Heel Pain Center

Heel Pain, Heel Spurs and Plantar Fasciitis

The bottom of the heel can hurt, which is a frequent foot ailment. This is frequently referred to as plantar fasciitis or heel spurs. The first few steps in the morning or after a rest are frequently unpleasant. The more hours spent standing during the day, the worse it gets. It is brought on by gradual alterations in foot structure that take place over time. The arch gradually flattens as a result of these modifications. This causes an excessive stretching of the plantar fascia, a thick ligament that extends from the bottom of the heel into the ball of the foot. While walking, this ligament serves as a shock absorber.

The foot stretches as it flattens. It becomes painfully inflamed and stretched out too far. The heel bone develops a spur as a result of the ligament’s tension over time. It’s crucial to understand that the spur itself does not typically need to be removed because the discomfort is not brought on by it. The condition known as plantar fasciitis may also result in widespread arch pain. The plantar fascial ligament is inflamed here.

The calf muscles’ general tightness is one prevalent cause of this disease. This issue frequently affects women who wear high heels and persons who walk for exercise because of the tightness that these activities produce in the calf muscle. Another factor in this issue is an unsupportive shoe.

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Home Treatments – RICE

Using the RICE method for heel pain focuses on initial self-care following the onset of plantar fasciitis pain.

This does not mean you have to lie down or even sit all the time. It refers to reducing your previous activity level. In other words, whatever level of activity you were at when your plantar fasciitis flared up, cut back some. For example, walk a little more and run a little less or sit a little more and stand a little less. The degree to which you change your activity will be somewhat dependent on the severity of the pain.

Use ice to reduce the inflammation and/or swelling in your feet. Ice packs work great for this. Be sure to wrap the ice or ice pack in a towel or protective sleeve to prevent the ice from burning your feet. Alternatively, you could freeze a plastic bottle full of water and roll your foot over the frozen bottle or you could freeze water in a small paper cup, remove the ice from the cup and rub the ice over the sore area for 5-10 minutes.Elevating your foot.

During the initial phases of recovery it is a good idea to add support to your foot. The added pressure can be applied with a wrap, such as a simple Ace bandage, or special socks/hose, such as TED hose. Shoes with appropriately strong support are a must at this stage of recovery.

Elevating your foot, when possible, can also be helpful, just as it is whenever you have any type of foot or leg injury. Elevation helps reduce and eliminate swelling. One good way to do this is to lie on your back and elevate your foot onto a chair for 5-10 minutes.

Stretching

Calf muscle stretching is very useful. The typical runners stretch by leaning into a wall is helpful. An alternative method of stretching is to stand approximately two feet from a wall. Facing the wall turn your feet inward so you are pigeon toed. Lean forward into the wall keeping your heels on the floor and the knees extended. Also keep your back straight and do not bend at the hips. Hold the stretch for 10 seconds and do the stretch ten times in a row. Do the stretching three times each day. Always stretch the calf muscles following any form of exercise.

Oral Anti-inflammatory Medications

Medications like Advil, Tylenol, or Aleve may be of some benefit. Always read the medications directions and warnings before use.

Professional Care

If the heel pain persists your foot doctor may suggest anti-inflammatory medication, a cortisone injection, arch support, night splints, functional foot orthotics or possibly an amniotic cell injection. Physical therapy can also be very beneficial. We also offer amniotic cell injection. If your plantar fasciitis fails to respond to conservative treatment, surgery may be required to resolve your pain. This can now be done using the endoscopic plantar fasciotomy, which greatly decreases post-op recovery. On occasion surgery may be required to cure this condition.

Now offering amniotic cell injections, a new state of the art non-surgical treatment for chronic heel pain, plantar fasciitis and Achilles tendinitis. Amniotic cell injections are made of an injectable human amniotic and umbilical cord tissue. This is not a steroid injection. There injections can help your body actually repair the damaged tissue and relieve your chronic pain.