We treat a lot of heel pain in our four offices, and it's obviously a diverse enough topic for us to dedicate an entire, weekly blog to it.
But is heel pain an epidemic? Diabetes is certainly an epidemic, but heel pain?
Past president of the American Podiatric Medical Association Michael King, who practices in Fall Rivers, Massachusetts, argues that it is, saying that he "sees 18 to 20 patients a day with plantar fasciitis. Heel pain is epidemic." As for a number of how many people who have this condition he can only guess. "Some people just tolerate the pain and try to get by."
Think about it: if you've had heel pain in the past, how have you dealt with it? Have you immediately made an appointment with a podiatrist, or have you said to yourself, "Well, I'll wait and see if this gets better. It's not that bad right now."?
We've blogged a lot lately about athletes who have had multiple, recurrent cases of plantar fasciitis and heel pain. Joakim Noah has been in and out of basketball, Pau Gasol tried to ignore it and he ended up tearing his plantar fascia, and Albert Pujols has been suffering for seven years. Seven years!!!
What frustrates podiatrists most about heel pain and plantar fasciitis is that it can be completely preventable when you take care of your feet and see a doctor right away. Who really wants to wake up in the morning and not be able to get out of bed because they can't move their feet?
One of the culprits of heel pain is the flip-flop, the podiatrist's nemesis. "Flip-flops seem to be a major source of foot pain. People walk into the office wearing shoes that they should have replaced months ago," says podiatrist Elizabeth Kurtz, who practices in Chicago.
King sees it too. "I see a lot of people with pain in the fall because they've been wearing cheap flip-flops all summer," he says.
Heel pain doesn't just affect those who don't wear proper footwear. Runners and walkers are often hit with heel pain if they've recently increased their mileage or pace. It also appears in middle-aged people who live sedentary lives and have a little extra weight.
If you've tried over the counter products, you'll find that they only provide temporary relief. Some will purchase heel cushions to try to ease the pain, but the source of the pain isn't actually from the heel- it's from the arch. Orthotics, whether over the counter or custom made by a podiatrist, will be the best fix for your heel pain, as they will ease the pain.
When looking to recover from heel pain, remember that it's going to take longer than a week. The damage that created the pain took longer than a week to develop, so it will likely take several weeks up to several months. Don't go barefoot and don't wear flimsy shoes, especially flip-flops. Our Bristol office offers shockwave therapy, which can reduce the inflammation and pain. Traditionally shockwave therapy has been used to break up kidney stones.
Reference: LA Times.
If you are experiencing heel pain, call our Rocky Hill or Middletown office to make an appointment.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, follow my tweets on Twitter, and like our page on Facebook.
Do you wake up in the morning and can't get out of bed because your feet hurt? Does your pain get better as the day goes on? Heel pain is a serious and debilitating condition that you do not have to ignore. Let Craig M. Kaufman, DPM and his staff at Connecticut Foot Care in Newington, Kensington, and Middletown, CT take care of you!
Showing posts with label why do my heels hurt. Show all posts
Showing posts with label why do my heels hurt. Show all posts
Thursday, May 16, 2013
Thursday, May 10, 2012
Causes of Heel Pain
Do you feel a stabbing pain in your heel with your first steps out of bed in the morning? You're not alone! Every day, thousands of Americans suffer from this condition. Plantar fasciitis, more commonly known as heel pain, is by far the most common complaint patients bring to podiatric physicians.
Aching heels can truly affect your lifestyle and disrupt essential activities and prevent you, to a large extent, from playing sports or simply going for a walk. An accurate and expedient diagnosis of the cause of your symptoms will help you receive the appropriate treatment.
There are several causes of heel pain. The most common include:
*Plantar Fasciitis: Inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar) surface of the foot, from the heel to the ball of the foot. Both heel pain and heel spurs are frequently associated with plantar fasciitis.
*Heel Spurs: A bony growth on the underside of the heel bone. The spur, visible by X-ray, appears as a protrusion that can extend forward as much as a half an inch. Heel spurs can result from strain on the ball of the foot and repeated tearing away of the lining or membrane that covers the heel bone. Contrary to popular belief, heel spurs are generally not the cause of the pain- the pain you may feel is from inflammation of the plantar fascia.
*Excessive Pronation: Excessive inward motion can create an abnormal amount of stretching and pulling on the ligaments and tendons that attach to the bottom back part of the heel bone. Excessive pronation may also contribute to injury of the hip, knee, and lower back.
*Achilles Tendonitis: Pain at the back of the heel is associated with Achilles tendonitis, which is inflammation of the Achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone.
Other possible causes of heel pain include Rheumatoid arthritis and other forms of arthritis (e.g. gout); Haglund's deformity (a bone enlargement at the back of the heel bone in the area where the Achilles tendon attaches to the bone); inflamed bursa (bursitis), a small irritated sac of fluid; neuromas (nerve growths) or other soft-tissue growths; and bruises or contusions, which involve inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
Some contributing factors associated with heel pain are age (with increasing age, often there is decreasing flexibility); any sudden change in activity (particularly activities that increase weight bearing or pressure on the foot); flat, pronated feet or high-arched feet; a sudden increase in weight; pregnancy; stress from an injury; a bruise incurred while walking, running, or jumping on hard surfaces; or medical conditions such as tarsal tunnel syndrome.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter
Aching heels can truly affect your lifestyle and disrupt essential activities and prevent you, to a large extent, from playing sports or simply going for a walk. An accurate and expedient diagnosis of the cause of your symptoms will help you receive the appropriate treatment.
There are several causes of heel pain. The most common include:
*Plantar Fasciitis: Inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar) surface of the foot, from the heel to the ball of the foot. Both heel pain and heel spurs are frequently associated with plantar fasciitis.
*Heel Spurs: A bony growth on the underside of the heel bone. The spur, visible by X-ray, appears as a protrusion that can extend forward as much as a half an inch. Heel spurs can result from strain on the ball of the foot and repeated tearing away of the lining or membrane that covers the heel bone. Contrary to popular belief, heel spurs are generally not the cause of the pain- the pain you may feel is from inflammation of the plantar fascia.
*Excessive Pronation: Excessive inward motion can create an abnormal amount of stretching and pulling on the ligaments and tendons that attach to the bottom back part of the heel bone. Excessive pronation may also contribute to injury of the hip, knee, and lower back.
*Achilles Tendonitis: Pain at the back of the heel is associated with Achilles tendonitis, which is inflammation of the Achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone.
Other possible causes of heel pain include Rheumatoid arthritis and other forms of arthritis (e.g. gout); Haglund's deformity (a bone enlargement at the back of the heel bone in the area where the Achilles tendon attaches to the bone); inflamed bursa (bursitis), a small irritated sac of fluid; neuromas (nerve growths) or other soft-tissue growths; and bruises or contusions, which involve inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
Some contributing factors associated with heel pain are age (with increasing age, often there is decreasing flexibility); any sudden change in activity (particularly activities that increase weight bearing or pressure on the foot); flat, pronated feet or high-arched feet; a sudden increase in weight; pregnancy; stress from an injury; a bruise incurred while walking, running, or jumping on hard surfaces; or medical conditions such as tarsal tunnel syndrome.
Jeffrey S. Kahn, DPM
Connecticut Foot Care Centers
Heel Pain Doctor in CT
Podiatrist in Rocky Hill and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter
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