Does it feel like you have a nail in your heel? After walking for a few minutes does the pain slowly disappear? Millions of people each year are faced with this type of Heel Pain
. While there may be other causes, the most common is Plantar Fasciitis.
Plantar Faciitis is an inflammation of the fibrous tissue, called the plantar fasciia, that runs along the bottom of your foot that connects the heel (calcaneus) to the toes (metatarsals). Treatment
for this condition can take many forms including: stretching exercises, drugs, orthotics, injections, and in rare cases surgical procedures. Until now the treatment methods have addressed the active
conscious periods only to be undone when a person goes to bed or sits in the easy chair relaxing.
The plantar fascia spans the long arch of the foot from the heel to the base of the toes, where it blends with the soft tissues, then anchoring to the base of the toes. Plantar Fascia. The plantar
fascia is a common cause of heel pain. As the bony attachment at the heel is considered the plantar fascia?s ?weak spot?, the patient will present with pain at the heel, mainly on the inside. The
most common predisposing factor to this condition is the pronating (flattening feet) - 52% - whilst there is also some evidence that a very high arch, in a rigid foot (pes cavus), also was reasonably
common - 42%.
See your doctor as soon as possible if you experience severe pain accompanied by swelling near your heel. There is numbness or tingling in the heel, as well as pain and fever. There is pain in your
heel as well as fever. You are unable to walk normally. You cannot bend your foot downwards. You cannot stand with the backs of the feet raised (you cannot rise onto your toes). You should arrange to
see a doctor if the heel pain has persisted for more than one week. There is still heel pain when you are not standing or walking.
A podiatrist (doctor who specializes in the evaluation and treatment of foot diseases) will carry out a physical examination, and ask pertinent questions about the pain. The doctor will also ask the
patient how much walking and standing the patient does, what type of footwear is worn, and details of the his/her medical history. Often this is enough to make a diagnosis. Sometimes further
diagnostic tests are needed, such as blood tests and imaging scans.
Non Surgical Treatment
Using our state-of-the-art equipment, Dr. Weinert is able to provide a full work up for the heel, including gait analysis. Digital imagining gives him and the patient a full view of the foot and
injury to help formulate the best treatment plan possible. There are numerous treatment options available to help with heel pain and plantar fasciitis. Anti-inflammatory medications. Digital custom
orthotics. Physical therapy. Diagnostic and ultrasonic guided injection therapy. No one should ever resign to living with foot pain.
Surgery is a last resort in the treatment of heel pain. Physicians have developed many procedures in the last 100 years to try to cure heel pain. Most procedures that are commonly used today focus on
several areas, remove the bone spur (if one is present), release the plantar fascia (plantar fasciotomy), release pressure on the small nerves in the area. Usually the procedure is done through a
small incision on the inside edge of the foot, although some surgeons now perform this type of surgery using an endoscope. An endoscope is a tiny TV camera that can be inserted into a joint or under
the skin to allow the surgeon to see the structures involved in the surgery. By using the endoscope, a surgeon can complete the surgery with a smaller incision and presumably less damage to normal
tissues. It is unclear whether an endoscopic procedure for this condition is better than the traditional small incision. Surgery usually involves identifying the area where the plantar fascia
attaches to the heel and releasing the fascia partially from the bone. If a small spur is present this is removed. The small nerves that travel under the plantar fascia are identified and released
from anything that seems to be causing pressure on the nerves. This surgery can usually be done on an outpatient basis. This means you can leave the hospital the same day.
You can reduce the risk of heel pain in many ways, including. Wear shoes that fit you properly with a firm fastening, such as laces. Choose shoes with shock-absorbent soles and supportive heels.
Repair or throw out any shoes that have worn heels. Always warm up and cool down when exercising or playing sport, include plenty of slow, sustained stretches. If necessary, your podiatrist will show
you how to tape or strap your feet to help support the muscles and ligaments. Shoe inserts (orthoses) professionally fitted by your podiatrist can help support your feet in the long term.