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 among the most common 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. Causes of Heel Pain

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are lots of structures attached to the heel bone. The primary 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 retreating of the heel bone, triggering a bone spur. It normally takes years to develop stimulates. Pain in the heel can be brought on by the bone, fascia or heel nerve.

Poor fitting shoes can exacerbate the pain. The expense of the shoes is not as crucial as the fit. Ensure you have your feet measured once a year when purchasing new shoes. You need to use well cushioned and helpful 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 but 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 caused by the nerve on the side of the heel.

Treatment for Plantar Fasciitis and Bone Spurs Heel spurs are brought on by inflammation at the insertion of the plantar fascia into the heel bone. The condition can be treated successfully using a conservative technique in 98% of the cases. Medical diagnosis consists of a physical exam and possible an x-ray, especially if there is a history of trauma. 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 significantly lower the pain from the injection. Normally, treatment needs 1 to 3 office check outs 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 painful section of the nerve.

As we begin treatment it's crucial to support the arch with an OTC arch assistance, covering the arch with recyclable wraps or coban. When treating long term, Custom Orthotics are often the very best choice. They are built from a flexible plastic product and can made to fit both gym and dress shoes.

If heel pain is excruciating or continues after conservative treatment, new treatments are offered-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgical treatment today is unusual but, if essential after all treatments, it is usually effective.

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. Pain in the heel can be caused by the bone, fascia or heel nerve.

The pain with first steps 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 triggered by inflammation at the insertion of the plantar fascia into the heel bone. Heel pain can be reduced 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 reduce the pain from the injection.