Do I have Plantar Fasciitis or Heel Pain?
Plantar fasciitis is one of the most common problem’s we see, successful conservative treatment occur’s in over 98% of the cases.Plantar fasciitis pain is mainly from the mid-arch of the foot to the to the heel bone. Fasciitis is strain on the ligament on the bottom of your foot. The pain from plantar fasciitis is normally from the heel into the arch. It’s worse, first thing in the morning or after driving or setting for a period of time at work or a long lunch. It takes a number of step’s to loosen up the fascia when we start walking. When you first notice symptoms it’s important to start passively stretching your fascia, there are some great video’s on you tube to show you how, also use OTC arch supports, compression foot-arch sleeves and heel cushion’s to reduce pressure on the heel area. If the pain doesn’t go away in the first 30 to 60 days we need to see. Treatment’s are conservative and non-surgical and are successful over 98% of the time with no surgery. Treatment is a combination of support of the arch with a custom made orthotic and a injection of a mild steroid injection given from the side of the heel with a cold spray to numb the skin.
Many times by changing shoes or using a OTC arch support fasciitis and go away over a few weeks. Also stretching and sometimes wearing a night splint can also help. You can also wrap the arch to support it much like people do for a tendinitis of the elbow (tennis elbow). The use of arch compression sleeves can support the fascia also.
What are the best treatment’s for HEEL PAIN and PLANTAR FASCIITIS?
If you do not improve, then conservative treatment can work in over 98% of the time with a combination of treatment’s including mild steroid injection’s which are safe, these are given from the side of the heel with a cold spray to numb the skin the significantly reduce any discomfort from the shot. Custom made orthotics will support the arch long term and reduce the possibility of the pain coming back. Custom orthotics are hand made from a non-weight bearing cast of the foot to capture the the arch height they are flexible and you can run and workout with them. Orthotics also can be made for dress type shoes.
Surgery is rarely indicated, we also use PRP injections which are platelets and stem cells to heal the fascia. There are many advanced surgical treatments including endoscopic plantar fascia release and the newer Tenex procedure. These are performed on a outpatient basis under twilight sleep.