The primary symptoms include: Pain in the lower or back portion of one or both the heels. Pain in the arch of the foot. Pain in heels while getting up in the morning Pain while taking initial steps after sitting for a period of time.DFDAFF
The most common causes of heel pain are the following: Plantar fasciitis (bottom of the heel) Achilles tendinitis (back of the heel). Achilles tendon rupture Bone tumor Bursitis Haglund's deformity Heel spur Osteomyelitis Paget's disease of bone Peripheral neuropathy Plantar fasciitis Reactive arthritis Retrocalcaneal bursitis Rheumatoid arthritis Sarcoidosis Fracture Tarsal tunnel syndrome
he doctor examines the medical history and the family history of the patient. He also conducts a physical examination of the foot. In order to detect the underlying cause behind the pain, the doctor conducts the following screening tests. Magnetic Resonance Imaging (MRI) X-ray Bone scans Ultrasound
Treatment for heel pain includes stretching exercises, wearing flexible and soft footwear to support the heel, avoiding walking without footwear, avoiding sandals, flip-flops and tight footwear and avoiding strenuous workout. The doctor may opt for the following treatment options: Ice Therapy The therapy involves application of ice on the heel in order to relieve pain. Medications The doctor may opt for treatment through medications like non steroidal, anti-inflammatory drugs that help in controlling the symptoms. Cortisone injections The doctor opts for Cortisone injections or steroid injections when oral medications render ineffective. Massage Therapy Massage therapy helps in reducing swelling and provides immediate relief to the patient. Foot supports Foot supports like heel cups and wedges are available in the market. They provide support to the heel while walking and help in reducing the pain. Surgery When none of the above treatments work, the doctor considers casting or surgery. Surgery is usually avoided until other treatments have been attempted. In most cases, heel pain can be treated using conservative treatments without surgery.
Heel pain can be prevented by keeping the body weight under control and by wearing rightly sized, flexible foot wear. One should maintain an active lifestyle which includes regular exercise and a regular, healthy diet.
Rama Hospital in Hapur-Delhi 78-7777-5530
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