HEEL PAIN/Plantar fasciitis/"Heel Spur Syndrome"
The most common cause of pain on the bottom of the heel is planar fasciitis. It is an inflamation and thickening of a band of tissue that spans between its origin on the heel bone (calcaneus) and your toes. This tissue helps support your arch.Classically the pain is worse first thing in the morning and "loosens up" after a few minutes of walking or stretching only to get worse as the day goes on. It is often associated with tightness of a persons calf muscles/achilles tendon. The condition often is self limited and 80-85 % of people will get better with or without treatment after suffering for 6-12 months. With treatment this healing time can be shortened to about 6-12 weeks.This consisting of using night splints, PT , stretching, shoe inserts/cushions and time. About 5% of people will continue despite conservative treatment and require more invasive treatment(s).These treatments can include injections with PRP, shock wave therapy and ultimately surgery.
Night splints are very helpful for those who experience pain particularly first thing in the morning or after rest. Formal physical therapy can be prescribed early on in the treatment to "jump start" your recovery.
Do 2-4 times a day for 3-5 repetitions on both sides.Keep foot being stretched perdendicular to the wall
Unfortunately for some relief is elusive, leaving the sufferer with the decision to "live with it" or submit to a surgical treatment. Dr. Sheskier offers a non-surgical treatment option for patients with plantar fasciitis ("heel spur syndrome")that has not responded to conservative therapy.
1.Extracorporeal Shock Wave treatment (ESWT), a non-invasive technique, has been proven to be effective in the majority of those cases.This in office procedure has been proven to be as effective as surgery but without the risks of a surgical procedure.
2.Platelet Rich Plasma Injections (PRP) There is increasing research showing that PRP is effective in the treatment of Heel pain more even than than steroid injections that only mask the symptoms. This treatment is available now in my clinic.
Can help you get the most out of your daily stretching exercises and help you get reflief from heel ankle as well as achilles tendon pain. Be care to not over do it. Use pain as your guide. I recommend you start out first unaided stretching then add this on a few weeks into your stretching program.
Plantar Fasciitis Night Splint: The biggest advance in the non operative treatment of heel pain has been the introduction of the use of a night splint especially for people who experience severe pain when they first get up. In my experience 60-75% of people will experience a relief of morning pain within 2-4 weeks of its use. It works by keeping the foot at 90 degrees while you sleep gives you a passive "PRE-STRETCH" to start the day. There are various models available some go on the front some on the back of the ankle. They need to be adjusted gradually , some people unfortunately cannot tolerate the splint or sleep more than a few hours with it on. Great for people who are too lazy or forgetful to do their stretching exercises!!!!!
Gel Heel cushion: These offer symptomatic relief by cushioning the heel. They also elevate the heel as well. There is a left and right to them. the blue area being placed on the inside part of the hee where the pain usually occurs.Plantar fasciits can take 2-3 months of continueed stretching and exercise program. 5 to 10% of the cases do not respond and need additional care to include doiagmostic testing to make sure it is Plantar fasciitis not some other condition mimicking it.