As a large amount of time is spent in bed during sleeping hours, it is important to ensure that the sheets at the foot of the bed do not constrict the foot, leading to plantar flexion in which the foot is bent straight out with the toes pointing. This constricts and thereby shortens the gastroc complex, worsening the condition. A heating pad placed under the muscles of the calf for a few minutes prior to rising may help loosen tension, increase circulation in the lower leg and reduce pain. Also during sleep, a night splint may be used in order to hold the ankle joint in a neutral position. For more severe cases, surgery and other advanced treatments are often necessary. One example is the shock wave therapy. Here, the doctor needs to make use of sound waves to stimulate the affected area and treat it. This is often used for cases that have not received good results from conventional treatments mentioned earlier. The problem is that shock wave therapy often causes bruises and temporary pain. Surgery is the last resort. During surgery, doctors will have to remove or detach the never connecting the foot to the toes. This is necessary when the pain is almost unbearable already. It must be noted that these tissues are damaged on a daily basis, as we carry out our routine walking activities and actions. But each night as we sleep, these tissues are repaired and regenerated by the body. When the healing process is unable to carry out enough repairs to compensate for the damage, it ends up in the feeling of immense and continuous pain in the heels. For some people this can be a very painful sensation, and for them exercises are absolutely critical for strengthening up the tissues in the heel, in order to avoid this condition. Just because a child is active and athletic, they are not immune to foot pain. Such children are susceptible to sprains, strains, and fractures just like an adult. Children also have unique athletic injuries. For instance, active children ages nine to fourteen often can have a severe pain behind the heel. This is due to an inflammation of the growth plate on the back of the heel bone. This syndrome is known as Sever's disease. Like other childhood injuries, this is due to inflammation caused by the Achilles tendon pulling too hard on the back of the heel. Massaging and using ice on your foot will also help to relieve the swelling and pain in your foot. One way that I found to massage and ice my foot at the same time is to freeze a bottle of water, wrap it in a towel, lay it on the floor and roll it back and forth (like a rolling pin) across the bottom of your foot. Now, if you can find a willing family member you can always have them give you a nightly foot rub. If that isn't an option, this is one hell of a good reason to go get a really nice pedicure.