Treating Heel Pain in Moonee Ponds
Brunswick Foot Clinic offers quality orthotics & podiatric care to residents of and visitors to Moonee Ponds and beyond.
Heel Pain
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.
A bone spur’s presence increases the chances of it being irritated by the shoe’s hard heel backing. This friction at the heel’s rear might cause a blister. If the shoe’s heel counter causes milder friction, it could lead to a soft, under-skin swelling (bursa), which might inflame into bursitis if the rubbing doesn’t stop. Sometimes, bursitis can be a consequence of inflammatory joint diseases, such as psoriatic arthritis.
Heel discomfort can stem from inflammation within the heel bone (osteitis), while a more intense pain might suggest a stress fracture in the calcaneum. Everyday activities like gardening or playing with children can trigger this pain. Failing to adequately prepare your body for increased or faster walking or running could cause leg and foot pain, heels included.
Pain at the bottom of the heel might result from insufficient natural fatty padding beneath the feet’s weight-bearing areas. This lack of padding can cause bruising in the area called the plantar medial calcaneal tubercle, particularly if you wear hard-soled shoes.
Heel Spur and Plantar Fasciitis
A bit more towards the front of the foot, heel pain may arise from a second heel spur, formed due to continuous pulling of the plantar fascia, resulting in bone overgrowth (known as Heel Spur Syndrome). Such strain often causes Plantar Fasciitis, a familiar and frequent injury to the ligament-like tissue under the foot.
Whilst the bone spur looks painful but the pain itself may not be where the spur is located. The development of the spur but generally is due to the mechanical load from the strain along the plantar fascia rather than the heel spur digging into the foot.
It is not uncommon for an x-ray to reveal a large heel spur on a pain free foot whilst the foot that is sore has no spur.
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.
The treatment regimen may at times include basic cushioning, specific exercises, and massage therapy. Effective use of both heat and ice treatments, as well as dry needling, has proven helpful. In certain scenarios, resorting to anti-inflammatory medications, corticosteroid injections, or using an ankle walker (moon boot) may be necessary for early relief.
Orthotic Therapy
Orthotic therapy aims to redistribute weight-bearing pressures away from the site of pain and to direct the foot’s movement to lessen the tension on the plantar fascia and the associated spur. In a few instances, surgery to release the fascia may be necessary. Furthermore, extra corporeal shockwave therapy has been proven to alleviate the discomfort associated with heel spurs and plantar fasciitis.
Severs Disease
Heel pain in children, often a result of activity-related damage at the back of the heel (Severs Disease), can occur when the heel’s growth plate is affected by continuous pulling from a strong calf muscle and tendo Achilles. Making a precise diagnosis is key to selecting the most effective treatment for quick relief and recovery.
Our podiatrists are highly skilled in diagnosis and the management of heel pain.
If you would like more information, please call our Brunswick Foot Clinic on (03) 9387 8555 or Sandringham Foot Clinic (03) 9555 6555 or click below to book online.
FOOT CLINIC LOCATIONS
Our service areas
Brunswick Foot Clinic and Sandringham Foot Clinic provide quality podiatry care to residents across a range of Melbourne suburbs including:
9 Glenlyon Road (cnr of David St)
Brunswick Vic 3056
Ph: (03) 9387 8555
Fax: (03) 9388 2288
Email: info@melbournepodiatrist.com.au