SAN ANTONIO, TEXAS – 8 Feb, 2017 – Heel pain is one of the more common reasons why patients seek the care of podiatrists. Plantar fasciitis is a common cause of heel pain and can be self limiting but patients often present with tough cases of heel pain that seem not to go away or return after activity. Dr. Davis states that while plantar fasciitis is the most common cause of heel pain, the are a number of other causes.
Getting the right diagnosis is important to successful treatment: http://sanantoniopodiatrist.typepad.com/my-blog/2010/01/heel-pain-getting-the-proper-diagnosis.html
The plantar fascia is the ligament that supports the foot, starting in the heel and ending in the ball of and gives us spring in our step. Overuse or use of poorly supportive shoes can strain the fascia causing inflammation. The body is effective at dealing with acute inflammation but when long term inflammation occurs the fascia can become thickened and degeneration occurs. This is called plantar fasciosis, not plantar fasciitis. The suffix, “-itis” denotes inflammation but “-osis” is degeneration. Treatments for inflammation such as anti-flammatory drugs or cortisone injections may not help plantar fasciosis as those treatments target inflammation.
The latest treatments for plantar fasciosis includes ESWT or extracorporeal shockwave therapy ( http:/&#…w.southtexaspodiatrist.com/A-ESWT-521#content ), the Topaz procedure ( http://www.topazprocedure.com ) and TenexTX ( http://sanantoniopodiatrist.typepad.com/my-blog/2014/06/tenex-tx-procedure-a-new-minimally-invasive-option-for-treatment-of-heel-pain.html ). ESWT utilizes a sonic pressure wave to induce the body to break down the degenerative tissue and replace it with new healthy tissue. It is non-invasive, performed in the office and allows immediate return to activity.
Other cause of heel pain include rheumatoid arthritis, Reiter’s syndrome, stress fractures of the heel bone, bone cysts, infections and Baxter’s neuritis. Baxter’s neuritis is an entrapment of a nerve under the heel bone in a similar manner that nerves can become entrapped in problems like carpal tunnel syndrome. The nerve, inferior calcaneal nerve, AKA Baxter’s nerve, runs underneath the heel bone, in between the bone and plantar fascia. While Baxter’s neuritis can mimick symptoms of plantar fasciitis, the pain can be different. Patients with Baxter’s neuritis often feel a burning pain which can persist even when non-weight bearing. The pain can be also be noticed on the inside or outside of the heel, not just the bottom of the heel and, unlike plantar fasciitis, may not be as intense after rest or placing one’s foot on the ground after arising in the morning.
For more information about Baxter’s neuritis see: http://sanantoniopodiatrist.typepad.com/my-blog/2012/04/baxters-neuritis-a-common-cause-of-heel-pain.html
There is no rule that heel pain can have one cause. Davis states that he often sees patients with several causes of heel pain, sometimes termed MEHPS or multiple etiology heel pain syndrome: http://sanantoniopodiatrist.typepad.com/my-blog/2014/09/mehps-or-multiple-etiology-heel-pain-syndrome.html
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Contact Person: Eddie Davis, DPM, FACFAS
Phone: Office: 210-490-3668, Fax: 210-267-5262
Address:540 Madison Oak, Suite 260
City: San Antonio
Country: United States