Heel Pain Treatment in Collingwood
Brunswick Foot Clinic offers quality orthotics & podiatric care to residents of and visitors to Collingwood and beyond.
Heel pain is painful. Heel pain is complex. Heel pain can be debilitating.
The condition that causes more people to cry in the knowledge that they will get better is heel pain.
Heel pain can occur at a number of different sites about the heel and for different reasons. There can be mechanical causes such as those associated with the attachment of the tendo Achilles at the back to the heel. This can lead to the formation of a bone spur which looks very painful on x-ray but may not cause trouble.
The presence of such a bone spur can will increase the risk of its irritation from the hard heel counter of a shoe. Sometimes this rubbing at the back of the heel can lead to a blister. If the rubbing from the heel counter of the shoe is a little less, a soft swelling can form under the skin (bursa) which can then become inflamed if the rubbing continues for too long (bursitis). Sometimes this bursitis occurs because of an inflammatory joint condition such as psoriatic arthritis.
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Inflammation in the heel bone (osteitis) can cause pain within the heel, and a more profound ache may be a sign of a stress fracture in the calcaneum. Such heel pain can result from ordinary activities, such as gardening or caring for young children. If you don’t properly condition your body when starting or intensifying your walking or running regimen, you may experience pain or even injury in your legs and feet, heels included.
If you experience heel pain on the underside of your foot, it may be because there’s not enough natural fatty cushioning under the weight-bearing parts of your feet. This condition can cause bruising in the plantar medial calcaneal tubercle, especially when you’re in hard-soled footwear.
Heel Spur and Plantar Fasciitis
Just ahead in the foot, heel pain might occur due to another heel spur caused by ongoing strain on the plantar fascia, leading to excessive bone formation (Heel Spur Syndrome). This type of strain commonly results in Plantar Fasciitis, an injury to the ligament-like structure along the foot’s sole.
Although a bone spur appears painful, the actual pain may not originate at the spur’s location. Generally, the spur’s formation is attributed to the mechanical strain on the plantar fascia, not necessarily from the spur itself causing discomfort in the foot.
Frequently, an x-ray shows a significant heel spur on a foot without pain, while a painful foot may not exhibit any spur at all.
Causes of Heel Pain
Sometimes heel pain can arise from a small nerve that supplies the under surface of the heel being irritated by the muscle that crosses it. These and other conditions need to be correctly identified so the best management plan can be brought about for relief.
Sometimes treatment might involve simple cushioning, exercises and massage. The thoughtful use of heat and ice, as well as dry needling have been shown to help. There are times when anti inflammatory medication perhaps even injections of corticosteroid and the use of an ankle walker (moon boot) is required for early relief.
To alleviate pain, orthotic therapy works by moving the weight-bearing pressures away from the painful areas and altering foot movement to reduce plantar fascia and spur stress. Surgery to release the fascia is sometimes necessary. Extra corporeal shockwave therapy has also been shown to be effective in lessening the pain from heel spurs and plantar fasciitis.
Children can develop heel pain as a consequence of being active and causing damage at the back of the heel (Severs Disease). The growth plate of the heel can be disrupted by the recurrent pull of a strong and powerful calf muscle and tendo Achilles. It is important for a accurate diagnosis to be made of these conditions so the most effective treatment can be applied for relief and recovery.
Our podiatrists are highly skilled in diagnosis and the management of heel pain.