Heel Pain Treatment
Common Causes of Heel Pain
Pain Under the Heel:
Dr. Jamshidinia discusses Plantar Fasciitis
Pain Behind the Heel:
Symptoms of Heel Pain:
- Pain on the bottom of the heel
- Pain behind the heel
- Pain in the arch of the foot
- Pain that is usually worse upon arising or resting
- Pain that increases after running or strenuous exercise
- Pain that increases over a period of months
How to Prevent Heel Pain:
- Properly fitting, comfortable shoes for everyday wear is important
- Use the right kind of shoes for each activity you perform- i.e. wear running shoes when you go running!
- Do not wear shoes that are uncomfortable or cause wear on the soles of your feet.
- Stretch and warm-up for at least 15 minutes before you go running or start exercising.
- Remember: Don’t overdo it! If you are running or exercising, know your limits!
- Get adequate rest to allow your body to recover
- Overweight patients are highly encouraged to lose weight to remove some of the stress from the weight-bearing joints.
Heel Pain Treatment Options:
- Platelet Rich Plasma Therapy (PRP Treatment) – your body’s unique healing properties are isolated from a simple blood draw and can be injected into the area of injury allowing for a rapid healing response over 1-2 weeks. Platelet Rich Plasma therapy sometimes referred to simply as PRP treatment, has become increasingly popular following public endorsements from top athletes, like LA’s very own Kobe Bryant, utilizing this therapy for various injuries. This unique and highly effective form of therapy is the Tower Foot & Ankle mainstay of therapy for Achilles tendinosis, tendon damage, and plantar fascia injuries and plantar fasciitis. Studies have shown that PRP treatment offers longstanding healing effects when compared to other treatment options such as steroid injections.
- Anti-inflammatory Medications – NSAIDs are often prescribed to help manage heel pain and inflammation.
- Corticosteroids – Steroids are often recommended when patients do not respond to NSAID treatment. They can be applied as a topical cream or injected directly into the inflamed and swollen area.
- Physical therapy – Physiotherapy is a great way to stretch and strengthen the plantar fascia and Achilles tendon. A good physical therapist will also teach the patient techniques which give better foot support during exercise (taping, wrapping, etc…).
- Splints – A splint is fitted over the foot and leg for the patient to wear overnight. This keeps the plantar fascia and Achilles tendon held in the appropriate position.
- Orthotics – assistive devices and insoles can be used to cushion and cradle the arch of the foot during the healing process.
- Shock Wave Therapy – This is the newest form of treatment and uses concentrated sound waves to stimulate healing in the affected area. This form of treatment is reserved for heel pain that is unresponsive to other forms of treatment.
- Foot and Ankle Surgery – If all other forms of treatment have failed to treat the patient’s heel pain, Dr. Jamshidinia will begin discussing surgical options. This most commonly involves detaching the plantar fascia from the heel bone.