heel of the back foot on the floor and feel the stretch in the heel,
Achilles tendon and calf. Then, switch legs. A similar stretch can be done by
standing on a stair step with only the toes on the stairs. The back two-thirds
of the feet hang off the step. By leaning forward to balance, the heel, Achilles
tendon and calf will be stretched. A similar stretch can be performed when
standing where the heel is on the floor and the front part of the foot is on a
wood 2x4. Some patients place a 2x4 in an area where prolonged standing is done
(such as in front of the sink while washing dishes). Rolling the foot over a
tennis ball or 15-ounce can may also be helpful. Almost 35% of patients in
another study cited strengthening programs as the most helpful treatment. To
strengthen muscles, do towel curls and marble pick ups. Place a towel on a
smooth surface, place the foot on the towel, and pull the towel toward the body
by curling up the toes. Or, put a few marbles on the floor near a cup. Keep the
heel on the floor and use the toes to pick up the marbles and drop them in the
cup. Another exercise is toe taps. Keep the heel on the floor and lift all of
the toes off the floor. Tap only the big toe to the floor while keeping the
outside four toes in the air. Next, keep the big toe in the air and tap the
other four toes to the floor. Shoes and Splints Wearing shoes that are too small
may cause plantar fasciitis. Shoes with thicker, well-cushioned midsoles may
help alleviate the problem. Running shoes should be frequently replaced as they
lose their shock absorption capabilities. Studies have shown that taping the
arch, or using over-the-counter arch supports or customized orthotics also help
in some cases of plantar fasciitis. Orthotics are the most expensive option as a
plaster cast is made of the individual’s feet to correct specific biomechanical
factors. One study found that 27% of patients cited orthotics as the most
helpful treatment of plantar fasciitis. Heel cups, on the other hand were ranked
the least effective treatment in a survey of 411 patients. Night splints, which
are removable braces, allow passive stretching of the calf and plantar fascia
during sleep, and minimize stress on the inflamed area. According to several
studies, approximately 80% of patients improved after wearing a night splint. It
may be especially useful in patients who have had symptoms for more than a year.
The above information is based on an article by the following Medical College
authors that appeared in the February 1, 2001, issue of American Family
Physician.