Typical signs consist of deep pain while getting out of bed in the morning and after sitting. Most folks additionally experience pain toward the end of the day or the day after exercise/strenuous activity. Others describe their pain as radiating or sharp shooting pain which most probably involves a nerve in the heel area.
A major ligament-like structure referred to as the plantar fascia is partially liable for supporting the foot arch and for absorbing shock when walking. The fascia extends from the heel to the ball of the foot. The fascia is a flat band identical in makeup to a ligament. For quite a lot of reasons, the fascia weakens and causes the arch to fall, therefore creating a lower arch or “flat foot”. Consequently, there is excessive stretch or tension on the fascial band which results in inflammation or swelling and continuously small tears of this band. With repeated pressure of the fascia at the heel bone or calcaneus, a spur or bone enlargement develops. That is the body’s method of responding to stress. While a tissue is stressed, the body develops more of that tissue, in this case bone.
Along with the swelling of the fascia, there is continuously a related inflammation, entrapment or enlargement of nerves across the heel. It has been shown that those nerves are a prominent source of the pain experienced with plantar fasciitis.
So what exactly causes the pain in the heel?
It is an aggregate of swelling of the fascia and the nerves of the heel. The heel spur itself causes no pain even though on x-ray it looks pointed and appears as a piercing object. If truth be told, many people have fasciitis without the spur.
Dr. Marc Katz, a Tampa Podiatrist, notes that in his 22 years of practice he rarely removed the bone spur. He also said that over the past 10 years he has used advanced treatments to heal the pain and more recently has used a cutting edge tretament referred to as Cryosurgery with a high success rate. Dr. Katz is the first Cryostar certified Cryosurgeon within the Tampa Bay area. He has treated patients from all over the US and many other countries.
How will we deal with Heel Pain?
Treating heel pain can be irritating for the patient and physician. Treatments can take months and infrequently as long as a year. This does not imply that there might be constant pain for that time frame, however, it is very important to seek early treatment.
There are lots of therapies for heel pain. Your doctor should customize a treatment plan relying on individual components including lifestyle, footwear, activities and any other associated illnesses. Treatment should concentrate on the individual as a whole. Many elements each physical and physchological is also vital to consider. Evaluations consist of a history and physical exam, x-rays, diagnostic ultrasound and MRI if necessary. Referrals to other consultants may be needed if there are related medical conditions.
Treatment would possibly include anti inflammatory tablets, ice, cortisone injections, custom orthotic arch supports, padding, strapping, night splints, detachable casts, stretching, physical therapy, shockwave, cryosurgery, homeopathic and herbal drugs, modification in activities, weight reduction programs, wearing other sneakers, modification in life style.
Dr. Katz mentioned that Cryosurgery has shown good long term results! This more moderen remedy is really helpful after attempting different treatments. However, from time to time it will function as a primary line of treatment for certain patients. This procedure is completed within the office and is minimally invasive and permits the affected person to quickly go back to common activities when compared to the traditional surgery.
Patients can help prevent recurrence of the situation by wearing customized orthotics, stretching, strengthening and weight-loss.
Treatment of heel pain can be a challenge. Find a podiatrist that is compassionate and willing to spend the essential time and check out different treatment options.
Dr Marc Katz is a Board-certified Tampa Podiatrist that provides innovative leading edge techniques for reduction of foot and heel problems including Cryosurgery or Cryotherapy of the foot. Dr. Katz is the most well-known Cryostar qualified Cryosurgeon in the Tampa Bay Area.