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 common foot conditions. It triggers 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. Causes of Heel Pain
We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are numerous structures attached to the heel bone. The main structures are the plantar fascia and plantar muscles. As we walk or run the arch flattens to absorb the body's weight, triggering stress on the fascia and pulling away of the heel bone, triggering 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 exacerbate the pain. The cost of the shoes is not as important as the fit. Make certain you have your feet determined once a year when purchasing new shoes. You ought to use well cushioned and helpful shoes with excellent lateral support.
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 improves as the day goes on. 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. If you have pain-- without weight bearing-- that is shooting in nature, it is brought on 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 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 significantly lower 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 ruin the painful area of the nerve.
As we start treatment it's essential to support the arch with an OTC arch support, wrapping the arch with reusable covers or coban. When dealing with long term, Custom Orthotics are frequently the very best choice. They are constructed from a versatile plastic product and can made to fit both fitness center and gown shoes.
If heel pain is unbearable or continues after conservative treatment, new treatments are readily available-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgical treatment today is uncommon however, if essential after all treatments, it is normally successful.
It causes pain simply 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 very first steps in the morning and after rest is caused by pulling of the fascia and plantar muscles off of the heel bone. Heel spurs are triggered by inflammation at the insertion of the plantar fascia into the heel bone. Heel pain can be lowered by using trigger point injections of a mild 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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