Posts for: November, 2019
While heel pain is a common problem this doesn’t mean that it should just be brushed aside or considered a small matter. Untreated heel pain can lead to long-term pain and other problems. While there are many causes of heel pain the most common cause is plantar fasciitis. This condition causes irritation and inflammation within the thick band of tissue (known as the plantar fascia) that runs along the soles of the feet from the toes to the heel.
The telltale sign of plantar fasciitis is that the heel pain occurs under the heel beneath the heel bone. The pain may radiate to the arches of the feet because the plantar fascia provides support to the arches, as well. Heel pain may be worse first thing in the morning or after long bouts of inactivity. You may notice that your heel pain gets better with movement and exercise but gets worse immediately after.
Many people can treat plantar fasciitis effectively with at-home care; however, if your symptoms are severe, become worse or aren’t responding to conservative home treatments after five days then it’s time to see your podiatrist. A podiatrist will be able to provide you with answers as to what is causing your heel pain and how to best treat it.
Treating Plantar Fasciitis
Simple, conservative measures are usually all that’s needed to treat heel pain caused by plantar fasciitis. This includes:
- Resting and avoiding exercise and high-impact activities that will make symptoms worse
- Icing the heel and arches of the feet up to 20 minutes at a time, 2-3 times a day
- Wearing supportive shoes with a low heel
- Placing custom orthotics within shoes for additional support
- Performing specific foot stretching and strengthening exercises
- Taking over-the-counter pain relievers to reduce pain and swelling
- Wearing a night splint to reduce morning pain and stiffness
Your foot doctor can show you a variety of exercises to perform that can alleviate heel pain and stiffness associated with plantar fasciitis. A podiatrist can also make prescription shoe inserts to provide your feet with the proper cushioning and structural support they need to reduce pressure points and improve the biomechanics of your feet.
Those with severe and persistent heel pain may require more aggressive treatment options such as ultrasound, steroid injections or shockwave therapy. Chronic plantar fasciitis may even require surgery to get rid of inflammation and tension within the plantar fascia. Surgery is rare but may be necessary when other treatment options have failed to properly manage and treat symptoms.
If you are dealing with heel pain for the first time it’s a good idea to see a podiatrist who can determine the cause of your pain and provide you with a customized treatment plan to get your heel pain under control.
Often, the problems in your feet and ankles go away with time, rest, ice, anti-inflammatories and changing your shoes. However, sometimes these problems just won’t go away, and that's when you should visit your podiatrist for further diagnosis and treatment.
When Should I See a Podiatrist?
If you are having a specific foot problem, your best bet is to visit your podiatrist for the best care available. Several serious conditions, such as diabetes and peripheral arterial disease, can show up in your feet first, making it more important than ever to get them checked out.
A Wound or Sore That Does Not Heal
If you have an open sore on your foot or ankle, you should visit your podiatrist immediately! This is especially important if you have diabetes, as it takes a diabetic longer to heal even when being treated.
Some changes to your feet are normal as you age, but having pain isn’t one of them. As you begin putting more miles on your feet, you may notice that your feet change shape, lose cushioning, experience skin changes, develop arthritis and experience an array of other complications. It's always best to get checked by your podiatrist rather than unknowingly let a serious foot issue worsen, especially as you age.
Pain Increasing with Activity or Lasting more than 24 Hours
If you are experiencing pain that gets worse with activity, this may be a sign of a stress fracture. You should not try to work through the pain. Instead, it is vital that you visit your podiatrist. If you treat a stress fracture early, you can potentially avoid more serious problems, such as a stress fracture that will not heal, or one that turns into a fully broken bone.
Don’t ignore your foot or ankle pain! Visit your podiatrist for a diagnosis, treatment and to help prevent your symptoms from worsening.
A child's feet grow rapidly during the first year, reaching almost half of their adult foot size. This is why podiatrists consider the first year to be the most important in the development of the feet. Proper care at a young age is essential for healthy development. Since many adult foot ailments develop in childhood, periodic visits to your child’s podiatrist and basic foot care can help minimize these problems later in life.
A child’s feet are formed from soft, pliable cartilage which makes them more susceptible to deformities. A young child can be affected by foot conditions such as:
- Flat feet
- Heel pain
Tips for Parents
Parents can help promote normal, healthy foot development for their baby.
- Examine your baby’s feet regularly. If you detect anything unusual, contact your child’s pediatrician or podiatrist right away.
- Encourage exercise. Lying uncovered allows the baby to kick and move feet and toes freely so not to inhibit normal development.
- Cover feet loosely. Tight clothing or covers restrict movement.
- Alternate your baby’s position several times a day. Lying too long in one spot may place unnecessary strain on the feet and legs.
As your baby continues to grow and develop, so will the feet. It may be necessary to change shoe and sock size every few months, as tight-fitting footwear can aggravate pre-existing conditions. After your child takes their first steps, you should also carefully observe walking patterns. Intoeing, out-toeing, and gait abnormalities can be corrected when they are detected early.
A baby’s feet will carry them throughout life, so it’s important to begin good foot care at a young age. Neglecting your child’s foot health invites problems in other parts of the body, such as the back and legs. Whether you have questions about your child’s foot health or suspect a problem with the development of your child’s feet, please contact our office. We want every step your child makes toward adulthood to be pain-free and easy!