Mastering Plantar Heel Pain In Athletes

By Patrick J. Nunan, DPM | 31,868 reads | 0 comments | 11/03/2004

   Plantar heel pain is one of the most common maladies we see in podiatric practice. Patients learn on their first visit that the symptoms usually respond to conservative treatment over a six- to 12-week timeframe, although some individuals may take six to 12 months to be totally pain-free. Athletes may have difficulty accepting the fact that they may have lingering pain over six to 12 months. Not only may the athlete be upset, one may also draw the ire of the coach, athletic trainer, agent or parent.

Case Studies In Cryosurgery For Heel Pain

By Marc Katz, DPM | 36,964 reads | 0 comments | 11/03/2007

Cryosurgery is an effective pain relief modality that uses freezing temperatures for ablation of the nerves that provide sensation to the heel. While this treatment is relatively new for foot pain, physicians have utilized cryosurgery for pain relief for decades. This modality has proven to be a viable treatment and is an excellent choice for appropriate patients prior to considering more invasive procedures.

(Photo courtesy of Kirk Herring, DPM) Clinicians may pursue cast immobilization in conjunction with giving a final corticosteroid injection.

A Guide To Conservative Care For Heel Pain

By Eric M. Feit, DPM and Alona Kashanian, DPM | 18,377 reads | 0 comments | 11/03/2007

Over the years, podiatrists have become the primary health care providers for all forefoot conditions and most rearfoot conditions. With greater public awareness and increased referrals from primary care doctors, heel pain pathology is perhaps the most common foot pathology we treat in our offices. As a result, many new devices and surgical techniques have emerged in recent years to help improve our outcomes.

Unfortunately, some of these newer methods and techniques are not always necessary and may not demonstrate the same outcomes that some of the research states.

How To Detect Chronic Heel Pain With Musculoskeletal Ultrasound

By John Tassone Jr., DPM | 18,592 reads | 0 comments | 11/03/2006

    Throughout the previous three decades, technological advances paved the way for the use of sonography in diagnosing and assessing musculoskeletal pathology. Continued innovations in this arena have led to affordable portable units that enable private office practitioners to utilize ultrasonography. Use of these units has grown over the last five years, especially in rheumatology. In fact, one leading ultrasound company has turned all of its advertising attention from the podiatry profession to rheumatology.

A Guide To The Differential Diagnosis Of Heel Pain

Bob Baravarian, DPM | 193,788 reads | 0 comments | 04/23/2009

Although plantar fasciitis is the most common cause of heel pain, one should not overlook other possible etiologies. Accordingly, this author reviews pertinent keys to the patient history, physical exam and diagnostic testing that can help facilitate an accurate diagnosis.

   Plantar fasciitis is by far the most common cause of heel pain. Given the high number of cases reported per year, it is not uncommon for a doctor to diagnose a patient with plantar fasciitis without paying adequate attention to other potential causes of heel pain.

What Role Does Equinus Play In Heel Pain?

Stephen L. Barrett, DPM, MBA, and Trevor Whiting | 20,333 reads | 0 comments | 10/29/2008
Although equinus has been recognized for centuries, are podiatrists failing to consider it as a possible contributing factor in heel pain cases? In a provocative article, these authors combine their insights with a review of the literature and speculate about the emerging role of endoscopic gastrocnemius recession in treating complex heel pain cases.

Keys To Prescribing Orthoses For Limb Asymmetry And Heel Pain

Guest Clinical Editor: Joseph D'Amico, DPM | 12,147 reads | 0 comments | 07/25/2012

Given the common presentation of limb asymmetry, these panelists describe how leg length discrepancy affects orthotic prescription. They also offer insights on effective orthotic management of patients with heel pain.

Q: In what percentage of patients do you find differences in lower extremity structure or function, and how does this asymmetry affect your orthotic prescription? A:

All four panelists have found that most patients have asymmetry in terms of lower extremity structure or function.

Plantar Heel Pain: How To Get Treatment Results

By Kirk M. Herring, DPM, MS | 43,059 reads | 0 comments | 05/03/2003

Heel pain, especially pain associated with the plantar aponeurosis, is one of the most common overuse injuries affecting adults. Approximately 10 percent of runners as well as many other athletes are affected by plantar fasciitis.1 Conservative estimates have suggested more than 2 million Americans annually receive treatment for this condition.1 As common as this injury may be, there is no universally accepted etiology or treatment for this complaint.

Heel Pain Study: Night Splints In, Stretching Out?

By Brian McCurdy, Associate Editor | 15,584 reads | 0 comments | 11/03/2002

While plantar fasciitis is the most common cause of heel pain, there’s not exactly a universal approach when it comes to conservative treatment for this condition. Now a recent study suggests that prefabricated night splints may offer better results than the oft-recommended standing stretching in relieving symptoms of plantar fasciitis.

Reconsider Biomechanical Causes In Heel Pain Cases

By David Levine, DPM, CPed | 9,668 reads | 0 comments | 11/03/2002

Some days, it seems to be an epidemic. As you read the patient information sheet prior to entering the examination room to meet a patient for the first time, you start to wonder if everyone will eventually wind up with heel pain at some point in their lives. Sometimes it is easy to see why a person might be suffering with heel pain. Obesity, poor shoe selection and a job that requires extensive standing or walking are obvious contributing factors. In other situations, the cause(s) might be more perplexing.