There are many causes of heel pain, some of which improve with a home care treatment plan and others require professional treatment by a foot and ankle specialist, a chiropodist. Once stabilized, most causes benefit from a preventive treatment plan.
CAUSES
* Plantar Fasciitis (the most common cause)
* Plantar Fascial rupture
* Heel spurs
* Achilles tendonitis
* Calcaneal stress fracture
* Nerve entrapment (inside or outside of the heel)
* Radiating pain from sciatica / low back
* Heel Neuritis
* Tarsal tunnel syndrome
* Sever's Disease
* Bone tumour (rarely a cause for heel pain)
* Arthritis
* Haglund's Deformity (or "pump bump")
* Cyst
* Fat pad atrophy
* Gout
* Lupus
* Intraosseus calcaneal oedema
* Fibromyalgia
* Bursitis
* Tenosynovitis
Other possible contributors:
* Unsupportive shoes
* Improper exercise
* Insufficient or poor stretching technique
* Sudden weight gain
* Occupational factors such as heavy lifting
DIAGNOSIS
Heel pain is often caused by the inflammation of the Plantar Fascia (also known as Plantar Fasciitis). However
christian louboutin shoes on sale You Better Do It, since there are so many other possible causes, it is critical that the source of your heel pain be accurately diagnosed before you begin treatment.
A Chiropodist would need to take some or all of following diagnostic tests to evaluate the source of your heel pain and prescribe an appropriate treatment plan:
* History of symptoms
* Physical examination
* X-ray
* Ultrasound
* Magnetic resonance imaging
HOME CARE
In many instances, home care will result in temporary relief. Your Chiropodist will advise you as to when you should expect to see improvement. Heel pain often takes months to subside. Home care treatment includes:
* Rest
* Ice
* Non-prescription, anti-inflammatory drugs (e.g. Advil or aspirin)
* Shoes with appropriate arch support
* Well-cushioned shoes if you have high-arched feet
* Shoe inserts
* Heel cups
* Stretching
* Weight loss
* Avoiding walking barefoot
TREATMENT BY A CHIROPODIST
Professional treatment for heel pain may include:
* Orthopaedic strapping
* Night splint
* Total Contact Casting
* Custom-made orthotics (highly effective)
* Custom-made or custom-fitted orthopaedic shoes
* Anti-inflammatory medications
* Physical therapy
* Phototherapy
* Corticosteroid injections
* Extracorporeal shock wave therapy
* Surgery
Expert foot specialty care is needed to recognize this disease, and to provide the proper months-long care needed to ensure proper healing of the foot. A diabetic should expect their foot care specialist to be quite attentive to the treatment needs of this condition, and should receive prompt and comprehensive care.As one can see, the role of an experienced foot care specialist is vital to the well being of a diabetic. Diabetics can and should expect this comprehensive level of care, and many podiatrists are well trained and experienced in offering this complete approach to the diabetic foot as a sub-specialty. Most internists and primary care physicians are not well trained in the complexity of foot structure, function, and disease, and are more than happy to refer this level of care to the foot specialist. Diabetic patients should take advantage of this opportunity, as it may make the difference between healthy feet and an amputation.
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