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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 lies in the center of the heel into the arch. This issue is among the most common foot conditions. It triggers pain simply getting up after sitting or in the a.m. With fasciitis it is very common 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. As we walk or run the arch flattens to take in the body's weight, causing stress on the fascia and pulling away of the heel bone, causing a bone spur. Pain in the heel can be caused by the bone, fascia or heel nerve.

Poor fitting shoes can intensify the pain. You must utilize well cushioned and encouraging shoes with excellent 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 even 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 caused by the nerve on the side of the heel.

Treatment for Plantar Fasciitis and Bone Spurs Heel stimulates 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 moderate steroid from the side of the foot with a cold spray to numb the skin to substantially decrease 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 destroy the uncomfortable area of the nerve.

As we start treatment it's important to support the arch with an OTC arch assistance, wrapping the arch with reusable wraps or coban. When treating long term, Custom Orthotics are frequently the very best choice. They are built from a flexible plastic material and can made to fit both fitness center and dress shoes.

If heel pain is excruciating or continues after conservative treatment, new treatments are available— PRP (platelet abundant plasma) injections or Shockwave Therapy. Surgical treatment today is rare but, if required after all treatments, it is typically effective.

It triggers pain just 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 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 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 significantly lower the pain from the injection.