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March 30 2015

Bevacqua11

All The Things You Want To Know About Heel Pain

Overview

Heel Discomfort

When walking, your heels repeatedly hit the ground with considerable force. They have to be able to absorb the impact and provide a firm support for the weight of the body. When pain develops in the heel, it can be very disabling, making every step a problem, affecting your posture. There are various types of Heel Pain. Some of the most common are: heel spurs (plantar fasciitis); heel bursitis and heel bumps.

Causes

There are many causes of heel pain. However, plantar fasciitis, also known as heel spur syndrome, is the most common, by far. The pain is usually localized to the bottom of the heel towards the inside of the foot. The arch may also be painful. With this condition, pain is typically most severe with the first few steps after a period of rest. The pain my then subside and then return after extended periods of standing. There is usually no specific traumatic event that is responsible for the condition. It is usually the result of overuse, e.g. too much standing, walking or running. There are several common contributory factors such as weight gain, foot type, shoes. Flat shoes or going barefoot are the worst. Athletic shoes are usually the best. The plantar fascia is a fibrous band or ligament that connects the ball of the foot with the heel and helps to support the arch. When this band gets stretched too much or overused, inflammation results, often at the location where it attaches to the heel bone. A heel spur may develop as a result of chronic pulling by the plantar fascia. However, it should be noted that the pain is not caused by the spur. In fact, in some of the most severe cases, there is no spur at all. In other instances, an X-ray may be taken for an unrelated condition and an extremely large but non-painful spur may be seen. Other causes of heel pain include gout, stress fracture, bone tumors, nerve entrapment and thinning of the fat pad beneath the heel. Pain at the back of the heel is usually not plantar fasciitis. (Pain at the back of the heel is often due to an inflammation of the Achilles tendon, enlargement of the heel bone or bursitis.)

Symptoms

Plantar fascia usually causes pain and stiffness on the bottom of your heel although some people have heel spurs and suffer no symptoms at all. Occasionally, heel pain is also associated with other medical disorders such as arthritis (inflammation of the joint), bursitis (inflammation of the tissues around the joint). Those who have symptoms may experience ?First step? pain (stone bruise sensation) after getting out of bed or sitting for a period of time. Pain after driving. Pain on the bottom of your heel. Deep aching pain. Pain can be worse when barefoot.

Diagnosis

To arrive at a diagnosis, the foot and ankle surgeon will obtain your medical history and examine your foot. Throughout this process the surgeon rules out all the possible causes for your heel pain other than plantar fasciitis. In addition, diagnostic imaging studies such as x-rays or other imaging modalities may be used to distinguish the different types of heel pain. Sometimes heel spurs are found in patients with plantar fasciitis, but these are rarely a source of pain. When they are present, the condition may be diagnosed as plantar fasciitis/heel spur syndrome.

Non Surgical Treatment

Rest until there is no more pain. This is the most important element of treatment as continuing to walk or run on the injured foot will not allow the injury to heal. Wear soft trainers with lots of cushioning or pad the heel of shoes with shock absorbing insoles or heel pads. These should be worn in both shoes, even if only one heel is bruised. Wearing a raise in only one shoe causes a leg length difference which can cause other problems. Replace running shoes if they are old. A running shoe is designed to last for around 400 miles of running. After this the mid soles are weakened through use.

Surgical Treatment

Surgery to correct heel pain is generally only recommended if orthotic treatment has failed. There are some exceptions to this course of treatment and it is up to you and your doctor to determine the most appropriate course of treatment. Following surgical treatment to correct heel pain the patient will generally have to continue the use of orthotics. The surgery does not correct the cause of the heel pain. The surgery will eliminate the pain but the process that caused the pain will continue without the use of orthotics. If orthotics have been prescribed prior to surgery they generally do not have to be remade.

Prevention

Pain At The Heel

Maintaining flexible and strong muscles in your calves, ankles, and feet can help prevent some types of heel pain. Always stretch and warm-up before exercising. Wear comfortable, properly fitting shoes with good arch support and cushioning. Make sure there is enough room for your toes.
Tags: Heel Pain

June 10 2014

Bevacqua11

Four Treatments That Really Work

The tear usually happens further forward than where the pain of plantar fasciitis usually occurs. It is often found 2 to 4 centimeters in front of the attachment of the plantar fascia into the calcaneus (heel bone). The patient will often recall feeling or hearing a "pop". When examined there may be pain when the toes are passively bent upwards (dorsiflexed). The usual treatment for this injury is non-weight bearing for 1 - 3 weeks in a cast and total casting for about 4 - 6 weeks. Full recovery will take 7 to 12 weeks. Nerve Entrapment Do we really need more potent painkillers? I respectfully ask my readers who need heavy-duty painkillers to chime in. If you do, let us know if you think you are addicted to your pain medication. Would learning more in an alcohol and drug class help? There is a difference between really needing it to control pain and needing it because you like the way it makes you feel. There is strong evidence, however, that one dose controls pain as effectively as 10 or more. In addition, one treatment is cheaper and far more convenient for patients who already have plenty on their minds. There are ways you can treat it, both at home and at a doctor's office. Many methods of treatment are discussed in this article. I’ve known I had a heel spur for some time now, probably four years or so. And of course, like a typical man, I did nothing about it until it just about crippled me. Of course he does, and I think it will help you. He fixed my shoulder, you know” and demonstrated by lifting both arms over her head and smiling. “See?” Yes, I see, I thought. My wife can be so cute at times. If you notice your heel pain doesn't go away after a short period of time, go see your doctor. It is possible that additional therapy is in order. In the words of Dr Seuss, “You have brains in your head. You have feet in your shoes. You can steer yourself in any direction you choose.” Take care of your feet and they will take care of you. Microtrauma is the immediate culprit behind the fraying of the plantar fascia. Activity or the form of the feet (e.g., excessive pronation or flat feet) can produce the trauma. Once the plantar fascia tears, degeneration of collagen and angiofibroblastic hyperplasia begin.heel spur Heel spurs often cause discomfort in the foot while walking or applying pressure to the back of the heel. The pain may decrease upon long periods of sitting down, but will increase once pressure is applied. If your heel spur has grown or causes excess pain, it is time to make an appointment with your podiatrist. The achilles tendon that runs from the calf muscle to the heel bone is the biggest tendon found in our body. This tendon assists the toes to support body weight. In achilles tendonitis, the area where this fibrous tissue (achilles tendon) connects the heel bone becomes inflamed, leading to pain behind the heel. Resting the foot for at least a week is one of the best and most important tips for heel spur treatment. If you think you are suffering from heel spurs, it is important to refrain from any stressful activity that could cause heel of foot pain to worsen Putting stress on a heel, especially when plantar fasciitis is present, can cause more damage to the tissues, ligaments, and nerves surrounding the heel. Icing after running can also be helpful. But long term use of ice only serves to mask the pain. Ice used in chronic conditions can quite possibly slow healing by decreasing the blood flow to the injured area. Arch pain and overpronation can cause difficulties for people of all ages and can even influence an athlete's performance during every type of activity. For many people who experience pain like this, they may not be aware of the 3 common triggers. Most of the causes are preventable, but some can be inherited. According to the Cleveland Clinic, three of the preventable causes for foot arch pain include pointed-toe heels, shoes that are too snug, and insufficient arch support These poor decisions can all lead to painful foot problems like bunions, hammertoes, and plantar fasciitis. These two measures are NSAIDs and ESWT. Non-steroidal anti inflammatory drugs (NSAIDs), as prescribed by the doctor, helps in controlling the inflammation, thereby providing relief from intense heel pain. The second method, extracorporeal shock wave therapy (ESWT), is a new procedure for treating heel spur. In this method, the affected area is exposed to focused high or low energy shock waves that induce micro trauma at the site to initiate body's natural healing mechanism. Though ESWT is a new method but it has been found to be highly effective. Heel pain may return if you return too soon to your previous level of exercise or sports participation. Additional Info
Tags: Heel Spur
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