Thursday, November 28, 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 issue is one of the most common 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. Reasons For 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 absorb 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 intensify the pain. The expense of the shoes is not as essential as the fit. Make sure you have your feet measured once a year when purchasing brand-new shoes. You need to utilize well cushioned and supportive shoes with good lateral support.

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 morning and after sitting however improves as the day goes on. The pain with primary steps in the 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 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 considerably lower 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 uncomfortable area of the nerve.

As we begin treatment it's important to support the arch with an OTC arch support, wrapping the arch with multiple-use covers or coban. When treating long term, Custom Orthotics are frequently the very best choice. They are constructed from a versatile plastic material and can made to fit both health club and gown shoes.

If heel pain is intolerable or persists after conservative treatment, brand-new treatments are offered-- PRP (platelet rich plasma) injections or Shockwave Therapy. Surgical treatment today is uncommon but, if needed after all treatments, it is usually 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 morning and after rest is caused by pulling of the fascia and plantar muscles off of the heel bone. Heel stimulates are caused by inflammation at the insertion of the plantar fascia into the heel bone. Heel pain can be decreased 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 minimize the pain from the injection.

 

 

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