How To Address Inferior Heel Pain

Ryan Y. Lee, DPM, Jennifer A. D’Amico, DPM, and Donald R. Green, DPM | 17,449 reads | 0 comments | 10/26/2009

While plantar fasciitis is a common diagnosis for inferior heel pain, these authors emphasize the importance of a proper workup and differential diagnosis. They also offer pearls on conservative treatments such as corticosteroid injections and provide insights on surgical procedures such as plantar fasciotomy.

How To Detect Chronic Heel Pain With Musculoskeletal Ultrasound

By John Tassone Jr., DPM | 18,839 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.

Case Studies In Cryosurgery For Heel Pain

By Marc Katz, DPM | 37,450 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.

Plantar Heel Pain: How To Get Treatment Results

By Kirk M. Herring, DPM, MS | 43,378 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.

Keys To Prescribing Orthoses For Limb Asymmetry And Heel Pain

Guest Clinical Editor: Joseph D'Amico, DPM | 12,322 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.

Keys To Addressing Heel Pain In The Athlete

Tim Dutra, DPM | 17,551 reads | 0 comments | 10/25/2012

Heel pain, especially in the athlete, can have a wide range of potential etiologies. This author discusses pearls for getting to the root of plantar and posterior heel pain, and reviews appropriate conservative and surgical treatment options.

What Role Does Equinus Play In Heel Pain?

Stephen L. Barrett, DPM, MBA, and Trevor Whiting | 20,515 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.

Current Insights On Conservative Care For Heel Pain

Tim Dutra, DPM, MS | 14,679 reads | 1 comments | 10/21/2010

Emphasizing the importance of addressing the cause as well as the symptoms of heel pain, this author shares tips and pearls from his clinical experience on conservative modalities ranging from corticosteroid injections and taping to physical therapy and night splints.

A Stepwise Approach To Treating Chronic Heel Pain

By Lisa M. Schoene, DPM, ATC | 77,290 reads | 0 comments | 11/03/2005

   Given the common incidence of heel pain, patients may present to the office with symptoms that have been present anywhere between two or three weeks to perhaps two or three years. Often, these patients have already consulted with another clinician who had an incorrect approach to treatment. When the pain does not resolve, the patient may feel that he or she has to undergo an unnecessary surgical procedure.    This is unfortunate as the problem may be due to improper care.

Key Insights On Diagnosing Heel Pain In Kids

By Russell G. Volpe, DPM | 44,224 reads | 0 comments | 03/03/2004

The adult patient often seeks professional help with pain or discomfort in the foot. Pediatric consultations with a foot and ankle specialist are less often pain-related with concerns about gait or positional abnormalities more likely. When pain is the initiating complaint, it usually occurs in the child’s heel. However, the differential diagnosis of heel pain in the child can be challenging for practitioners. It may be difficult to obtain an accurate history from a child and parents are only able to relate what the child has told them or what they have observed.