It is that time of the year again. Our kids are headed back to school and often times with it comes a change in both our routine and theirs. At Healthy Feet Podiatry anytime a change in routine occurs like going back to school, or even New Years we see a sharp increase in the most common foot condition we see; heel pain.
Heel Pain can present itself in a few different ways. Is it the back of the heel bothering you? Or the bottom? Are you twelve years old or are you 60? These are all questions that can drastically change not only your treatment plan but your outcomes. That is why we individualize our approach to each patient we see. The visit will typically start with an in office state of the art digital X-ray to assess the architecture of your feet. Once we have that an in depth physical exam will reveal the rest of the the story for us! The three most common causes of heel pain we see are Plantar Fasciitis, Achilles Tendinitis and Sever’s Disease (in our pediatric population).
Plantar fasciitis and Achilles tendinitis are different conditions however very often they are related to each other. That is because both are typically caused by too much tension in the Achilles tendon. A combination of anti-inflammatory medication delivered locally via injection, stretching, icing, and support is typically enough to nip the pain in the bud. For support we recommend custom molded orthotics which we make in house to properly support your foot in the neutral position. An over the counter or store bought orthotic is like being a +3 reader on your glasses and buying a +1, it simply is not going to cut it if you have pain. If these options fail, or your condition necessitates, we also offer many regenerative medicine techniques such super pulse laser, ozone therapy, and platelet right plasma which can also quickly resolve pesky heel pain!
The Third most common type of heel pain we see is Sever’s disease, which is typically the type of heel pain that presents in our pediatric population. Active kids can irritate the growth plates in their heels and develop Sever’s disease. Luckily, it is typically treated with everything we discussed above except for the cortisone injections!
The key is in the combination. Yes you can ice and stretch at home. However, just attacking one aspect of your condition and not addressing the others will often lead to a protracted period of discomfort. At home remedies are easily accessible via Dr. Google, however they do not account for simple things such as limb length, foot structure, muscle tension, and biomechanics, just to name a few things which are taken into consideration when designing your treatment plan.
If back to school season has your feet killing you give us a call at Healthy Feet Podiatry, and we will not only help you become pain free, but work to keep you that way!