Heel pain is one of the most common and sometimes difficult most problems that develop in the foot.
Your Complete Podiatrist will advise you of your diagnosis and treatment options after performing a thorough history taking, biomechanical assessment and discussing your goals for your treatment.
Treatment options may include:
Rolling your foot over a plastic bottle of frozen water or a tennis ball will help to reduce pain and gently stretch and massage the plantar fascia.
These medications may be used to help reduce pain even though the condition may not typically be caused by inflammatory changes in the heel.
Footwear modification may help to reduce your symptoms as incorrect, old or worn out footwear may contribute to overstretching the plantar fascia and increased impact stress in the heel.
Avoiding Certain Exercises may help to reduce the symptoms of your plantar heel pain. Your podiatrist will discuss this with you.
Stretching the plantar fascia every day has been shown to reduce pain levels.
Taping the heel with sports tape may provide temporary relief of pain by reducing strain on the plantar fascia and centring the heel’s fat pad under the heel bone.
If strapping helps to relieve the pain in the heel it is a good sign that orthoses will help. Your orthoses will be custom made by your podiatrist and they will help to further reduce the stress on the plantar fascia. From Rathleff 2014
Manual therapies such as Foot Mobilisation Therapy (FMT) and trigger point dry needling may help the healing of your damaged tissues in conjunction with load reducing strategies such and shoe changes, strapping and prescription foot orthoses.
Shockwave therapy has been proven to be very helpful in the management of heel pain.
High load eccentric exercises have been shown to increase the strength in the plantar fascia and improve its ability to cope with the stresses that cause pain in the heel (see additional sheet for technique).
If your pain does not settle with the above conservative treatments, numerous other therapies are available.
Therapeutic ultrasound, night stretch splints, cortisone injections and minor surgery have all been used to assist with treatment of heel pain.