Heel Pain

Conservative Therapy Of Heel Pain

Heel pain therapy for plantar fascitis only requires surgery in approximately 20% of cases. However, if proper conservative care is not performed, the number of surgical cases is much higher. The Foot and Ankle Insitute utilizes the latest testing techniques to diagnose the exact cause of pain. Following diagnosis, a multitude of care techniques can be used to treat heel pain including physical therapy, injection therapy, orthotic therapy and stretching protocols. We can also perform gait analysis studies to diagnose the cause of the heel pain.

Orthotic Therapy

A major part of the care and recovery process of heel pain is orthotic therapy. A well made orthotic will decrease the amount of stretch on the heel region and will also increase the stability of the foot and ankle. Following resolution of pain, a proper orthotic can allow years of pain free comfort and decreased foot and ankle strain.

Shockwave Therapy

Through the use of high intensity ultrasound waves, shockwave therapy can be used to treat heel pain. The high intensity ultrasound waves will cause mild increase in circulation to the heel and plantar fascia region resulting in increased healing potential. The procedure is virtually painfree and can be done under local anesthesia. Following therapy, complete return to activity is possible with return to sports and running in one month. Although the therapy is not ideal for all patients, 85% of patients report dramatic decrease and improvement in pain and function.

Endoscopic Plantar Fasciotomy

If all else fails, surgical intervention may be necessary. The Foot and Ankle Insitute is to proud perform the endoscopic plantar fasciotomy procedure. Through the use of two tiny incisions, the fascia is visualized and the region of thickened fascia is released. Through is revolutionary procedure, a speedy recovery and limited down time is necessary.

Baxter’s Neuritis And Neurolysis

One common and poorly diagnosed and treated ailments resulting in heel pain is entrapment of the medial calcaneal nerve also known as Baxter’s nerve. This nerve is part of the complex of nerves that supply the sole of the foot. In the case of Baxter’s nerve, the nerve supplies the heel region. In certain cases, heel pain may be only partly from plantar fascitis and partly from a trapped nerve. The Foot and Ankle Institute is able to diagnose and treat Baxter’s neuritis in cases of heel pain. If you have had heel pain for an extended period of time without resolution of pain, make sure that you don’t have a trapped nerve.