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 is located in the center of the heel into the arch. This problem is one of the most common foot conditions. 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. 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, causing stress on the fascia and pulling away of the heel bone, causing a bone spur. Pain in the heel can be triggered by the bone, fascia or heel nerve.

Poor fitting shoes can exacerbate the pain. You need to utilize well cushioned and supportive shoes with good lateral support.

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 early morning and after sitting however enhances as the day goes on. The pain with first steps in the 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 brought on by the nerve on the side of the heel.

Treatment for Plantar Fasciitis and Bone Spurs Heel stimulates are triggered by swelling at the insertion of the plantar fascia into the heel bone. The condition can be treated effectively using a conservative method in 98% of the cases. Medical diagnosis includes a physical examination and possible an x-ray, especially if there is a history of injury. Heel pain can be decreased 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 lower the pain from the injection. Normally, treatment needs 1 to 3 office gos to for assessment and injections. If nerve pain is present that triggers 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 important to support the arch with an OTC arch assistance, covering the arch with multiple-use wraps or coban. When dealing with long term, Custom Orthotics are frequently the very best option. They are constructed from a flexible plastic product and can made to fit both health club and gown shoes.

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

It causes pain just getting up after sitting or in the a.m. With fasciitis it is very 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 morning and after rest is triggered by pulling of the fascia and plantar muscles off of the heel bone. Heel stimulates are triggered by inflammation at the insertion of the plantar fascia into the heel bone. 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 significantly reduce the pain from the injection.

 

 

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