What Are Heel Pain Symptoms?
What areÂ Heel PainÂ symptoms?
Heel pain is one of the most common foot problems. Most patients relate foot pain and discomfort first thing in the morning in the bottom of your heel. As they walk and do activities the pain decreases. Patients generally relate also after sitting for a period and getting back up the pain returns, this is also true after driving for an hour or two. It can be in the heel itself, plantar fascia and achilles tendon.
What are treatments forÂ Heel Pain?
When trying to treat this when it first starts it’s important to do simple stretches for the plantar fascia those generally can be found on video. Also, it’s important to wear shoes the cushion the sore heel. Sometimes wearing a shoe with a slight heel changes the angle of the fascia which reduces the stress on the heel. With women this can be accomplished easily men normally say the cowboy boots tend to help. The use of oral anti-inflammatory medication can also alleviate the soreness and inflammation around the heel bone area which is commonly called bursitis.
Also, the use of over-the-counter arch supports can be helpful but try not to spend over $50, unless their custom made the success is limited and it is a waste of money. When symptoms do not go away within the first 30 to 60 days other treatments may be necessary by our office.
What isÂ Plantar FasciitisÂ andÂ Heel Pain?
When you look at the structure of the foot heel pain and plantar fasciitis is very logical. The bones in the back of your foot and the front of your foot form a triangle we would call that your arch, this portion of your foot has little flexibility. The plantar fascia is on the bottom of your foot running from just behind your toes to the heel area. It is attached 10 different spots in the front of the foot, and it goes to the heel and attaches in one spot. Many times, an x-ray would show a bone spur on the hill where the plantar fascia attaches. Sometimes this is deceptive because the pain originates from the pulling of the ligament from the bone. When x-rays are taken the non-painful foot also shows a bone spur. The question is x-rays are the same, but one hurts. I explained to patients that the pulling of the plantar fascia causes the pain and inflammation.
What are the treatments forÂ Heel Pain?
Once you come to our office, we evaluate and diagnosis the problem with your heel pain. With heel pain you can also have pain on the side of your heel which is a nerve inflammation. Traditional heel pain hurts only on the bottom of the foot when bearing weight when the nerve is involved pain can occur also just sitting there with no weight on it. Patients relate also Achilles tendonitis from incorrect ambulation.
Treatments for heel pain are conservative, success is high in the 90-percentile range. It’s important to attempt to a break the pain cycle with the use of an injection from the side of the foot with a cold spray to reduce any discomfort from the shot. If pain is severe along with the injection, we can give you a Cam Walker which is a below-the-knee type of removable cast to take the pressure off your foot. Generally, the first injection helps most patients we consider one two three injections and consider custom-made Orthotics. The custom orthotics are the long-term cure for the problem they need to be made from a non-weight-bearing mold of your foot because we must capture the arch with no wait so as you step on the foot it prevents the fascia from pulling on the hill. They’re made from a flexible resilient plastic material they are comfortable I can be made for athletic and basic tight dress shoes. They last for many years like eyeglasses at some point your prescription changes with your foot and you may need a new orthotic but generally from experience this takes years to occur if ever.
A secondary benefit of custom orthotics is a reduction in trauma as activities occur because the shock absorbing feature thus reducing knee pain and lower back pain.
When pain is still present after this treatmentâs then we can use PRP injection. PRP is a form of your blood products including platelets and stem cells reinjected around the fascia to allow the body to heal itself. The patient needs to take it easy for a few dayâs after the PRP injection and possible wear a camwalker, also you can take Tylenol for any discomfort but not aspirin or Motrin. If necessary, prescription pain medication can be given.
Surgery for heel related pain is very uncommon. If surgery is indicated many times the neuroma pain is the cause. If surgery is indicated after all conservative treatments have not been successful it is highly beneficial and successful. It involves removal of the neuroma and release of the fascia from the bone. The release of the plantar fascia can be performed with a new advanced fascia release by using the Tenex fascial release. There are many different procedures and techniques to achieve this result and they are determined and assess individually. The goal is always a successful result and quick recovery. These procedures are generally done on an outpatient basis with sedation which is Twilight sleep when your breathing on your own but unaware of what is going on. The foot is then numbed, and the procedure is performed. It generally takes less than 30 minutes. The patient is instructed on post-surgical medical care and proper pain medication use walking is limited. I personally called the patients that evening to make sure that they’re doing well to review any instructions or concerns. The patient is able the contact me if they have questions or any problems for heel pain treatment in Kansas City
Heel Pain Treatment Kansas City
Dr. Thomas Bembineasta, serving Overland Park and Kansas City, Missouri (both north off Barry Rd. and south of the river, midtown area). Dr. Bembineasta offers expert podiatric services and focuses on patient care and responding to individual patient needs.
Dr. Bembineasta is originally from Chicago but has been practicing in Kansas City for 34 years. My philosophy is always to put the patient first, time will always be taken to listen to your problem and review treatments. Each care plan is tailored to your individual needs. We use advanced technology with digital x-rays, lasers, and instructional videos.
Podiatrists hold Doctor of Podiatric Medicine degrees (D.P.M.). Dr. Bembineasta is also board certified by the American Board of Podiatric Surgery.
The podiatry practice of Dr. Thomas Bembineasta, serves Independence, Missouri and Kansas City, Missouri (both north and south of the River), and Overland Park, Kansas, and the surrounding communities. Dr. Bembineasta offers expert and professional podiatric services and focuses on patient care and responding to his patients’ needs.
Originally from Chicago, Dr. Bembineasta has now been practicing in the Kansas City area for 28 years. We accept most insurances and will assist you with questions concerning coverage.
Podiatrists hold doctor of podiatric medicine (D.P.M.) degrees. Dr. Bembineasta is also board certified by the American Board of Podiatric Surgery. Podiatrists are the foremost authorities and medical specialists of the foot and ankle. The following list includes some common conditions that podiatrists often diagnose and treat:
- Heel pain
- Ingrown toenails
- Planter warts – Hammertoes
- Morton’s neuroma and
- Planter fasciitis.
We have offices in Overland Park and Kansas City off Barry Road.