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Heel Pain

By Patrick DeHeer, DPM, FACFAS, Josh Nichols, DPM and Jorge Amaro, DPM

One of the most common patient complaints in podiatry offices, heel pain may result in significant discomfort and, at times, lead to disability. While plantar fasciitis is typically the cause, one cannot overlook other soft tissue, osseous and…

By Doug Richie Jr., DPM, FACFAS, FAAPSM

Plantar fascia pathology can pose a significant challenge for many providers and patients. With this in mind, this author reviews the most recent evidence for alternative treatments such as extracorporeal shock wave therapy (ESWT), laser therapy…

In my previous blog, I discussed the myth promoted by many authors of authoritative articles discussing plantar heel pain with a promise that “conservative treatment is successful 90 percent of the time.”1 These conservative measures usually…

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

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