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 typical foot conditions. It triggers pain simply getting up after sitting or in the a.m. With fasciitis it is very common for an x-ray to reveal no heel spur. Causes of 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 absorb the body's weight, triggering stress on the fascia and pulling away of the heel bone, causing a bone spur. Pain in the heel can be caused by the bone, fascia or heel nerve.

Poor fitting shoes can exacerbate the pain. You should utilize well cushioned and helpful shoes with excellent lateral assistance.

Symptoms and signs 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 first steps in the morning and after rest is triggered 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 spurs are triggered by inflammation at the insertion of the plantar fascia into the heel bone. The condition can be dealt with successfully utilizing a conservative approach in 98% of the cases. Diagnosis includes a physical exam and possible an x-ray, especially if there is a history of injury. Heel pain can be minimized by utilizing 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. Usually, treatment needs 1 to 3 office check outs for evaluation and injections. If nerve pain exists that causes shooting pain at rest, this can be treated with dehydrated alcohol injections to damage the agonizing section of the nerve.

As we start treatment it's crucial 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 typically the best choice. They are constructed from a flexible plastic product and can made to fit both gym and dress shoes.

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

It triggers pain simply getting up after sitting or in the a.m. With fasciitis it is really 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 actions in the 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 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 substantially minimize the pain from the injection.