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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.

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Heel Pain— Heel Spurs and Plantar Fasciitis

Pain is located in the center of the heel into the arch. This problem is one of the most typical foot conditions. It causes pain just getting up after sitting or in the a.m. With fasciitis it is very typical for an x-ray to show no heel spur. Causes of Heel Pain

We utilize the terms plantar fasciitis and heel spur interchangeably for heel type pain. There are lots of 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 take in the body's weight, triggering stress on the fascia and retreating of the heel bone, triggering a bone spur. It normally takes years to establish spurs. Pain in the heel can be caused by the bone, fascia or heel nerve.

Poor fitting shoes can exacerbate the pain. You must use well cushioned and encouraging shoes with excellent 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 however enhances as the day goes on. The pain with initial 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 stimulates are triggered by swelling 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 minimize 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 ruin the unpleasant section of the nerve.

As we begin treatment it's essential to support the arch with an OTC arch support, wrapping the arch with recyclable wraps or coban. When treating long term, Custom Orthotics are typically the best option. They are built from a versatile plastic material and can made to fit both fitness center 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. Surgery today is uncommon but, if needed after all treatments, it is typically effective.

It triggers pain just getting up after sitting or in the a.m. With fasciitis it is very typical for an x-ray to reveal no heel spur. Pain in the heel can be triggered by the bone, fascia or heel nerve.

The pain with very first actions in the early morning and after rest is triggered 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 lowered by utilizing trigger point injections of a moderate steroid from the side of the foot with a cold spray to numb the skin to significantly decrease the pain from the injection.