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 issue is one of the most typical 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 reveal no heel spur. Causes of Heel Pain

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are many structures attached to the heel bone. The primary structures are the plantar fascia and plantar muscles. As we walk or run the arch flattens to soak up the body's weight, causing tension on the fascia and retreating of the heel bone, triggering a bone spur. It typically takes years to establish spurs. Pain in the heel can be caused by the bone, fascia or heel nerve.

Poor fitting shoes can exacerbate the pain. You should use well cushioned and supportive shoes with good 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 morning and after sitting however enhances as the day goes on. The pain with initial 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 stimulates are caused by inflammation at the insertion of the plantar fascia into the heel bone. The condition can be treated effectively using a conservative approach in 98% of the cases. Medical diagnosis includes a physical examination and possible an x-ray, specifically if there is a history of injury. 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 considerably reduce the pain from the injection. Typically, treatment needs 1 to 3 office 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 destroy the unpleasant 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 wraps or coban. When treating long term, Custom Orthotics are frequently the best option. They are built from a flexible plastic material and can made to fit both fitness center and dress shoes.

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

It causes pain simply getting up after sitting or in the a.m. With fasciitis it is extremely typical 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 very first actions in the early morning and after rest is caused by pulling of the fascia and plantar muscles off of the heel bone. Heel spurs are triggered by swelling at the insertion of the plantar fascia into the heel bone. Heel pain can be decreased by utilizing trigger point injections of a moderate steroid from the side of the foot with a cold spray to numb the skin to substantially decrease the pain from the injection.