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Heel Pain Tips

Plantars Fasciitis - How To Manage It Effectively?

Dr. Suman Kumar Nag 88% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Sports Medicine
Orthopedist, Raipur
Plantars Fasciitis - How To Manage It Effectively?

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 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.

Plantar Fasciitis - 3 Exercises That Can Help Relieve Pain!

Dr. Adithya 86% (17 ratings)
MPTH/MPT - Sports Physiotherapy, BPTH/BPT
Physiotherapist, Hyderabad
Plantar Fasciitis - 3 Exercises That Can Help Relieve Pain!

Plantar fasciitis is the inflammation of fascial ligament (the plantar fascia) at the base of the heel bone. It is a commonly experienced heel pain condition which is caused due to injury or even wear and tear as well as excess weight gain, in some cases. The plantar fascia is the name given to a flat band of connective tissue that holds the foot and the rest of the leg in place with the heel in between. This also supports the foot’s arch and helps in connecting the heel bones to the toes. When there is inflammation as well as weakness in this tissue band, then pain may occur and is known as plantar fasciitis.

It may occur in one foot or both feet and may also be caused due to old age, for many individuals. Also, those who are heavily into athletics can also face this kind of wear and tear of the plantar fascia. As with many pain-related conditions, this one can also be treated with regular and moderate exercises that can be practiced to build flexibility and strength.

Let us find out more about the three exercises that are most suited for treating this condition.

  1. Stretching: Stretching is an exercise that can help in repairing most joint and tissue pain as it helps in pulling the damaged parts back into the right place, especially if any kind of misalignment has occurred. This kind of action can also have a soothing effect when the pain increases. You can stretch your calves in order to help the pain that is caused by plantar fasciitis. You can start by facing the wall and placing your right foot over the left one. Then, place your palms on the wall and remain at a distance of one arm. You will then need to bend you left leg in a forward motion as your right leg and heel press against the ground. Hold for 30 seconds and release. Then, repeat with the other leg.
  2. Chair stretch: Another way of doing stretch exercises is with the help of a chair. You will need to sit on a chair and remain in an upright position for this exercise. Keep a frozen water bottle or cylinder under your foot and roll it back and forth as you maintain a firm grip using your foot and heel.
  3. Big toe stretch: While you are still seated on the chair, you can do a big toe stretch by crossing your leg over the knee and pushing and pulling your big toe. This will help in stretching the tissue that is causing the pain. You will need to pull and hold for at least 15 to 30 seconds for each toe. Practice on both feet.
2971 people found this helpful

Plantar Fasciitis - What All Should You Know

Dr. Sachin Prakash Rathod 91% (227 ratings)
MBBS, D'Ortho, DNB (Orthopedics), Fellowship in Complex Trauma and Arthroplasty
Orthopedist, Mumbai
Plantar Fasciitis - What All Should You Know

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes . It forms the curve of your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle-aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.

6 Ways To Deal With Plantars Fasciitis!

Dr. Arun Gupta 84% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS
Orthopedist, Mumbai
6 Ways To Deal With Plantars Fasciitis!

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 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.

1 person found this helpful

Heel Spurs - Ways To Treat It!

Dr. B V R N Varma 85% (10 ratings)
MBBS, Diploma In Orthopaedics, Trauma and Orthopedics training, dnb training, fellowship in joint replacement surgery, m.ch(ortho), fellowship in adult hip and knee computer navigated surgery(switzerland)
Orthopedist, Visakhapatnam
Heel Spurs - Ways To Treat It!

For some people, the simple act of walking can be very uncomfortable. This is because they may be suffering from a heel spur. Heel spurs are calcium deposits that cause a bony protrusion on the underside of the heel bone. Heel spurs themselves may be painless but walking or jogging can make the person like a knife or pin is sticking into his or her sole. This may also be felt while standing up after being seated for a long time. Heel spurs do not heal on resting and usually need medical attention. Some ways of treating a heel spur are-

  1. Stretching Exercises: Heel spur exercises help strengthen the tissue in the heel and increases the fascia and Achilles tendon flexibility. This, in turn, helps reduce the pain and prevents a recurrence of the condition. Try standing with both feet apart and flex your knees while squatting. Keep your heels on the ground for as long as possible.

  2. Wearing The Right Shoes: Wearing shoes that do not fit well is one of the leading causes for heel spurs. When buying shoes look for a firm heel counter, a ¾-1 1/2 inch heel, a long vamp, semi-rigid or rigid shank and a toe box that is wide enough to accommodate your toes without pinching them.

  3. Taping or Strapping to Rest Stressed Muscles and Tendons: Taping or strapping your foot tightly can help protect the fascia and allow the spur to heal. It also rests the muscles and tendons and distributes the pressure being put on them.

  4. Shoe Inserts or Orthotic Devices: Using an insole can help cushion the heel and reduce the pain of a heel spur. It also reduces the impact felt while walking or standing.

  5. Physical Therapy: Physiotherapy for heel spurs aims at strengthening the foot and calf muscles. Your doctor will try and gradually increase the possible range of motion and restore muscle control in the foot arch. You will also be taught how to improve your running and landing techniques.

  6. Medication: Over the counter medication like ibuprofen may help temporarily ease the pain caused by heel spurs. In some cases, corticosteroid injections may also be prescribed to reduce the inflammation and pain.

  7. Surgery: If there is no improvement in a heel spur within 9 to 12 months, surgery may be considered to remove the spur or release the plantar fascia. However, this is rare and most heel spurs do not need surgery.
3865 people found this helpful

Heel Spurs - 7 Ways That Can Help!

MBBS, Diploma In Orthopaedics, DNB (Orthopedics), MBA (HCA)
Orthopedist, Delhi
Heel Spurs - 7 Ways That Can Help!

For some people, the simple act of walking can be very uncomfortable. This is because they may be suffering from a heel spur. Heel spurs are calcium deposits that cause a bony protrusion on the underside of the heel bone. Heel spurs themselves may be painless but walking or jogging can make the person like a knife or pin is sticking into his or her sole. This may also be felt while standing up after being seated for a long time. Heel spurs do not heal on resting and usually need medical attention. Some ways of treating a heel spur are-

  1. Stretching Exercises: Heel spur exercises help strengthen the tissue in the heel and increases the fascia and Achilles tendon flexibility. This, in turn, helps reduce the pain and prevents a recurrence of the condition. Try standing with both feet apart and flex your knees while squatting. Keep your heels on the ground for as long as possible.

  2. Wearing The Right Shoes: Wearing shoes that do not fit well is one of the leading causes for heel spurs. When buying shoes look for a firm heel counter, a ¾-1 1/2 inch heel, a long vamp, semi-rigid or rigid shank and a toe box that is wide enough to accommodate your toes without pinching them.

  3. Taping or Strapping to Rest Stressed Muscles and Tendons: Taping or strapping your foot tightly can help protect the fascia and allow the spur to heal. It also rests the muscles and tendons and distributes the pressure being put on them.

  4. Shoe Inserts or Orthotic Devices: Using an insole can help cushion the heel and reduce the pain of a heel spur. It also reduces the impact felt while walking or standing.

  5. Physical Therapy: Physiotherapy for heel spurs aims at strengthening the foot and calf muscles. Your doctor will try and gradually increase the possible range of motion and restore muscle control in the foot arch. You will also be taught how to improve your running and landing techniques.

  6. Medication: Over the counter medication like ibuprofen may help temporarily ease the pain caused by heel spurs. In some cases, corticosteroid injections may also be prescribed to reduce the inflammation and pain.

  7. Surgery: If there is no improvement in a heel spur within 9 to 12 months, surgery may be considered to remove the spur or release the plantar fascia. However, this is rare and most heel spurs do not need surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2375 people found this helpful

Heel Pain - Symptoms And Treatment

Dr. Gaurav Tyagi 91% (146 ratings)
BPT, MPT- Ortho
Physiotherapist, Gurgaon
Heel Pain - Symptoms And Treatment

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.

2 people found this helpful

Best Homeopathic Treatment For Chilblains!

Dr. Anil Raghav 85% (10 ratings)
MD - Homeopathy, DHMS (Diploma In Homeopathic Medicine & Surgery)
Homeopath, Ghaziabad
Best Homeopathic Treatment For Chilblains!

Weather-induced disorders and illnesses are quite common in tropical countries like India. Till some years back, general hygienic conditions prevailing, particularly in the rural areas were causing many such diseases. But there has been a dramatic improvement in the environment now. However, over exposure to climatic conditions like cold and frost can be harmful. Chilblains is a typical condition brought on by frost bite and due to lack of adequate protection to the feet and the hands. Homeopathy has effective remedies for this condition.

  1. Chilblains brought about by exposure to severe cold and/or due to frostbite.
  2. Though the feet (toes) and hands are the most affected parts, the condition can affect the other parts of the body as well, like the ears and face.
  3. Typical symptoms include lesions on the skin, red hot inflammation and in some cases swelling too can be seen.
  4. The affected skin can become itchy and burning sensation can also be sensed.
  5. The elderly, women and children, are the most vulnerable to contract Chilblains though other groups are not immune to it if they too are exposed to the cold for long periods.
  6. Physical examination is the only diagnosis needed by the medical practitioner before the treatment is started; in a rare case, a skin biopsy is recommended
  7. Keeping the affected area dry and warm are very important before, during and after the treatment
  8. Within Homeopathy, the most frequently recommended remedies for Chilblains are Agaricus and Pulsatilla
  9. Both the internal medicine route and external application of suitable cream/ointment are adopted for treatment
  10. The internal medicines Agaricus and Pulsatilla are taken in the form of granules and the dosage in terms of the grams to be taken and the number of times in a day will be advised by the homeopathic medical practitioner; for external application, the same are used in tincture form
  11. The dosage also varies according to the severity of the condition and the age of the person suffering from Chilblains.
  12. There are other formulations also prescribed by the practitioners
  13. In general practice, Homeopathy advises that people prone to this condition should start taking the medicines even before the severe cold conditions start

Homeopathy is a stream of medicine that reaches the root of the disorder and takes a long term position that prevention is better than cure. These treatment methods, including for conditions like Chilblains, are recommended after taking a holistic view of the person’s age, body structure health condition and so on. In case you have a concern or query you can always consult an expert & get answers to your questions!

3143 people found this helpful

Heel Bone Spurs - Surgical Treatment For Managing It!

Dr. Shivraj Jadhav 89% (10 ratings)
MBBS, DNB (Orthopedics)
Orthopedist, Navi Mumbai
Heel Bone Spurs - Surgical Treatment For Managing It!

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.

Planter Fasciitis And Heel Spur

Dr. Mukesh Vyas 90% (568 ratings)
BPTh/BPT
Physiotherapist, Pune

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:

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 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.


Exercise: indulging in mild musclestrengthening 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.

Painkillers: 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.

 

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