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Posts for tag: Heel Pain

By Joseph M. LaCava, DPM
March 06, 2019
Category: Foot Conditions
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By Joseph M. LaCava, DPM
June 14, 2018
Category: Foot Care
Tags: Heel Pain  

Are you dealing with heel pain? If so, you aren’t alone. Foot pain, particularly heel pain, is one of the most common complaints and most people will deal with pain at some point during their lifetime. Whether you are on your feet all day for work or you are a runner, there are many risk factors that can play into your likelihood to deal with heel pain. If heel pain is happening to you, you may be wondering what’s causing it and how you can get rid of the pain quickly.

Causes of Heel Pain

As you might imagine, there are many reasons why you might be experiencing heel pain. The root cause will also determine the best course of action for getting your symptoms under control while providing the optimal healing environment for a speedy recovery.

The most common cause of heel pain is an acute inflammatory condition known as plantar fasciitis, in which the thick band of tissue that runs along the soles of the feet from the toes to the heel (known as the plantar fascia) becomes inflamed. Of course, there are other reasons people experience heel pain. Other causes include:

  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fracture
  • Arthritis
  • Tarsal tunnel syndrome
  • Heel spur
  • Bursitis
  • Osteomyelitis (an infection of the bone)
  • Page’s disease of bone
  • Peripheral neuropathy

Heel Pain Treatment Options

For more mild-to-moderate cases of heel pain, your podiatrist may recommend simple conservative treatment options that you can incorporate into your daily routine from the comfort of home. This is usually the first course of action, unless the condition is more serious. Only once we’ve exhausted at-home care and pain is still present do we decide on more aggressive tactics for handling your symptoms.

Common at-home heel pain treatment options include:

  • OTC pain relievers (e.g. ibuprofen)
  • Icing the heel several times a day
  • Bracing or splinting the foot
  • Wearing custom orthotics (shoe inserts)
  • Wearing protective and supportive shoes
  • Resting and avoiding certain activities or high-impact exercises

If you’ve tried these treatment options for weeks and still don’t notice any change in your symptoms—or if symptoms get worse—then it’s time to visit your foot doctor again to determine the next step. If pain and swelling are severe we may recommend steroid injections, extracorporeal shockwave therapy (ESWT) or ultrasound therapy. In rare cases, surgery may be necessary to correct the imbalance, deformity, or problem that’s causing your chronic or severe heel pain.

Don’t let heel pain affect your day-to-day life when there are simple and easy solutions to manage your symptoms and promote faster healing. Turn to a podiatrist who will be able to handle your heel pain and get your foot health back on track.