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 really typical for an x-ray to reveal no heel spur. Reasons For 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 primary structures are the plantar fascia and plantar muscles. As we stroll or run the arch flattens to soak up the body's weight, triggering tension on the fascia and pulling away of the heel bone, causing a bone spur. It generally 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 utilize well cushioned and helpful shoes with excellent 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 even worse in the early morning and after sitting but improves as the day goes on. The pain with initial steps in the early 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 spurs are triggered by swelling at the insertion of the plantar fascia into the heel bone. The condition can be treated successfully utilizing a conservative approach in 98% of the cases. Medical diagnosis includes a physical exam and possible an x-ray, specifically if there is a history of injury. Heel pain can be minimized by utilizing trigger point injections of a moderate steroid from the side of the foot with a cold spray to numb the skin to considerably minimize the pain from the injection. Typically, treatment requires 1 to 3 office check outs for examination and injections. If nerve pain is present that causes shooting pain at rest, this can be treated with dehydrated alcohol injections to ruin the unpleasant area of the nerve.

As we begin treatment it's crucial to support the arch with an OTC arch assistance, covering the arch with multiple-use covers or coban. When treating long term, Custom Orthotics are typically the very best option. They are built from a flexible plastic material and can made to fit both health club and gown shoes.

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

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

The pain with first steps in the early morning and after rest is caused 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 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 decrease the pain from the injection.