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 common foot conditions. It triggers pain simply getting up after sitting or in the a.m. With fasciitis it is extremely 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. There are numerous structures connected to the heel bone. The main structures are the plantar fascia and plantar muscles. As we walk or run the arch flattens to take in the body's weight, triggering stress on the fascia and pulling away of the heel bone, causing a bone spur. It normally 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. The expense of the shoes is not as important as the fit. Ensure you have your feet determined once a year when buying brand-new shoes. You should use well cushioned and supportive shoes with great 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 however enhances as the day goes on. The pain with first steps in the early 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 brought on 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 utilizing trigger point injections of a mild steroid from the side of the foot with a cold spray to numb the skin to substantially decrease 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 damage the unpleasant section of the nerve.

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

If heel pain is intolerable or continues after conservative treatment, new treatments are offered-- PRP (platelet abundant plasma) injections or Shockwave Therapy. Surgery today is uncommon however, if required after all treatments, it is usually effective.

It triggers pain simply getting up after sitting or in the a.m. With fasciitis it is very 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 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 spurs are triggered by swelling at the insertion of the plantar fascia into the heel bone. Heel pain can be minimized by using 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.