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Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
Heel pain from the American Podiatric Medical Association
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Heel pain from the American Podiatric Medical Association

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American Podiatric Medical Association (APMA) presents an interesting slideshow on heel pain and potential treatments for patients.

American Podiatric Medical Association (APMA) presents an interesting slideshow on heel pain and potential treatments for patients.

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  • 1. Heel Pain Doctor’s Name Doctor’s Office Location Doctor’s Phone Number Website/Email address
  • 2. Plantar Fasciitis <ul><li>Inflammation and pain along the plantar fascia - the tissue band that supports the arch on the bottom of the foot </li></ul><ul><li>Usually on the bottom of the heel at the point where the plantar fascia attaches to the heel bone </li></ul><ul><li>Becomes chronic in 5-10% of all patients </li></ul><ul><li>Is not necessarily associated with a heel spur </li></ul><ul><li>Over 90% resolve with conservative treatment </li></ul>
  • 3. Plantar Fasciitis Symptoms <ul><li>Pain on standing, especially after periods of inactivity or sleep </li></ul><ul><li>Pain subsides, returns with activity </li></ul><ul><li>Pain related to footwear – can be worse in flat shoes with no support </li></ul><ul><li>Radiating pain to the arch and/or toes </li></ul><ul><li>In later stages, pain may persist/progress throughout the day </li></ul><ul><li>Pain varies in character: dull aching, “bruised” feeling. Burning or tingling, numbness, or sharp pain, may indicate local nerve irritation </li></ul>
  • 4. Plantar Fasciitis Risk Factors <ul><li>Biomechanical abnormalities </li></ul><ul><li>Overly tight calf muscle </li></ul><ul><li>Poor shoe choices </li></ul><ul><li>Weight gain </li></ul><ul><li>Barefoot walking </li></ul><ul><li>Work surface </li></ul>
  • 5. Other Potential Causes of Heel Pain <ul><li>Calcaneal apophysitis (children) </li></ul><ul><li>Arthritis </li></ul><ul><li>Stress fracture </li></ul><ul><li>Achilles tendon problems </li></ul><ul><li>Bone cyst </li></ul><ul><li>Pinched nerve/Nerve entrapment </li></ul><ul><li>Low back or disk problems </li></ul>
  • 6. Plantar Fasciitis Evaluation & Diagnosis <ul><li>Pain with pressure on bottom of heel or arch </li></ul><ul><li>Limping </li></ul><ul><li>Foot Type: low vs. high arch, pronation </li></ul><ul><li>X-ray findings – Spur? Other abnormalities? </li></ul><ul><li>Ultrasound </li></ul><ul><li>Nerve Conduction Velocity studies to evaluate potential nerve problems </li></ul><ul><li>MRI –rarely used. Mostly for chronic, unresponsive cases </li></ul>
  • 7. Plantar Fasciitis Treatment <ul><li>Mechanical – </li></ul><ul><li>treat the cause </li></ul><ul><li>Anti-inflammatory – treat the pain </li></ul><ul><li>Neither done in isolation </li></ul>
  • 8. Plantar Fasciitis Treatment <ul><li>Stretching, shoe modifications, avoid walking barefoot </li></ul><ul><li>Icing and rest </li></ul><ul><li>Night or resting splint </li></ul><ul><li>Supplemental arch support (OTC vs. custom orthotics) </li></ul><ul><li>Anti-inflammatory medication </li></ul><ul><li>Steroid injections </li></ul><ul><li>Physical therapy </li></ul><ul><li>If conservative measures fail, surgery is an option </li></ul>
  • 9. Other options for heel pain <ul><li>Over 90% of heel pain patients respond to initial therapies within a relatively short period of time </li></ul><ul><li>For unresponsive cases, options include: </li></ul><ul><ul><li>Minimally invasive procedures like ESWT (Extracorporeal Shock Wave Therapy) </li></ul></ul><ul><ul><li>Autologous Platelet Concentrate (APC) injection </li></ul></ul><ul><ul><li>Surgical procedures, open or endoscopic </li></ul></ul><ul><ul><li>Cryosurgery </li></ul></ul><ul><ul><li>Radiofrequency techniques </li></ul></ul>
  • 10. Visit Your Podiatrist <ul><li>For more information on heel pain, or for a diagnosis, contact your podiatrist: </li></ul><ul><li>Doctor’s name </li></ul><ul><li>Doctor’s location </li></ul><ul><li>Contact information </li></ul><ul><li>Thank you for coming today! </li></ul>

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