"Heel pain is one of the most common
conditions treated by podiatrists"
Plantar Fasciitis is the most common for of heel pain, often referred to as a heel spur, is a musculoskeletal condition causing pain under the heel or into the inner ach of the foot. The condition is commonly mistaken for an impact trauma or heel bruise but in fact it is caused by mechanical overstretching of the main fibrous tissue in the arch.
Heel pain can develop suddenly or evolve gradually over time. It can affect those in standing occupations, overweight individuals and those involved in regular strenuous exercise. Unlike many overuse musculoskeletal injuries, plantar fasciitis generally fails to improve with time and rest. The reason for this in actually quite simple; it is almost impossible to stop walking. The greatest incidence of heel pain is seen in middle-aged men and women. It is also seen in those who take part in regular sporting activities and those significantly overweight and on their feet a lot. Heel pain can also occur in children, usually between 8 and 13, as they become increasingly active in sporting activities.
Most people suffering from plantar fasciitis suffer from extreme tenderness in the heel on the first few steps in the morning. Internally, the body is attempting to mend a structure that runs parallel to the sole of your foot. This mending (like an internal scab) is not yet strong enough to hold under pressure and is instantly torn when under the full force of standing. Inflammation can cause swelling under the heel that is compressed when standing which can increase pain in the heel.
THINGS YOU MUST KNOW
ABOUT HEEL PAIN
Diagnosis
Whilst plantar fasciitis is by far the most common form of heel pain, there are other causes of similar symptoms that are actually caused by nerve impingement, tendonitis and inflammatory arthritis. Only with a thorough history, physical examination, individualised and structured management plan, and the services of an experienced clinician can promote healing.
High Arch or Flat Foot?
Plantar fasciitis is common in all foot types. The real skill is to identify the cause of the condition and then establish the correct treatment plan. Generally speaking a higher arched foot type and a flatter foot type usually requires a gradual strengthening program and can benefit from more support. Even people with normal looking feet can suffer from plantar fasciitis and need a correct diagnosis and management plan.
Heel Cushions
Silicone or foam heel cushions commonly available from pharmacies do nothing to actually cure this condition but can provide temporary comfort. Thorough assessment and diagnosis coupled with an appropriate management plan
Orthotics
Not all orthotics are the same. Incorrectly prescribed arch supports may not work. Incorrectly fitting orthotics can irritate the foot, by aggressively pushing into the arch instead of supporting the whole foot in its optimal functional position.
Footwear
Footwear is often a contributing factor for heel pain. Flat, high-heeled, excess cushioned, or hard shoes can be an aggravation for plantar fasciitis. Your podiatrist will provide you with advice based on your circumstances.
Injection Therapy
Historically, many doctors had advocated an injection of local anaesthetic and corticosteroid to alleviate the symptoms of plantar fasciitis. The podiatrists at the Doreen Foot & Ankle Clinic are specialized in an injection therapy technique called prolotherapy. More information on prolotherapy can be access by clicking on this link.
A thorough assessment is required to accurately diagnose the cause and symptoms of your heel pain, so make an appointment to see a podiatrist now at the Doreen Foot & Ankle Clinic below.