Explains plantar fasciitis and heel pain by Dr. Leo Krawetz
One of the most common foot problems that I see in my office is plantar fasciitis. This is characterized by heel pain first thing in the morning when you get out of bed or after sitting for a period of time and then standing up, and usually the pain is felt at the base of the arch or in the center of the heel. This can be easily cured by a series of cortisone injections, antiinflammatories, stretching, icing, and custom made arch supports, which are also known as orthotics. The shots are relatively painless and I inject at the base of the arch after freezing the skin, and this usually makes the shot less painful and you do have instant relief when you leave the office. If you like to make an appointment, please contact me by visiting my website at www.healthyfeetpodiatry.com, and that’s spelled h-e-a-l-t-h-y-f-e-e-t-p-o-d-i-a-t-r-y dot com. Thank you.
Q: Why does my heel hurt first thing in the morning and after I sit for a period of time and then stand up?
A: Pain in your heel and arch first thing in the morning is called plantar fasciitis. This is inflammation of the ligament that supports the arch and attaches to the bottom of the heel.
Q: How do I treat heel pain at home?
A: Stretch the foot by pulling the toes upward for 30 seconds, then grabbing a towel with your toes and holding it for another 30 seconds. Stretch your achilles tendon for 30 seconds 3 times in a row in the morning and before you go to bed. Take Advil orally as directed, Ice the bottom of the heel with a frozen bottle of water by rolling it under the painful area for 30 minutes twice a day.
Q: Is a cortisone shot bad for you when you have heel or arch pain?
A:A: At Healthy Feet Podiatry we use a short acting cortisone that is not bad for you and will be out of your system within 48 hours. There are very few side effects which will include an increase in blood sugar if you are diabetic. Cortisone is extremely helpful for heel pain.
Q: What is the best treatment for heel pain?
A: Custom made arch supports which are called orthotics are the best treatment for plantar fasciitis, heel and arch pain. Orthotics can only be made by a podiatrist in a podiatry office. Anything you buy at a store is not an orthotic. Which is different from a store bought arch support. A cortisone injection in a podiatrist office is an excellent treatment to cure heel pain. Many times a person will need a cortisone shot 3 or more times before the pain is cured. The cortisone we use at Healthy Feet Podiatry is not dangerous and is out of your body within 48 hours. Other great office treatments for heel and arch pain and plantar fasciitis are super-pulse laser treatments, PRP Injections, and ozone Injections.
Q: Do I need surgery for heel and arch pain and plantar fasciitis?
A: Surgery for plantar fasciitis heel and arch pain is used as a last resort if a patient does not get better from several cortisone shots, orthotics, anti-inflammatory medication, stretching, Icing and wearing a walker boot.
Q: What kind of surgery will fix my heel pain?
A: Cutting the ligament of the bottom of the heel which is called a plantar fasciotomy can be done to cure heel pain. At Healthy Feet Podiatry we also do cryosurgery which freezes the ligaments and regenerates the nerve in the area . Shaving down and cutting out heel spurs does not cure heel pain. Heel spurs do not cause pain in the heel.
Q: How do I treat a heel spur?
A: Heel spurs do not cause pain in the heel. A heel spur is a sign of plantar fasciitis which is inflammation of the ligament that supports the arch of the foot and attaches to the heel. The treatment for the heel spur is to treat the cause of the heel pain which is plantar fasciitis.