What is heel pain ?
Podiatrists suggest that all heel pain should be classed as plantar heel pain, until a firm diagnosis is made. Plantar fasciitis, bursitis, stress fractures, S1 radiculopathy, nerve entrapments and cysts are all conditions around the bottom of your heel which our team of podiatrists assess and manage.
The most common cause of plantar heel pain ( fasciitis/fasciopathy ) relates to faulty structure of the foot and overuse. For example, people who have problems with their arches, either flexible overly flat feet or high-arched feet, are more prone to developing plantar heel pain. Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia and can also lead to plantar fasciitis. This is particularly evident when one’s job requires long hours on the feet. Obesity may also contribute to plantar fasciitis. It is also a very common running and sporting injury.
The symptoms of plantar fasciitis are:
- Pain on the bottom of the heel.
- Pain in the arch of the foot.
- Pain is worse in the morning.
- Pain that increases over a period of time.
People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they’ve been sitting for long periods of time. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.
Our experienced podiatry team will assess your foot in an initial consultation and provide you with an appropriate management plan which may include:
- Padding and Strapping
- Extracorporeal Shockwave Therapy
- Strength and conditioning programme
How can our team help if you have heel pain?
During an initial consultation with our experienced podiatry team, we will fully assess your feet, and take a full history of your symptoms. Your podiatrist will discuss a specific treatment plan for your condition and organise a unique management plan to reduce your symptoms and improve your condition. We have a video library of rehabilitation exercises in our patient resource which your podiatrist can discuss with you.
A Gait analysis / Biomechanical examination may be booked following an initial consultation to identify the cause of mechanical stress on the plantar fascia or foot structure, caused by walking or running. An infra-red pressure assessment may also be used to provide data to analyse increased forces through your feet. Orthotics are useful for certain symptoms of plantar heel pain which are prescribed to you to improve symptoms and offload areas of the feet caused by mechanical inefficiencies.