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

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are numerous structures attached to the heel bone. The main structures are the plantar fascia and plantar muscles. As we stroll or run the arch flattens to take in the body's weight, triggering stress on the fascia and pulling away of the heel bone, causing a bone spur. It usually takes years to establish spurs. Pain in the heel can be triggered by the bone, fascia or heel nerve.

Poor fitting shoes can worsen the pain. The expense of the shoes is not as important as the fit. Make certain you have your feet measured once a year when buying new shoes. You need to use well cushioned and helpful shoes with excellent lateral assistance.

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 but improves as the day goes on. The pain with first steps in the early 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 triggered by the nerve on the side of the heel.

Treatment for Plantar Fasciitis and Bone Spurs Heel stimulates are caused by swelling at the insertion of the plantar fascia into the heel bone. The condition can be dealt with effectively using a conservative method in 98% of the cases. Medical diagnosis consists of a physical exam and possible an x-ray, specifically if there is a history of injury. Heel pain can be lowered 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 lower the pain from the injection. Generally, treatment needs 1 to 3 office visits for evaluation and injections. If nerve pain is present that triggers shooting pain at rest, this can be treated with dehydrated alcohol injections to ruin the uncomfortable section of the nerve.

As we start treatment it's essential to support the arch with an OTC arch assistance, wrapping the arch with recyclable covers or coban. When treating long term, Custom Orthotics are typically the best option. They are built from a flexible plastic product and can made to fit both fitness center and gown shoes.

If heel pain is excruciating or persists after conservative treatment, brand-new treatments are available-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgical treatment today is unusual but, if essential after all treatments, it is typically successful.

It triggers pain just getting up after sitting or in the a.m. With fasciitis it is very typical 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 very first actions in the early 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 reduced by using trigger point injections of a mild steroid from the side of the foot with a cold spray to numb the skin to substantially minimize the pain from the injection.