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 very typical 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. As we stroll 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 worsen the pain. The cost of the shoes is not as crucial as the fit. Ensure you have your feet measured once a year when buying new shoes. You need to use well cushioned and helpful 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 early morning and after sitting but 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 triggered by inflammation at the insertion of the plantar fascia into the heel bone. Heel pain can be lowered by utilizing trigger point injections of a mild steroid from the side of the foot with a cold spray to numb the skin to considerably decrease the pain from the injection. If nerve pain is present 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 essential to support the arch with an OTC arch support, wrapping the arch with multiple-use wraps or coban. When treating long term, Custom Orthotics are often the very best option. They are built from a flexible plastic product and can made to fit both health club and gown shoes.
If heel pain is excruciating or continues after conservative treatment, new treatments are offered-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgical treatment today is rare but, if needed after all treatments, it is normally successful.
It causes pain just getting up after sitting or in the a.m. With fasciitis it is extremely 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 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 caused by swelling 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 substantially lower the pain from the injection.
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