Skip to main content

Heel Pain

One of the biggest myths propagated about plantar heel pain is the perception that 90 percent of all patients will experience cure of their condition with conservative treatment. I just finished writing an upcoming cover story for Podiatry Today…

Most providers diagnose heel pain as plantar fasciitis. Everyone knows the ice, stretch and support protocol. But what if it is not plantar fasciitis?

One subset of patients I see have a sudden onset of heel pain without swelling that I…

We are all familiar with the diagnosis of plantar fasciitis. I often describe this to patients as an inflammation of the thick ligament under the arch that runs from the heel to the toes. I ask the patient if the pain is at the attachment at the…

By Brian Fullem, DPM, FACFAS

Although plantar fasciitis is an exceedingly common pathology in podiatry offices, there are key findings that may point one toward an alternative diagnosis for heel pain. Accordingly, this author shares his personal treatment algorithm, insights…

There has always been misunderstanding about the nomenclature, anatomy and role of certain nerves in the propagation of plantar heel pain. 

For example, consider this simple quiz:

Question:  What nerve innervates the periosteum…

When it comes to patients presenting with plantar heel pain, clinicians routinely recommend a home treatment program, which usually includes stretching of the plantar fascia, the calf musculature and the Achilles tendon.1,2 The question is: would…

By Benn Boshell, MSc, BSc (Hons) and Alan MacGill, DPM, FACFAS
Point

Noting that corticosteroid injections have the risk of plantar fascia rupture and do not address the degenerative nature of plantar fasciopathy, this author says stretching and orthotics help remedy

By Scott Wearing, PhD

Current etiologies of plantar fascia pathology have been generally accepted in the profession despite a lack of clear evidence for their role. Accordingly, the author examines the current literature and proposes a revised model of understanding…

By Erin E. Klein, DPM, FACFAS, DABPM, Lowell Weil, Jr., DPM, FACFAS, MBA, and Adam E. Fleischer, DPM, MPH, FACFAS

Sharing practical pearls as well as insights from the literature and studies from their own institution, these authors offer new perspectives on first-line therapies for plantar fasciitis, and discuss emerging findings on the impact of osseous…

By Bruce E. Williams, DPM

While there is not overwhelming support in the literature for the use of custom orthoses for heel pain, this author points to the lack of key details about prescription elements for the orthoses or patient foot types in these studies, and offers…

Back to Top