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Heel Pain Ruining Your Life?
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You are in the right place
Let's Stop The Pain
You are in the right place.
Let's make Your heel pain go away.
HEEL PAIN CAUSES
Plantar Fasciitis is a painful inflammatory process of a thick fibrous band of connective tissue on the bottom of the foot. It is caused by overuse of the plantar fascia or arch tendon of the foot. It is a very common condition and can be difficult to treat if not looked after properly. The plantar fascia originates on the bottom heel bone, and extends along the sole of the foot towards the toes.
HEEL PAIN CAUSES
Plantar Fasciitis Treatment
• Corticosteroid, Umbilical cells or PRP (protein rich plasma) injections may be used as an alternative to surgery for patients who have not responded to other treatments. The therapy is believed to trigger healing of the tissues that are causing the pain. Multiple treatments are often required.
• Orthotics. For severe conditions, such as fallen arches or structural problems that cause imbalance, custom insoles, called orthotics, molded from a plaster cast of the patient’s foot is needed. Mild cases of plantar fasciitis often respond well to over the counter inserts or heel lifts. Heel lifts and over the counter shoe inserts do not work in moderate to severe cases.
• Night Splints. Excellent addition to injection therapy and custom orthotics. If properly used, effective in about three-quarters of the patients
• Physical therapy, Laser, Stretching. All wonderful options for mild to moderate cases of plantar fasciitis.
• Surgery. Surgery may be needed for some patients, typically those who have severe heel pain that does not respond to 6 months or more of conservative care.
Tendinitis (inflammation) & Tendinosis (degeneration) are both caused by overuse during work or athletic activities. Trauma as well as continuous stress that produces microtears and a breakdown of the collagen tissue within the Achilles tendon can lead to eventual rupture.
Treatment for tendinitis and tendinosis includes rest, ice, over-the-counter pain relievers and physical therapy. Heel lifts, which elevate the heel and diminish stress on the Achilles tendon, are often very helpful. Occasionally immobilization in a walking boot or cast is recommended. Ruptures are treated either with surgery, a cast or both.
Haglund’s deformity is a bony spur surrounded by tender tissue on the back of the heel bone. It develops when the back of the shoe repeatedly rubs against the back of the heel, aggravating the tissue and the underlying bone. It is commonly called "pump bump" because it frequently occurs with high heels. (It can also develop in anyone, especially physically active people)
Applying ice followed by moist heat can help ease discomfort from a pump bump. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as naproxen (Aleve) or ibuprofen (Advil), can also reduce pain. Orthotic device to control heel motion and elevate your heel is strongly recommended. Additionally, physical therapy to stretch the affected soft tissue around the bump and laser therapy as well as night splints are all excellent conservative treatments. Corticosteroid injections are not recommended because they can weaken the Achilles tendon
WHEN TO HAVE SURGERY
Surgical correction should never be a first line of treatment.
However, if you have already tried everything on the list below, perhaps it is time to consider minimally invasive surgery for plantar fasciitis / heel spur syndrome.
A minimally invasive plantar fasciotomy with removal of the heel spur (only if necessary) surgery that relieves pressure on the nerves and reduces tightness of the plantar fasciitis and helps to eliminate pain. This procedure allows you to return to athletic shoes quickly. Note: It is rarely necessary to have to remove a heel spur during the surgery.
The size of the incision is 2-3 mm. Most of the time it does not require even one stitch. Just a steristrip and a compression wrap. And you walk out on your own. Done in the office based surgical procedure suite with no general anesthesia or sedation.
Dr Patish is the best. I have had 5 foot surgeries (misdiagnosis) by other doctors and I still have issues.....we are working on scar tissue now and he is helping me to improve my quality of life when walking. I love his humor and puts me at ease....his staff is great....and I only trust him with my foot problems...he is a truly caring doctor. rare to find now days
I wish I could give Dr. Patish 10 stars!!!
He has literally been a life changer for me.
I highly recommend him and his wonderful staff. Fallbrook Podiatry is a professional and courteous practice.
Thank you for everything Fallbrook Podiatry!
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Close to two decades of private practice and expertise is at your disposal. Special interest in minimally invasive surgical procedures and innovative tech. Three Board Certifications at your service. New York College of Podiatric Medicine - Class of 2002. Surgical residency training New York VA Hospital(Manhattan, Brooklyn, Queens)