We treat patients for many different foot and ankle conditions here at Freeland Foot & Ankle Clinic, but one of the most common problems is heel pain. This can certainly be attributed to the fact that there are several different potential root causes of this pain, including plantar fasciitis, Achilles tendinitis, Sever’s disease, and stress fractures.
No matter which condition is affecting you, Dr. Dailey can provide effective treatment to end your suffering.
Why You Have Heel Pain
We all take it for granted, but feet face a lot of pressure. In addition to supporting our body weight when standing—which can be more taxing than you likely realize—walking and running increase the amount of physical force placed on the lower limbs. Your heels can face forces up to four times your body weight when you jog or run.
When it comes to the various causes, some of the more common ones include:
- Plantar fasciitis. This is the leading cause of heel pain for adults. This condition develops when the plantar fascia—a fibrous band of tissue running along the bottom of the foot—sustains tears after years of excessive stress. It is common to have sharp, intense pain in the bottom of the heel, particularly following sleep or extended periods of rest or inactivity.
- Achilles tendinitis. When intense physical activity is suddenly performed, or the Achilles tendon becomes inflamed due to overuse, you can develop pain in the back of the heel. You will find this to be strongest during and after physical activity.
- Sever’s disease. Plantar fasciitis is the most common source of pain for adults, but this is the leading cause for adolescents. When the lower limbs are developing, the heel bone can sometimes reach physical maturity before the Achilles tendon. This causes pulling in the back of the heel, and the pain is often increased with physical activity.
There are other causes of the pain—like heel bone fractures, bursitis, and heel spurs—but the common thread binding all of these conditions is the fact you should seek treatment. Doing so will not only relieve existing symptoms but also help prevent long-term issues.
Proper Treatment and Prevention
When it comes to treating cases of heel pain, the good news is that conservative options are usually able to effectively address the root cause of the pain.
One nonsurgical option Dr. Dailey may include in your treatment plan is the use of orthotic devices. Orthotics are versatile medical equipment that may be used for an array of potential foot and ankle conditions. They come in both custom and over-the-counter options, and Dr. Dailey’s recommendation for which is best for you will depend on an array of factors.
Besides orthotics, your pain may be relieved with the use of strapping or padding techniques or a referral for physical therapy. For some patients, Dr. Dailey may prescribe cortisone injections to relieve pain caused by inflamed soft tissue.
Another more advanced form of conservative treatment is EPAT, a series of pressure wave treatments that stimulates the body’s own natural recovery processes.
Whereas the vast majority of heel pain cases can be treated conservatively, there are also cases that are best resolved with surgical care. In such instances, Dr. Dailey will discuss your options, let you know what to expect from every step of the procedure—including pre- and post-surgical care—and answer any questions you might have.
Naturally, the best form of treatment is to prevent a condition from developing in the first place. The good news is that most of the common causes of heel pain are fairly preventable. Measures you can take to reduce your risk of developing heel pain include wearing the right shoes and exercising safely.
Wearing Proper Shoes
There are two different ways of looking at proper footwear in this regard. The first is simply making sure you have the right shoes for the sports and exercises you do. More than simply “wearing running shoes when you go running,” always pick footwear that fits correctly and has a solid construction. You need to wear pairs that have ample cushioning and arch support.
Beyond shoes for physical activities, you need to make sure you limit the amount of time you spend wearing high-heeled shoes. Pumps and stilettos may look cute, but they cause excessive tension on connective tissues in your feet and lower legs (due to the elevated position of your heels). If you wear these kinds of shoes for work, consider wearing more sensible models on your way to and from the office.
Easing Into Physical Activity
When you are starting a new running or exercise program, you need to give your body some time to adjust to the increased forces you are placing on it. This is especially true for your feet and ankles. It’s easy to take this for granted, but we all place tremendous amounts of force on our lower limbs. Even when we are just walking, a force of at least two times our body weight is placed on our feet!
To keep your lower limbs safe, start any new workout program at an easy level and then slowly ramp up your intensity and duration over time. A good target is about a 10% increase per week. Doing more than that increases your injury risk.
- Stretching exercises. Before any individual workout session or athletic activity, take about 5 to 10 minutes for a proper warmup, followed by some dynamic stretches targeting the muscles you are going to use. This is a smart approach to prepare your body for the activity you are about to perform. There are many injuries that could be prevented by warming up and stretching first.
- Cross-training. Running is a great exercise, and playing sports like basketball or tennis on a regular basis can help keep you in shape. Of course, these kinds of activities place a lot of force on your lower limbs. Instead of running six days a week or only relying on basketball for your fitness, mix in a couple of sessions of yoga, cycling, swimming, or even walking to reduce the total amount of physical stress on your feet and heels.
The Professional Foot Care You Need
The best way to know exactly why your heel hurts and what needs to be done about it is to schedule a visit to our office so we can evaluate the problem for you. Foot pain is something that should not be ignored, so make sure you contact Freeland Foot & Ankle Clinic for the expert diagnosis and treatment you need. Give us a call at (989) 695-6788 or contact us online to schedule your appointment today.