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

 

Heel Pain Treatment - Podiatrist 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.



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Heel Pain-- Heel Spurs and Plantar Fasciitis

Pain lies in the center of the heel into the arch. This issue is one of the most typical foot conditions. It triggers pain just getting up after sitting or in the a.m. With fasciitis it is extremely typical for an x-ray to show no heel spur. Reasons For Heel Pain

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. As we stroll or run the arch flattens to absorb the body's weight, causing stress on the fascia and pulling away of the heel bone, causing a bone spur. Pain in the heel can be triggered by the bone, fascia or heel nerve.

Poor fitting shoes can intensify the pain. The expense of the shoes is not as crucial as the fit. Make certain you have your feet determined once a year when buying new shoes. You must use well cushioned and helpful shoes with excellent 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 even worse in the morning and after sitting however improves as the day goes on. The pain with primary 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, specifically if there is a history of trauma. Heel pain can be decreased by using trigger point injections of a moderate steroid from the side of the foot with a cold spray to numb the skin to significantly lower the pain from the injection. Usually, treatment needs 1 to 3 office sees for assessment and injections. If nerve pain is present that triggers shooting pain at rest, this can be treated with dehydrated alcohol injections to damage the painful area of the nerve.

As we begin treatment it's essential to support the arch with an OTC arch assistance, wrapping the arch with reusable covers or coban. When treating long term, Custom Orthotics are typically the very best choice. They are built from a flexible plastic material and can made to fit both gym and dress shoes.

If heel pain is unbearable or persists after conservative treatment, new treatments are offered-- PRP (platelet abundant plasma) injections or Shockwave Therapy. Surgical treatment today is unusual however, if essential after all treatments, it is generally successful.

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

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. Heel stimulates are triggered 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 moderate steroid from the side of the foot with a cold spray to numb the skin to considerably reduce the pain from the injection.