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Heel Pain Tips

High Heels And Foot Pain

Dr. Prof.M.Anand 91% (71 ratings)
T.M.M.F, pain management, T.M.M.F.,
Physiotherapist, Madurai
High Heels And Foot Pain

High heels alter the biomechanics of joints in foot, causing abnormal weight bearing in joints, which lead to arthritis and pain.

Heel Pain Treatment - एड़ी में दर्द का उपचार

Dr. Sanjeev Kumar Singh 91% (52 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Heel Pain Treatment - एड़ी में दर्द का उपचार

मानव शरीर की संरचना में एड़ी पैरों के तलवे के पिछले हिस्से को कहा जाता है. हमारे पैर में 26 हड्डियां होती हैं, जिनमें से एड़ी की हड्डी सबसे बड़ी होती है. एड़ी की संरचना इस प्रकार की होती है, जिससे वह दृढ़ता से शरीर के वजन को उठा सके. चलते या दौड़ते समय जब हमारी एड़ी ज़मीन से टकराती है, तो यह पैर पर पड़ने वाले दबाव को अवशोषित कर लेती है और हमें आगे की ओर बढ़ने में सक्षम बनाती है. दौड़ने के कारण पैरों पर ज़्यादा दबाव पड़ सकता है. परिणामस्वरूप एड़ी कमजोर हो जाती है और इसमें दर्द होने लगता है. अधिकांश मामलों में, एड़ी के दर्द के लिए एक यांत्रिक कारण ज़िम्मेदार है. गठिया, संक्रमण, एक स्वप्रतिरक्षित समस्या, आघात, एक न्यूरोलॉजिकल समस्या या कुछ अन्य प्रणालीगत स्थिति (ऐसी स्थिति जो पूरे शरीर को प्रभावित करती है) के कारण भी यह दर्द हो सकता है. आइए एड़ी दर्द के उपचार को विस्तार से जानें.
सामान्य उपचार
1. गद्देदार सोल या एड़ी कप का इस्तेमाल:- एड़ी बर्साइटिस का उपचार बर्साइटिस को उत्पन्न करने वाली गतिविधियों को सीमित करने के लिए रोगी गद्देदार सोल या एड़ी कप का इस्तेमाल कर सकते हैं. इस उपचार के साथ-साथ एड़ी को पर्याप्त आराम देना प्रभावी होता है. गंभीर मामलों में, मरीज को एक स्टेरॉयड इंजेक्शन की आवश्यकता हो सकती है.
2. ये भी कर सकते हैं:- एड़ी की गांठों के लिए उपचार एड़ी के पीछे होने वाली सूजन में बर्फ और फुटवियर बदलने से राहत मिल सकती है. अचिल्लेस पैड और एड़ी ग्रिप पैड भी अस्थायी रूप से आराम देते हैं. कभी-कभी डॉक्टर दर्द के लिए कॉर्टिसोन इंजेक्शन लगा सकते हैं. गंभीर मामलों में गाठों को सर्जरी के द्वारा निकाला जा सकता है.
नॉन स्टेरायडल एंटी इंफ्लेमेटरी ड्रग्स
दर्द कम करने के लिए एनाल्जेसिक दवा का उपयोग किया जा सकता है. इस दवा की अधिक खुराक सूजन को भी कम कर सकती है. एनएसएआईडी गैर-मादक पदार्थ हैं (ये बेहोशी उत्पन्न नहीं करते हैं). ये प्लान्टर फ़ेशियाइटिस से ग्रसित रोगियों के दर्द और सूजन में राहत दिला सकते हैं. कॉर्टिकोस्टेरॉइड – कॉर्टिकोस्टेरॉइड का सुझाव आमतौर पर तब दिया जाता है, जब एनएसएआईडी का कोई प्रभाव नहीँ हो रहा हो. कॉर्टिकोस्टेरॉइड का घोल त्वचा पर दर्द वाले हिस्से पर लगाया जाता है, फिर एक विद्युतीय प्रवाह को अवशोषण करने के लिए प्रयोग किया जाता है. वैकल्पिक रूप से, डॉक्टर दवा को इंजेक्शन के द्वारा भी दे सकते हैं. हालांकि, कई इंजेक्शन लगाने के परिणामस्वरूप प्लान्टर फ़ेशिया कमजोर हो सकता है. इससे एड़ी की हड्डी के चारों तरफ स्थित वसा की मोटी परत के टूटने और संकुचित होने का जोखिम बढ़ सकता है. कुछ डॉक्टर अल्ट्रासाउंड का उपयोग करके सुनिश्चित कर सकते हैं कि मरीज़ को सही जगह पर इंजेक्शन दिया गया है या नहीं.
फिजियोथेरेपी के द्वारा
फिजियोथेरेपिस्ट मरीज को ऐसे व्यायाम सिखा सकते हैं, जिससे प्लान्टर फ़ेशिया और अचिल्लेस पेशी का लचीलापन बढ़ता है. इससे पैर के निचले हिस्से की मांसपेशियां मजबूत होती हैं, जिसके कारण टखने और एड़ी का संतुलन बेहतर होता है. मरीज को एथलेटिक टैपिंग करना भी सिखाया जा सकता है, जिससे पैर के निचले हिस्से को अच्छा आधार मिलता है.
1. रात को पट्टी लगाकर सोना – स्प्लिन्ट को पिंडली और पैर के लिए उचित माना जाता है. रोगी इसे सोते वक्त लगाता है. स्प्लिन्ट के कारण प्लान्टर फ़ेशिया और अचिल्लेस पेशी रात भर अपनी जगह पर स्थिर रहते हैं.
2. ऑर्थोटिक्स – पैर की समस्याओं को ठीक करने के लिए इन्सोल्स और ऑर्थोटिक्स (सहायक उपकरण) उपयोगी हो सकते हैं. साथ ही, चिकित्सा के दौरान एड़ी के लिए आरामदायक और सुरक्षित होते हैं.
3. एक्स्ट्रा कॉरपोरल शॉक वेव थेरेपी - उपचार को प्रभावशाली बनाने के लिए प्रभावित हिस्सों में ध्वनि तरंगों को प्रेषित किया जाता है. इस प्रकार की चिकित्सा का परामर्श केवल उन पुराने (दीर्घकालिक) मामलों के लिए दिया जाता है, जो दवाओं से ठीक नहीं होते हैं.
4. सर्जरी – इसमें प्लान्टर फ़ेशिया को एड़ी की हड्डी से अलग कर दिया जाता है. इस प्रक्रिया का सुझाव केवल तब दिया जाता है, जब कोई और इलाज काम नहीं करता.इस सर्जरी के बाद एड़ी के आर्च (एड़ी और पंजे के बीच का निचला भाग) के कमज़ोर होने का जोखिम होता है.
5. आराम – ज़्यादा देर तक भागने या खड़े रहने या कठोर सतह पर चलने से बचें. एड़ियों पर दबाव डालने वाली गतिविधियां न करें.
6. बर्फ – लगभग 15 मिनट तक दर्द से प्रभावित हिस्से पर आइस पैक रखें. बर्फ को त्वचा के साथ सीधे संपर्क में न लाएं.
7. जूते – आरामदायक जूते पहनना बहुत महत्वपूर्ण है. एथलीटों को अभ्यास या प्रतिस्पर्धा के दौरान पहने जाने वाले जूतों का चुनाव सावधानी से करना चाहिए. खेल के दौरान पहने जाने वाले जूतों को निश्चित समय के बाद बदल देना चाहिए.

Heel Pain: How Homoeopathy Can Help In Getting Rid Of It?

Dr. Sameer Kumar Singh 88% (115 ratings)
B.Sc, BHMS
Homeopath, Lucknow

Homeopathic medicines for calcaneal Spur and Heel Pain.

Homeopathic medicines for Calcaneal SpursPain in the heel not only restricts movement, but the general discomfort on walking or standing also disturbs the whole persona of a person. The pain can be attributed to a medical condition known as Calcaneal Spur. It refers to a sharp, pointed, horny outgrowth on the calcaneal bone present in the heel. The outgrowth is the build-up of calcium deposit on the heel bone. The reason behind Calcaneal Spur formation is repeated stress on the heels. When the heels are exposed to repeated stress, it leads to damage of muscle, ligaments and fascia that cover the heel bone. As a result, the heels are exposed and become prone to trauma and formation of Calcaneal Spur. People who are obese and athletes are prone to develop Calcaneal Spurs. Wearing of high heels and ill-fitting shoes also spurs the formation of calcium deposits on the heel bone. The main symptom of Calcaneal Spur is pain in heel around the spur. The pain gets worse when a person steps on ground after a period of inactivity especially in morning following a long rest. The pain increases while walking, running and standing. The character of pain may be described as sharp pain, dull pain or pain as from pin-pricking. Homeopathic medicines offer a very safe and complete treatment of Calcaneal Spur. The Homeopathic medicines for calcaneal spur are made of natural substances and have no side effects.
Homeopathic Treatment for Calcaneal Spur
Top Homeopathic Medicnes for Calcaneal Spur
Calcarea Fluor:
#Calcarea Flour: It is the most effective natural Homeopathic medicine with the best healing power to dissolve the Calcaneal Spur. This Homeopathic remedy is of great help in all cases of Calcaneal Spur whether painful or not. Calcarea Fluor acts as the best resolving agent for Calcaneal Spur and is considered the first choice of Homeopathic remedy in every case of Calcaneal Spur.
#Ammonium Mur: One of the top most Homeopathic Medicine for Calcaneal Spur when there is pain in heel on walking
Ammonium Mur is a very beneficial natural Homeopathic medicine for Calcaneal Spur. This Homeopathic remedy is of great help in decreasing the pain in heel on walking due to Calcaneal Spur. Ammonium Mur helps in decreasing the pain as well as dissolving the spur. Apart from specific worsening of pain on walking, the person also complains of pain in morning. A few people needing Ammonium Mur may get relief by slight rubbing of the heel. The pain can be stitching or tearing in nature for using Ammonium Mur.

1 person found this helpful

Exercises for Heel Pain or Tightness

Dr. Ritesh Kharnal 89% (588 ratings)
MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Exercises for Heel Pain or Tightness

You may be able to relieve heel pain by stretching tight calf muscles exercises.

Stand about 1 ft (30 cm) from a wall and place the palms of both hands against the wall at chest level. Step back with one foot, keeping that leg straight at the knee, and both feet flat on the floor. Your feet should point directly at the wall or slightly in toward the center of your body. Bend your other (front) leg at the knee, and press the wall with both hands until you feel a gentle stretch on your back leg. Hold for a count of 10 (increasing the count to 30 or longer as you continue over several weeks). Switch legs and repeat. Do this 3 to 6 times a day.

Foot-strengthening exercises done with a towel and weights curls exercise.

Place a towel on the floor, and sit down in a chair in front of it with both feet resting flat on the towel at one end. Grip the towel with the toes of one foot (keep your heel on the floor and use your other foot to anchor the towel). Curl your toes to pull the towel toward you. Repeat with the other foot. To increase strength, later use& 3 lb (1.5 kg) to 5 lb (2.5 kg) weights on the other end of the towel (such as a can of fruits or vegetables.

1 person found this helpful

Plantar Fasciitis - Causes, Symptoms And Treatment

Dr. Shekhar Srivastav 84% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Plantar Fasciitis - Causes, Symptoms And Treatment

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 can form curves on 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.

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

3998 people found this helpful

2 Self Myofacial Releases for Early Morning Heel Pain

Dr. Vishwas Virmani 93% (19558 ratings)
MPT, BPT
Physiotherapist, Noida
2 Self Myofacial Releases for Early Morning Heel Pain

A. Anatomy and Function of SOLEUS

  • The soleus originates from just below the knee and inserts onto the Achilles tendon. 
  •  The soleus is responsible for plantarflexion of the foot.

Reasons to Treat

  • Excessive tension in the soleus can cause pain at the site of injury, or further down the kinetic chain (in the Achilles tendon or plantar fascia).

Set-up

  •  Sit on the ground with your legs straight and calves on top of the roller.
  •  Using your arms, press yourself up so that your buttocks are hovering over the ground.

Performance

  •  From the starting position, roll back and forth, keeping the knees unlocked.
  •  Focus the pressure on the medial and lateral areas of the lower part of the calf, just above the ankle.
  •  Roll for 30–60 seconds.
  •  To increase the pressure, try stacking one leg on top of the other and rolling only the bottom leg.
  •  To further increase pressure, actively dorsiflex the toes (pull them toward your shin) to place the soleus on stretch.

Alternate Modalities

  •  Use a tennis or lacrosse ball to increase the pressure. This method is generally easier on the arms and upper extremity since you don’t have to hold yourself up.

B. Anatomy and Function of Gastrocnemius

  •  The Achilles tendon connects the gastrocnemius and soleus to the calcaneus.
  •  The Achilles tendon aids the gastrocnemius/soleus in producing plantar flexion.Reasons to Treat
  •  Excessive tension in the Achilles tendon can lead to issues further up (the gastrocnemius/soleus) or further down (the plantar fascia) the kinetic chain.

Set-up

  •  Sit on the ground with your legs straight and calves on top of the roller.
  •  Using your arms, press yourself up so that your buttocks are hovering over the ground.

Performance

  •  From the starting position, roll back and forth, using both a knees locked and knees unlocked position.
  •  Focus on rolling from the top of your heel to midway up your lower leg.
  •  Roll for 30–60 seconds.
  •  To increase the pressure, try stacking one leg on top of the other and rolling only the bottom leg.
  •  To further increase pressure, actively dorsiflex the toes (pull them toward your shin) to place the Achilles tendon on stretch.

Alternate Modalities

  •  Use a tennis or lacrosse ball to increase the pressure. This method is generally easier on the arms and upper extremity since you don’t have to hold yourself up.

3 Desirable and Problematic Points While Choosing a Shoe

Dr. Vishwas Virmani 93% (19558 ratings)
MPT, BPT
Physiotherapist, Noida
3 Desirable and Problematic Points While Choosing a Shoe

Here are 3 Desirable and Problematic Points While Choosing a Shoe:

A. FLEXIBILITY     

  • Desirable: when you attempt to bend the shoe, it should “give” at the ball of the foot to provide smooth rollover. When the shoe is on, you should be able to scrunch, extend, and wiggle your toes.     
  • Problematic: if the shoe is too rigid, it will not “give” when you try to bend it; this certainly can be uncomfortable. Also, constantly wearing tight, inflexible shoes can “retard” a foot- the foot doesn’t have a chance to respond to the ground because the shoe won’t let it.If the shoe is too flimsy, it will collapse in various areas along the sole, or it will twist, allowing problem foot positions. If worn consistently, flimsy shoes allow your foot to “collapse” easier, perhaps leading to fallen arches.

B. INSOLE: on the inside of the shoe, this is the material on the flat foot surface that goes from the heel to the toes.

  • Desirable: the insole should provide comfortable support to the heel and the arch on the inside of the foot. As you run your finger over this area on the inside of the shoe, you should feel a rise in the contour of the material that matches the height of your own arch. The cushioning should extend from the heel at least to the ball of the foot.
  • Problematic: if there is no stable build-up of material in the arch area, it will be easy to push the material of the shoe over the side. This may occur as you walk, allowing the foot to flatten out. Combining flat, hard insoles with dense heels can add painful compression to the leg and spine.

C. TOE BOX: this is the area that surrounds the toes from the bottom to the top on the inside of the shoe.

  • Desirable: the toe box should allow adequate height and width so that the toes can be wiggled, scrunched, and raised slightly. The walls of the toe box should be close enough to the foot to keep the foot from sliding around.
  • Problematic: shoes that “bind” the foot and toes belong to another culture and time. Your toes should not be scrunched pinched, or cramped. You should not feel the topside of your toes hitting the roof of the toe box.

Improve Footwear: Avoid Heel Pain

Dr. Vishwas Virmani 93% (19558 ratings)
MPT, BPT
Physiotherapist, Noida
Improve Footwear: Avoid Heel Pain

IMPROVING YOUR FOOTWEAR

How your shoe responds to the ground and how your foot responds to the shoe will be transmitted up by your leg to various body blocks; therefore’ the kind of shoe you wear can significantly affect how you feel while standing and walking, regardless of the style of the shoes you wear.

HEEL COUNTER: this is like the keel of a boat; it needs to be stable enough to hold your heel upright while you stand and walk.·      

  • Desirable: the heel counter should comfortably cup the back and sides of the heel and should be able to hold this area upright as you walk. The material used must be reinforced and sturdy enough to remain stable even after the shoes are no longer new. ·      
  • Problematic: a flimsy heel counter is one that can be collapsed if you press your finger on it. This allows the heel to move around too much, especially to tilt inward or outward. If your heel tilts outward, the ankle tends to be in a more rigid position so that more shock may be transmitted up the leg to the spine. If your heel falls inward, the foot arches tend to get flattened out. This may increase strain up the leg to the low back.

HEEL: this is the platform under your heel bone.·    

  • Desirable: the heel should be well padded for shock absorption and should be supported approximately ½-3/4 higher than the ball of the foot. Also, the width of the heel should be equal to the width of the heel counter; this will help to “spread out” the strain forces and therefore improve shock absorption.
  • Problematic: hard, dense heels increase the amount of shock transmitted up the leg to the spine. Flat heels may increase shock due to the dense material used. Narrow, spiky heels cause a wobbling effect up the leg that may increase muscle tension in problem areas.

Mushy, spongy heels may increase strain because they “give” too much and because they are usually combined with a flimsy heel counter. 

Heels that have become worn and uneven may aggravate your alignment and muscle tension. don’t let them go too far before you get them repaired or replaced.

Minimally-Invasive Foot Surgery - How It Is Helpful?

Dr. T V Raja 88% (12 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Chennai
Minimally-Invasive Foot Surgery - How It Is Helpful?

Over the last few years, foot surgery has come to be recognized as a major orthopedic speciality. Modern orthopedic surgeries tend to use minimally invasive techniques in order to reduce complications posed by open surgery and thus, also reduce or improve post-surgery recovery. A minimally invasive foot surgery is a type of surgery that is performed with a very small incision.

By using such incisions, surgeons insert specially designed instruments to carry out the operation, without causing injury to the adjacent tissue. As a result, it makes the operation more manageable and easier to control. However, these minimally invasive foot surgeries are to be done by trained physicians and surgeons. The foot is first numbed and several 3mm incisions are inserted around the foot to enable access to special instruments. An X-ray machine is also used to monitor the instrument's direction to ensure precise cuts and corrections.

Typically painful bunions, plantar fasciitis, recurring corns, heel spurs, contracted toes and hammer toes are corrected by this type of surgery. With the constant and worthwhile contributions from several physicians, cost effective minimally invasive foot surgery was made possible.

Benefits of Minimally Invasive Foot Surgery

  1. No Trauma to the Soft Tissue: As opposed to traditional open surgery where deep incisions were made, the minimally invasive technique does not cause many injuries to the soft tissue. Since this technique involves relatively smaller incisions, it does not harm the soft tissues inside. As a result, the patient’s recovery time is quick.
  2. Shorter Surgery Time: When compared to open surgeries, the duration of the minimally invasive foot surgery tends to be shorter.
  3. Avoids Usage of Anesthesia: Only a local anesthesia is required and patients can be awake when the surgery is performed. Whereas in an open surgery a general anesthesia has to be administered and only certain patients will be qualified for that. For patients who are at risk due to medical history, performing a minimally invasive foot surgery should not be a problem, as only a local anesthesia to make the foot asleep has to be given.
  4. Minimal Pain: Patients require less use of pain relievers and studies have shown that patients who have undergone this type of surgery report lesser pain when compared with traditional techniques of foot surgery.
  5. No Scars: Due to the use of smaller incisions, the scars left behind by this procedure are less noticeable. They do not have jagged edges and are smaller than those left on by traditional open surgeries. Also, no stitches are needed.
  6. Day Surgery: You do not need to be hospitalized for a prolonged time as this surgery is typically a day care procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!
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What You Should Know About Heel Pain?

Senior Registrar/ Research Associate, MS - Orthopaedics, MBBS, MCh. Orthopedics
Orthopedist, Ghaziabad
What You Should Know About Heel Pain?
  • Plantar Fasciitis is a disorder that results in pain in the heel and bottom of the foot. The pain is usually most severe with the first steps of the day or following a period of rest. The condition typically comes on slowly. In about a third of people both legs are affected. 
  • Risk factors for plantar fasciitis include overuse such as from long periods of standing, an increase in exercise, and obesity. It is also associated with inward rolling of the foot and a lifestyle that involves little exercise. While heel spurs are frequently found it is unclear if they have a role in causing the condition. Plantar fasciitis is a disorder of the insertion site of the ligament on the bone characterized by micro tears, breakdown of collagen, and scarring. The diagnosis is typically based on signs and symptoms with ultrasound sometimes used to help. Other conditions with similar symptoms include osteoarthritis, ankylosing spondylitis, heel pad syndrome, and reactive arthritis.
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