Heel

Heel Pain in Philadelphia, PA

Heel pain can subside as quickly as it began with proper RICE protocol. However, if the cyclical load and activity that brought on the heel pain continues, it can progress to a chronic debilitating condition. Most heel conditions revolve around an anatomical structure called the plantar fascia.

heel pain

The plantar fascia is a powerful support structure, originating at the heel and extending to the toes. Plantar fasciitis is one of the most common lower extremity conditions. While plantar fasciitis can manifest anywhere along its course, it is most common to cause pain on the bottom of the heel, where the fascia inserts. If your first step down after a period of rest is especially tender, you probably have plantar fasciitis. With proper rest and stretching, this condition may resolve uneventfully. If left untreated, treatments such as injections, physical therapy and surgery may be needed. As we age, wear and tear over time can compromise the structures that prevent arch collapse.

Like one being near sighted or far sighted leading to a need for prescription eyewear, many of us have asymmetric foot motion that may require custom orthotic devices to neutralize the abnormal motion that result in the injury and breakdown of our feet. The Foot & Ankle Group offers a state of the art 4D scanning system to analyze your foot motion and design an orthotic device that addresses your condition.

Sometimes heel pain can be more elusive. Nerve conditions, such as tarsal tunnel syndrome, can cause radiating and burning arch pain which originate from a nerve impingement at a remote site. Our AENS fellow, Dr. Miller, has extensive experience with the most complex of nerve conditions. Many other conditions can cause heel pain; such as stress fractures, benign tumors, and skin lesions to name a few. Traumatic causes such as plantar facial rupture and calcaneal fracture require treatment as soon as possible. We recommend seeing one of our physicians for a thorough evaluation and effective treatment.

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