Heel Pain Treatment - Doctor in Kansas City, MO and Overland Park, KS

 

Heel Pain Treatment - Doctor in Kansas City, MO and Overland Park, KS - Thomas Bembynista, DPM

 

Dr. Thomas Bembynista of KC Foot Care discusses the symptoms, causes and treatments for Heel Pain.



Visit our website: http://www.kcfootcare.com

Heel Pain-- Heel Spurs and Plantar Fasciitis

Pain is located in the center of the heel into the arch. This problem is one of the most typical foot conditions. It causes pain simply getting up after sitting or in the a.m. With fasciitis it is extremely common for an x-ray to reveal no heel spur. Reasons For Heel Pain

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are many structures attached to the heel bone. The primary structures are the plantar fascia and plantar muscles. As we walk or run the arch flattens to absorb the body's weight, causing stress on the fascia and pulling away of the heel bone, triggering a bone spur. It generally takes years to develop spurs. Pain in the heel can be caused by the bone, fascia or heel nerve.

Poor fitting shoes can worsen the pain. The expense of the shoes is not as essential as the fit. Ensure you have your feet measured once a year when buying new shoes. You ought to utilize well cushioned and encouraging shoes with good lateral support.

Signs and Symptoms of Plantar Fasciitis and Bone Spurs

The pain can be centrally located in the heel or arch it can be worse in the morning and after sitting however enhances as the day goes on. The pain with first steps in the morning and after rest is caused by pulling of the fascia and plantar muscles off of the heel bone. If you have pain-- without weight bearing-- that is shooting in nature, it is brought on by the nerve on the side of the heel.

Treatment for Plantar Fasciitis and Bone Spurs Heel stimulates are triggered by swelling at the insertion of the plantar fascia into the heel bone. The condition can be dealt with effectively utilizing a conservative technique in 98% of the cases. Diagnosis includes a physical examination and possible an x-ray, particularly if there is a history of trauma. Heel pain can be decreased by utilizing trigger point injections of a mild steroid from the side of the foot with a cold spray to numb the skin to significantly lower the pain from the injection. Normally, treatment requires 1 to 3 workplace visits for assessment and injections. If nerve pain exists that causes shooting pain at rest, this can be treated with dehydrated alcohol injections to ruin the agonizing section of the nerve.

As we start treatment it's essential to support the arch with an OTC arch support, wrapping the arch with recyclable covers or coban. When dealing with long term, Custom Orthotics are often the best choice. They are constructed from a versatile plastic material and can made to fit both health club and dress shoes.

If heel pain is intolerable or persists after conservative treatment, new treatments are readily available-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgery today is rare however, if essential after all treatments, it is normally successful.

It triggers pain simply getting up after sitting or in the a.m. With fasciitis it is really typical for an x-ray to show no heel spur. Pain in the heel can be caused by the bone, fascia or heel nerve.

The pain with very first actions in the morning and after rest is triggered by pulling of the fascia and plantar muscles off of the heel bone. Heel spurs are caused by swelling at the insertion of the plantar fascia into the heel bone. Heel pain can be minimized by using trigger point injections of a mild steroid from the side of the foot with a cold spray to numb the skin to significantly reduce the pain from the injection.