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Heel Pain

Spring is here, sandals and flip flops are back, and so is your Plantar Fasciitis.  This diagnosis is probably one of the most common diagnoses we treat as podiatrists.  Heel pain is most commonly caused by Plantar Fasciitis (sometimes called Heel Spur Syndrome). 

What is Plantar Fasciitis?

Plantar Fasciitis is an inflammation of the ligament (band of tissue) that connects you heel to your toes.  This band of tissue helps keep you arch up.  Your symptoms may include pain on the bottom of the heel and sometimes along the arch.  Pain may be worse when first getting up in the morning.  

What causes Plantar Fasciitis?

Almost everyone gets Plantar Fasciitis, but most resolve in one to two weeks.  Wearing non-supportive footwear puts abnormal strain on the plantar fascia and can result in Plantar Fasciitis. 

How is Plantar Fasciitis Diagnosed?

Your podiatrist will ask you some questions about the nature of the pain and how it developed overtime.  Plantar Fasciitis is diagnosed mainly by history and exam.  Your doctor may want to get x-rays to rule out other diagnoses that mimic Plantar Fasciitis. 

What are the treatments for Plantar Fasciitis?

Self treatment should not be attempted if you suspect and infection, if you see bruising or swelling, the symptoms are persistent, have diabetes, nerve damage, or poor circulation.  Your Podiatrist may recommend stretching your calf muscles, avoiding barefoot walking, using ice, reducing activity, shoe changes, anti-inflammatory medications, and loosing weight. 

If your symptoms persist call and make an appointment with your podiatrist.  You podiatrist may use padding and strapping, prescribe custom molded orthotics, recommend a cortisone injection, place you in a walking cast, have you wear a night splint, or prescribe physical therapy. 

In our office, for someone who has had persistent Plantar Fasciitis, we typically get an x-ray, discuss the etiology and treatment plan, scan for custom orthotics, give a cortisone injection, and schedule a follow up visit.  Our facility is equipped with an x-ray machine, and we use a Pedaling digital orthotics scanner.  If you have persistent heel pain call for an appointment today. 

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