Bought these after seeing that many people on the extremely informative "heelspurs" web site rated them highly. I already had a pair of the Tuli regular heel cups (not heavy duty) and they were quite good, so I thought I'd try these. After my husband saw mine, he had me order a pair (although large size) for him, which I did. They are indeed heavier duty than the regulars, and now my favorite pair. I put them in the good-fitting athletic shoes I bought and they make walking a lot better. (Make sure you try on many shoes - your shoe size changes as you age! Also buy a shoe that flexes and isn't too rigid. I bought some that had a nice padding throughout and they are the most comfortable I have, especially with the Tuli's in there.) I've got every day heel pain that gets worse the longer I walk or stand on the bad heel, and these cups definitely help mask the discomfort. I think they are actually cushioning the blow and therefore helping my plantar faciitis, but even if all they are doing is making it less painful for me to walk, they are certainly worth the money I paid for them. My husband just had me order a pair for him. I would recommend to everyone that they go to a physical therapist at least a few times to see what exercises are helpful and then do those exercises every day. I do a lot of stretching(feet, toes and surprisingly, shins) and this has helped me to reduce my pain by about half in 6 weeks. The exercises are not painful or terribly time-consuming, but I believe you MUST do more than roll your foot on a tennis ball. The heelspurs site is great or you can google other sites to learn about exercises. I also ice the heel twice a day, and in the beginning took a lot of Ibuprophen. I try to do at least a few minutes of stretching when I first get up so as not to further increase my injured ligaments, and a few before I take the dog for a walk. Also helpful was to find out if I needed a separate arch support. I tried one but it was more painful when I used it than when I didn't, so I stopped using it. I also found that lying on the bed after exercise and heel icing helped, as did not walking barefoot. In any case, the extra duty Tuli cups are certainly a start so I recommend them. I have 3 other pairs of heel cups but these are my favorite, as they seem to provide the best cushioning. The price is also quite reasonable, and the company that shipped mine did so very quickly.
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