Friday, November 29, 2019

Heel Pain Treatment - Doctor in Kansas City, MO and Overland Park, KS

 

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

We use the terms plantar fasciitis and heel spur interchangeably for heel type pain. As we stroll or run the arch flattens to take in the body's weight, triggering tension 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 exacerbate the pain. The cost of the shoes is not as crucial as the fit. Ensure you have your feet measured once a year when buying new shoes. You must utilize well cushioned and helpful shoes with good 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 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 brought on 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 lowered 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 reduce 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 destroy the unpleasant area of the nerve.

As we begin treatment it's important to support the arch with an OTC arch support, covering the arch with multiple-use covers or coban. When treating long term, Custom Orthotics are often the best choice. They are built from a flexible plastic material and can made to fit both gym and dress shoes.

If heel pain is unbearable or continues after conservative treatment, brand-new treatments are readily available-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgery today is rare 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 extremely 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 steps in the early 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 decreased by using trigger point injections of a moderate steroid from the side of the foot with a cold spray to numb the skin to substantially minimize the pain from the injection.

 

 

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