Heel Pain

Foot and Leg Pain

Heel pain or what some call plantar fasciitis (now called plantar heel pain) affects the underside of the heel. There is a long band of fibrous tissue that inserts in the underside of the heel bone and this can get small micro tears in it.



This has many causes including poor foot biomechanics (abnormalities in the way we walk) and strength and length of structures surrounding the heel. This places increased stress or pressure on the heel. This stress may also result from repetitive strain while walking or running, injury to the heel region, standing on hard surfaces, wearing inappropriate footwear or becoming overweight.

 

 

 

Some systemic diseases or arthritic conditions can masquerade as plantar heel pain which your Podiatrist can assess and refer you back to your GP for bloodwork if this is indicated to help diagnose the problem.



Before treatment commences though we must have an accurate diagnosis which will come from a thorough history taking session at the start of your appointment.

 

Once a diagnosis is made we find using a collection of strategies at the same is the best way to reduce loading on the heel region and get you on the road to recovery.

 

This can involve:

 

a simple firm foot strapping (which can be done at home by yourself or a partner)
off the shelf orthoses
custom orthoses
foot mobilisation for stiff joints
dry needling for trigger points around the heel and calf
stretching and strengthening
prolotherapy
extra corporeal shockwave therapy

 

If these aren’t as effective as hoped then an ultrasound guided cortisone an option a last resort and can be effective if suborn cases. Referral to an orthopaedic surgeon is rare but can be made if needed.

 

 
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