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 among the most typical 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. Reasons For Heel Pain

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are lots of 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 tension on the fascia and pulling away of the heel bone, causing a bone spur. It typically takes years to develop stimulates. Pain in the heel can be caused by the bone, fascia or heel nerve.

Poor fitting shoes can worsen the pain. You should utilize well cushioned and encouraging 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 but enhances as the day goes on. The pain with primary 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 triggered 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 dealt with effectively using a conservative approach in 98% of the cases. Diagnosis includes a physical examination and possible an x-ray, especially if there is a history of injury. 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 minimize the pain from the injection. Generally, treatment requires 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 damage the painful area of the nerve.

As we begin treatment it's important to support the arch with an OTC arch support, wrapping the arch with multiple-use wraps or coban. When dealing with long term, Custom Orthotics are typically the very best choice. They are constructed from a flexible plastic product and can made to fit both gym and gown shoes.

If heel pain is unbearable or continues after conservative treatment, brand-new treatments are readily available-- PRP (platelet abundant plasma) injections or Shockwave Therapy. Surgery today is rare however, if essential after all treatments, it is usually effective.

It causes pain just getting up after sitting or in the a.m. With fasciitis it is really common 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 steps in the early morning and after rest is triggered by pulling of the fascia and plantar muscles off of the heel bone. Heel stimulates are triggered by swelling at the insertion of the plantar fascia into the heel bone. Heel pain can be lowered 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 reduce the pain from the injection.