In fact, according to the American College of Foot and Ankle Surgeons (ACFAS) in 2006, an increase in usage of flip - flop sandals by teens and young adults has led to an increase in heel
pain.3 ACFAS spokesperson Marybeth Crane, DPM, has reported that practitioners are seeing more heel
pain more than ever in
patients 15 to 25 years old, noting that heel
pain is a marker of plantar fasciitis which accounts for 15 % of all adult foot complaints.3 Furthermore, the ACFAS recommends that
patients with heel
pain should avoid flat shoes with paper - thin soles and should also avoid walking barefoot since
wearing flat shoes (including flip - flops) and walking barefoot provides little cushioning as well as little to no arch support.3 This lack of arch support and cushioning of the heel while
wearing flip - flops seems to exacerbate any abnormalities in the biomechanics of foot motion, and may perpetuate heel
pain and inflammation.
The problem is that when a
patient arrives at A&E, they may feel fine as the initial small bleed has
worn off and so the
pain has reduced and the
patient is sent home; with an aneurism, however, you are very likely to bleed again, and the second bleed is always fatal or disabling.