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 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 show no heel spur. Causes of Heel Pain

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. As we walk or run the arch flattens to take in 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 intensify the pain. You should utilize well cushioned and supportive shoes with good lateral support.

Signs and Symptoms of Plantar Fasciitis and Bone Spurs

The pain can be centrally located in the heel or arch it can be even worse in the early morning and after sitting however improves as the day goes on. The pain with initial 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 caused by the nerve on the side of the heel.

Treatment for Plantar Fasciitis and Bone Spurs 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 moderate steroid from the side of the foot with a cold spray to numb the skin to considerably lower the pain from the injection. If nerve pain is present that triggers shooting pain at rest, this can be treated with dehydrated alcohol injections to ruin the unpleasant section of the nerve.

As we begin treatment it's essential to support the arch with an OTC arch support, wrapping the arch with reusable wraps or coban. When treating long term, Custom Orthotics are often the very best option. They are constructed from a versatile plastic product and can made to fit both fitness center and gown shoes.

If heel pain is intolerable or persists after conservative treatment, brand-new treatments are available-- PRP (platelet abundant plasma) injections or Shockwave Therapy. Surgical treatment today is rare however, if needed after all treatments, it is generally successful.

It triggers pain just getting up after sitting or in the a.m. With fasciitis it is extremely common for an x-ray to reveal no heel spur. Pain in the heel can be triggered by the bone, fascia or heel nerve.

The pain with first actions 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 triggered by inflammation at the insertion of the plantar fascia into the heel bone. Heel pain can be reduced 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 reduce the pain from the injection.