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 causes pain just getting up after sitting or in the a.m. With fasciitis it is extremely common for an x-ray to show no heel spur. Reasons For Heel Pain

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

Poor fitting shoes can exacerbate the pain. The expense of the shoes is not as important as the fit. Make sure you have your feet measured once a year when purchasing brand-new shoes. You ought to use well cushioned and helpful shoes with great 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 worse in the early morning and after sitting however enhances as the day goes on. The pain with primary steps in the early morning and after rest is brought on 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 stimulates are triggered by inflammation at the insertion of the plantar fascia into the heel bone. The condition can be treated successfully 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 minimized by utilizing trigger point injections of a moderate steroid from the side of the foot with a cold spray to numb the skin to significantly minimize the pain from the injection. Typically, treatment requires 1 to 3 workplace gos to 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 painful section of the nerve.

As we begin treatment it's essential to support the arch with an OTC arch support, wrapping the arch with multiple-use covers or coban. When dealing with long term, Custom Orthotics are frequently the best choice. They are built from a versatile plastic material and can made to fit both gym and gown shoes.

If heel pain is excruciating or continues after conservative treatment, brand-new treatments are readily available-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgical treatment today is uncommon however, if necessary after all treatments, it is normally successful.

It causes 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 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 caused by inflammation at the insertion of the plantar fascia into the heel bone. Heel pain can be decreased 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 lower the pain from the injection.