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 problem is among the most typical foot conditions. It triggers pain just getting up after sitting or in the a.m. With fasciitis it is really typical 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 attached to the heel bone. The primary structures are the plantar fascia and plantar muscles. 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, triggering a bone spur. It generally takes years to develop spurs. Pain in the heel can be brought on by the bone, fascia or heel nerve.
Poor fitting shoes can exacerbate the pain. You ought to use well cushioned and helpful shoes with good 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 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 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 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 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 significantly minimize 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 destroy the uncomfortable area of the nerve.
As we start treatment it's essential 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 often the very best option. They are built from a versatile plastic material and can made to fit both fitness center and dress shoes.
If heel pain is unbearable or continues after conservative treatment, new treatments are available-- PRP (platelet abundant plasma) injections or Shockwave Therapy. Surgery today is uncommon however, if essential after all treatments, it is normally 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 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 spurs are caused 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 moderate steroid from the side of the foot with a cold spray to numb the skin to substantially reduce the pain from the injection.
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