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Heel Pain Tips

Plantars Fasciitis - How Can You Deal With It?

Dr. Azhar Lakhani 85% (10 ratings)
Jawaharlal Nehru Medical College, Wardha, Nagpur, Ms- Ortho, Fellowship in Complex Trauma And Limb Reconstruction, FELLOW IN JOINT REPLACEMENT AND ARTHOSCOPY SURGERY
Orthopedist, Pune
Plantars Fasciitis - How Can You Deal With It?

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

  1. Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
  2. Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
  3. Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
  4. Painkillers: Use painkillers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain-inducing nerves in the brain and give you instant relief.
  5. Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
  6. Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.

Plantars Fasciitis: How to Deal with it

Dr. Manoj Jain 89% (23 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Mumbai
Plantars Fasciitis: How to Deal with it

Plantars Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain :

  • Rest - Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area. 
  • Supportive Footwear - Using pads within your shoes with gel built into them, or using specific foot wear that help in walking without feeling too much of pain is a good way of dealing with Plantars Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.
  • Exercise - Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
  • Pain Killers - Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
  • Anti Inflammatory Drugs - Your doctor may prescribe anti inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
  • Surgery - Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.

2198 people found this helpful

Plantar Fasciitis - Signs, Causes & Triggers Of It!

Dr. Urkesh Shah 87% (10 ratings)
MS - Orthopaedics, MBBS, Diploma In Orthopaedics
Orthopedist, Navi Mumbai
Plantar Fasciitis - Signs, Causes & Triggers Of It!

Plantar fasciitis is a common condition that gives rise to heel pain. A thick band of tissue runs across the bottom part of the foot and connects the heel bone to the toes. This leads to inflammation. Those who suffer from plantar fasciitis experience stabbing pain especially when you take the first few steps after waking up in the morning.

As you are up and start moving in the morning, you will feel that the pain decreases. However, after long periods of inactivity or standing in one place the pain might return.

This condition is seen to occur more commonly in runners. Additionally, people who wear improper shoes, lacking adequate support and/or are overweight stand at a greater risk of getting plantar fasciitis.

Signs of Plantar Fasciitis-

Few symptoms of plantar fasciitis include-

• Stabbing pain felt at the bottom of the heels
• Pain arising immediately after exercising but not during it

Cause of Plantar Fasciitis-

Normally, the plantar fascia (ligament tissue) can play the role of a shock absorber, mainly a bowstring that supports the arch in the foot. When tension and stress build up on the bowstring, tiny tears can start to crop up within the fascia. Constant tearing and stretching can lead the fascia to become inflamed and irritated. Many times the cause of plantar fasciitis in certain patients is not entirely clear.

What Makes You Susceptible to Plantar Fascia?

Although the condition of Plantar Fascia can arise without any bulletproof reason, there are certain factors that make you more susceptible to it. These include-

• Age - Those who are aged above 40 but below 60 are more prone to getting this condition
Obesity - Those who are overweight will inadvertently put greater pressure on the plantar fascia
Exercises- Certain exercises tend to put more pressure on the heels than others. These exercise types include jumping activities, long-distance running, aerobic dance and ballet dance.
• Foot Type - Those who have an arched foot or are flat-footed, or tend to walk in an abnormal manner are at a greater risk of putting pressure on the plantar fascia
• Your Job Type - Teachers and factory workers who tend to be on their feet a lot or have to walk on hard surfaces may put stress on their plantar fascia

Plantar Fasciitis is a condition that needs immediate attention because when left untreated it could develop into chronic pain and thus become a source of constant pain. In order to prevent it from hampering your daily activities ensure to change the way you walk. This will minimize the hip, knee and back problems in the future.

2475 people found this helpful

Heel Pain - Causes & Treatment Of It!

Dr. Neeraj Jain 85% (19 ratings)
MBBS, MD, FIMSA, FIPP, CIPS - Certified Interventional Pain Sonologist
Pain Management Specialist, Delhi
Heel Pain - Causes & Treatment Of It!

The toes and heels are the most load bearing components within your feet which take most of the weight when walking, running, exercising or even standing up. The heels are an especially vulnerable part of the body which can become painful either due to injuries or excessive stress put on it. Pain in your heels can also be a sign of other problems in your body.

Causes for heel pain:

1. Sprains or straining the leg: Exercising is one of the most common culprits behind heel damage. Wearing the wrong shoes over prolonged periods, which can cause your balance to be shifted and will lead you to put strain on your heels and cause pain. Falling or spraining during exercising or training can also cause heel pain.

2. Fractures: Stress or hairline fractures can occur even without impacts or trauma and also cause pain. It will slowly build up over time. In such cases, you should immediately consult a doctor and take remedial action.

3. Achilles tendon: A common cause for heel pain, the Achilles tendon connects the calf muscle to the heel. If this is torn or damaged, it can cause pain in your heel.

4. Arthritis: The deposition of uric acid crystals in parts of your body may result in arthritis; this is a fairly common cause for heel pain as well.

Treatments available:

1. Change in shoes: Shoes play a major role in the development of heel pain. You will either need to change the shoes or adjust the heels to ensure that they are at an equal and comfortable height and keep your posture natural and balanced.

2. Foot supports: There are specialized heel supports and wedges, which you can wear with the footwear. These supports help redistribute weight from the problem areas and uniformly distribute it among the other parts of the foot. Heel cups are also another form of supports you could try.

3. Pain relief medications: Sometimes aspirin or ibuprofen may be required to numb and dull the pain, if getting through the day becomes difficult or you are in the middle of work.

4. Resting: Sometimes resting is the only medication you can take to relieve the pain as it can only subside once the underlying conditions are corrected.

5. Ice packs: Cold compress and cold therapy would definitely help in numbing the area and providing temporary pain relief.

It is however, advisable to visit the doctor if the pain persists and take specialized medical care in more complicated cases wherein the pain is prolonged.

4034 people found this helpful

Plantars Fasciitis - Ways To Deal With It!

Dr. Tanvir Maqbool 91% (42 ratings)
MBBS, DNB, National Board Of Examination
Orthopedist, Faridabad
Plantars Fasciitis - Ways To Deal With It!

Plantars Fasciitis is an orthopaedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

1. Rest

Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area. 

2. Supportive Footwear

Using pads within your shoes with gel built into them, or using specific foot wear that help in walking without feeling too much of pain is a good way of dealing with Plantars Fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for the feet. These also give your heel and its arch good support, while Orthotics pull at the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and this ligament stretched while you enjoy a good night of sleep.

3. Exercise

Indulging in mild muscle strengthening exercise that also involves stretches and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.

4. Pain Killers

Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.

5. Anti Inflammatory Drugs

Your doctor may prescribe anti inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.

6. Surgery

Heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.

2566 people found this helpful

Heel Pain - Effective Ways To Put It At Rest!

Aster Cmi Hospital 94% (657 ratings)
MBBS & M.S General Surgery
General Surgeon, Bangalore
Heel Pain - Effective Ways To Put It At Rest!

Foot pain contributes around 3-5 % of patients visiting Orthopedic OPD, with heel pain being predominant complaint. Heel pain commonly involves the underside or back of your heel. Although not a symptom of a serious condition, it’s disabling as it can interfere with your routine activities.

Plantar fasciitis, Achilles tendinitis, Heel spur, Retrocalcaneal bursitis are few common conditions causing heel pain.

The below few conditions which are prone to developing heel pain like:

  • Abnormal walking style (gait)/altered alignment of the foot
  • Obesity
  • Ill-fitting shoes/ badly-worn shoes
  • Standing, running or jumping on hard surfaces
  • Injury to the heel, such as stress fractures
  • diabetes and arthritis

The most common causes of heel pain are plantar fasciitis (bottom of the heel) and Achilles tendinitis (back of the heel).

Presenting complaints:

  • Pain which is usually intense in the mornings or after a long period of res,
  • Discomfort or swelling in the back of your heel
  • Skin on your heel overly warm to the touch
  • Burning sensation over heel
  • Numbness or tingling in your heel
  • Swelling around ankle etc

Remedies you can try:

  • Avoid activities that aggravate your heels, such as running, standing for long periods or walking on hard surfaces.
  • Ice application on your heel for 10-15 minutes at least three times a day.
  • Well fitting shoes.
  • Non-steroidal antinflammatory drugs can reduce inflammation and pain
  • A splint is worn at night
  • Flexibility exercises

Prevention of heel pain:

  • Wear a well-fitting & comfortable shoe
  • Always warm up and cool down when exercising or playing
  • Silicone insoles

Consult your doctor immediately if, Heel pain persists in spite of home remedies. Try these tips to put Heel pain at rest!

3198 people found this helpful

Heel Pain - All About It!

Dr. Mukesh Vyas 92% (617 ratings)
BPTh/BPT
Physiotherapist, Pune

Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to most severe after one has been inactive for some time such as after waking up in the morning.

Causes-
Heel pain is usually caused when tissues present in the bottom of the heel (plantar fascia) is damaged. These tissues connect the heel bone with the bones of the feet and help in absorbing shocks. Tears are formed in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time.
Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid-filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel.

Symptoms-
The symptoms of heel pain include:

1. Experiencing pain while jogging or walking

2. A feeling of pins pricking the heels after waking up in the morning

3. Inability to bend the heel

4. Painful swelling

5. Pain in the heel accompanied by fever

Prevention and treatment-

Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain
Physiotherapy treatment - 
1. Some instructions have to follow 
2. Manual therapy 
3. Ift +ultrasound therapy 
4. Calf stretching 
5. Contras bath 
 

Heel Bone Spurs - Non Surgical Treatment That Can Be Of Help!

Dr. Pardeep Bageja 88% (10 ratings)
DNB - Orthopaedics, MBBS
Orthopedist, Delhi
Heel Bone Spurs - Non Surgical Treatment That Can Be Of Help!

Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.

What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running. 

What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight 
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder


Non-Surgical treatment
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.

Surgical treatment
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks.

Know The Treatment For Heel Pain!

Dr. Atul Mishra 86% (17 ratings)
Fellowship In Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Know The Treatment For Heel Pain!

Oh my aching Heel!! The combination of foot and ankle consists of 26 bones, 33 joints and an excess of 100 tendons. The longest bone present in the foot is the heel. Over usage or injury to the heel would lead you to experience pain in the heels. The severity of the heal pain can range from mild to excruciating. 

The cause behind heel pain is typically associated with excess usage of the heel bone. Straining of your heel occurs if you excessively pound your feet on surfaces that are hard, or you are overweight or even if you wear shoes that do not fit your feet properly. These strains cause irritation in the muscles, bones or tendons that are present in the heels. Some of the other common causes include: 

  1. Heel Spurs: Development of heel spurs occurs due to the continuous stretching of the lining, which covers the heel. Upon continuous stretching, pieces of the lining tend to break off. Development of heel spurs is common in athletes who frequently jog or run. People who are obese also tend to experience pain due to heel spurs. 
  2. Plantar Fasciitis: Development of Plantar Fasciitis occurs due to the inflammation of the tendinous tissue that connects the heel to the ball of the foot. Development of Plantar Fasciitis is common in athletes who frequently jog or run as well as people who wear shoes that don?t fit the feet properly. It may occasionally be associated with Vitamin B12 deficiency and raised uric acid in blood 
  3. Achilles Tendinitis: This is the inflammation of the Achilles tendon. Achilles Tendinitis occurs commonly in people who have active lifestyles, such as people who are joggers, runners or even dancers. 

Treatment-

Physical therapy, medication or alternative treatments can be used to treat this form of pain. Medications for heel pain can only be in the form of anti-inflammatory drugs. Although these oral medications cannot significantly relieve heel pain, some injections containing substances such as corticosteroids, as well as Arthrocentesis (removal of fluid present in joints using hollow needles) might be able to provide relief. Recently PRP (Platelet Rich Plasma) injection have been found very useful in treating recalcitrant Plantar fasciitis and heel pains. 

Common practices that can be used to relieve discomfort include: 

  1. Application of ice to the heel for a duration of 15 minutes daily. 
  2. Utilize over-the-counter pain medications .
  3. Have adequate amounts of rest .
  4. Wear shoes that fit properly .
  5. Walking on tip toes to stretch the plantar fascia helps to relieve heel pain.

Heel Pain Physiotherapy Tips!

Dr. Aparna Pradhan 89% (111 ratings)
BPTh/BPT, MPT
Physiotherapist, Pune
Heel Pain Physiotherapy Tips!

What should you do if your heels hurt?

  • Change shoes - avoid flat flexible flimsy shoes, find a shoe with good support.
  • Avoid barefoot walking.
  • Stretch your calf.

Give it a few days and call your physiotherapist you still have pain.

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