Most commonly, heel pain is caused by plantar
fasciitis, an inflammation
of the fibrous tissue (plantar fascia) along the
bottom of your foot that connects your heel bone (calcaneus)
to your toes.
The plantar fascia acts like a shock-absorbing
bowstring, supporting the arch in your foot.
However, if tension on that bowstring becomes too
great, minute tears can occur along with
inflammation. The result is a stabbing or burning
pain that's usually worse in the morning because the
fascia tightens (contracts) overnight. Once your
foot limbers up, the pain generally decreases, but
it may return after long periods of standing or
after getting up from a seated position. In severe
instances, your foot may hurt with the slightest
pressure, making walking difficult. Sometimes,
plantar fasciitis is also associated with a growth
(bone spur) that develops from tension on your heel
self-care techniques don't help, you doctor might suggest other
treatments to heal your heel.
Nonsurgical treatments that may promote healing include:
Your doctor may recommend wearing a splint fitted to your calf and
foot while you sleep. This holds the plantar fascia and Achilles
tendon in a fixed position overnight so that they can be stretched
Your doctor may prescribe custom-fitted shoe inserts (orthotics),
which are specially molded to your feet, to help distribute pressure
to your feet more evenly. These are generally recommended if
over-the-counter shoe inserts don't work.
Acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB,
others), naproxen (Aleve) and others may ease pain and inflammation,
although they won't treat the underlying problem. Use as directed,
tapering off as your pain decreases.
A physical therapist can devise a series of exercises to stretch the
plantar fascia and Achilles tendon and to strengthen lower leg
muscles, which stabilize your ankle and heel. A therapist may also
teach you to apply athletic taping to support the bottom of your
Surgical or other procedures
conservative treatment doesn't provide relief, you might consider:
When other steps fail, your doctor may suggest one or two injections
of corticosteroid medication in your heel for temporary relief.
Multiple injections aren't recommended because they can weaken your
plantar fascia and possibly cause it to rupture, as well as shrink
the fat pad covering your heel bone. Another effective method for
delivering corticosteroid medication is a technique known as
iontophoresis, which uses gentle electric current to draw the
medicine into the area of discomfort. This technique requires six to
nine sessions, lasting 15 to 20 minutes each, but avoids the
complications associated with injections.
The vibrations generated by ultrasound technology provide deep heat
that can increase blood flow and promote healing. The plantar fascia
has a relatively poor blood supply, so any way to increase blood
flow to the tissue may help.
Extracorporeal shock wave therapy.
This noninvasive surgical procedure, which is relatively new, uses strong sound waves directed at the area of heel
pain to treat chronic plantar fasciitis that hasn't responded to six
months of more conservative treatments. It's an outpatient treatment
that takes about 30 minutes and may be performed under local
anesthesia, although studies show that low-energy machines, which
don't require anesthesia, can achieve similar benefits. You should
be able to return to work the next day but may need to avoid
athletic activities and lifting heavy objects for a few weeks.
Complications may include bruising of your skin, swelling, pain,
numbness or tingling, and rupture of the plantar fascia. This therapy
isn't used for children, pregnant women or patients with a history of
Plantar fasciitis >
Complementary and Alternative medicine
and mind-body-spirit approaches to health and
Live Blood Analysis
of blood under a specialized high powered ultra-dark
field microscope, reveals anomalies in the blood.
unique tool for prevention.
is recognized by most as
the most powerful and versatile therapy known in
alternative health because it plays a vital role in
maintaining the well-being of the body.
Check it out why.
contact the doctor
This information is
provided for general medical education purposes only and
is not meant to substitute for the independent medical
judgment of a physician relative to diagnostic and
treatment options of a specific patient's medical
In no event will The DrEddyClinic.com be liable for any
decision made or action taken in reliance upon the
information provided through this web site.
Chiang Mai 50230,