Heel Pain

 

 

Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst.

 

Because there are several potential causes, it is important to have heel pain properly diagnosed. A foot and ankle surgeon is able to distinguish between all the possibilities and determine the underlying source of your heel pain.

 

 

What Is Plantar Fasciitis?


Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed, resulting in heel pain.

 

 

Causes


The most common cause of plantar fasciitis relates to faulty structure of the foot. For example, people who have problems with their arches, either overly flat feet or high-arched feet, are more prone to developing plantar fasciitis.

 

Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia and can also lead to plantar fasciitis. This is particularly evident when one’s job requires long hours on the feet. Obesity may also contribute to plantar fasciitis.

 

 

Symptoms


The symptoms of plantar fasciitis are:

  • Pain on the bottom of the heel

  • Pain in the arch of the foot

  • Pain that is usually worse upon arising

  • Pain that increases over a period of months

 

 

People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they’ve been sitting for long periods of time. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.

 

 

Diagnosis


To arrive at a diagnosis, the foot and ankle surgeon will obtain your medical history and examine your foot. Throughout this process the surgeon rules out all the possible causes for your heel pain other than plantar fasciitis.

 

In addition, diagnostic imaging studies such as x-rays or other imaging modalities may be used to distinguish the different types of heel pain. Sometimes heel spurs are found in patients with plantar fasciitis, but these are rarely a source of pain. When they are present, the condition may be diagnosed as plantar fasciitis/heel spur syndrome.

 

 

Non-Surgical Treatment


Treatment of plantar fasciitis begins with first-line strategies, after instructions by a foot and ankle surgeon, which you can begin at home. If you still have pain after several weeks, your foot and ankle surgeon may add one or more additional treatment approaches, such as padding and strapping, orthotic devices, injection therapy, removable walking cast, night splint, and physical therapy.

 

 

When Is Surgery Needed?


Although most patients with plantar fasciitis respond to non-surgical treatment, a small percentage of patients may require surgery. If, after several months of non-surgical treatment, you continue to have heel pain, surgery will be considered. Your foot and ankle surgeon will discuss the surgical options with you and determine which approach would be most beneficial for you.

 

 

Long-term Care


No matter what kind of treatment you undergo for plantar fasciitis, the underlying causes that led to this condition may remain. Therefore, you will need to continue with preventive measures. Wearing supportive shoes, stretching, and using custom orthotic devices are the mainstay of long-term treatment for plantar fasciitis.

© 2019 Dr. Daniel Pero, DPM, PA | Integrative Podiatry | Foot & Ankle Surgery | Varicose Vein Treatment | Laser | Stem Cells & PRP | Regenerative Medicine | Nutrition

Integrative Foot & Ankle Jupiter Wellington West Palm Beach FL

To Schedule An Appointment in FL: Call (561) 293-3439

 

Medical & Surgical:
Achilles Tendon Surgery
Arthritis Joint Surgery
Bunion Surgery
Cold Laser Therapy
Endovenous Vein Ablation
Ganglion Cyst Removal
Hammertoe Surgery
Heel Spur Surgery
Ingrown Toenail Removal
Nerve Decompression
Neuroma Surgery
Plantar Fasciitis Surgery
Plantar Wart Laser Removal
PRP Injections
Stem Cell Injections
Toenail Fungus Laser
Varicose Vein Treatment
Aesthetic:
Alopecia Treatment
Botox for Hyperhidrosis
Bunion Removal
Cellulite Therapy
Endovenous Vein Ablation
Facial Peels & Foot Peels
Hair Restoration with PRP
Hammertoe Correction
Ingrown Toenail Correction
Keryflex Nail Restoration
Mesotherapy
Microneedling with PRP
Medical Weight Loss
Mole Removal
Plantar Wart Laser Removal
Platelet-Rich Plasma
PRP Facial Treatments
PRP Hair Treatments
Sclerotherapy for Spider Veins
Skin Tag Removal
Laser Spider Vein Removal
Toenail Fungus Laser
Varicose Vein Removal

Our Podiatrists are Foot Doctors and Foot & Ankle Surgeons that accept Medicare and Most Major Medical Insurance and PPO plans including AARP, Aetna, Anthem, BCBS, Blue Cross Blue Shield, CHAMPVA, Cigna, Coventry, Emblem, Florida Blue, GHI, Golden Rule, Humana Military, Multiplan, Tricare, & United Healthcare (UHC).

If your insurance is not listed, you may still have coverage subject to the availability of 'out-of-network' benefits.

Please do not hesitate to contact our office if you have questions regarding your insurance coverage.

Areas Served: West Palm Beach, Century Village, Palm Beach, Riviera Beach, Palm Beach Shores, Singer Island, Lake Park, North Palm Beach, Palm Beach Gardens, Juno Beach, Jupiter, Tequesta, Hobe Sound, Stuart, Palm City, Port St. Lucie, Loxahatchee, Loxahatchee Groves, Royal Palm Beach, Wellington, Greenacres, Palm Springs, South Palm Beach, Lake Clarke Shores, Lake Worth, Atlantis, Lantana, Manalapan, Hypoluxo, Boynton Beach, Ocean Ridge, Delray Beach, Highland Beach, Boca Raton, Pompano Beach, Coral Springs, Parkland, Tamarac, Margate, Coconut Creek, North Lauderdale, South Florida

  • Facebook - Dr. Daniel Pero
  • Twitter - Dr. Daniel Pero
  • Google+ - Dr. Daniel Pero
  • YouTube - Doctor Daniel Pero Video
  • Instagram - Dr. Daniel Pero