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HEEL PAIN HEEL PAIN - Powered By Docstoc
					                                                                                  M B Burchell & Associates
                                                                                         HEEL PAIN
                                                                               The Causes & Treatments

                                                                                      HEEL PAIN
                                                                       A helpful guide to understanding heel pain
                                                                          and the treatments available to you.

                  Burchell & Associates
          30 Farley Road, South Croydon, Surrey. CR2 8DA
020 8657 1648/6933 Fax 020 8651 4199.
                                                                         M B Burchell & Associates
      210 Fulham Palace Road, Hammersmith, London. W6 9NT.                           MChS DPoDM
020 7385 0554 Fax 020 7386 0935
                                                                              HPC Registered Podiatry
          99 Moore Park Road, Fulham, London. SW6 2DA               Core Value Podiatry for a Comfortable Lifestyle
          020 7736 4715
Heel Pain                                      Common complications                                                                               surgery is usually for
                                                                                                                                                  the removal of a spur of
  Heel pain is one of the most common          HEEL SPUR
                                                                                                                                                  bone, but may involve
  conditions treated by podiatrists. It        A common cause of heel pain is the
                                                                                                                                                  the release of the
  is often a message from the body             heel spur, a bony growth under the
                                                                                                                                                  plantar fascia, removal
  that something is in need of medical         heel bone. There are no visible
                                                                                                                                                  of a bursa or a removal
  attention. Pain that occurs right            features on the heel, but a deep
                                                                                                                                                  of a neuroma or other
  after an injury or early in an illness       painful spot can be found in or
                                                                                                                                                  soft tissue growth.
  may play a protective role, often            around the middle of the sole of the
  warning us about the damage we                                                                                                                  RECOVERY
                                               heel, (see diagram).
  have suffered.                                                                                                                                  Your recovery will
                                               Approximately 10 per cent of the
                                                                                                                                                  depend on the cause of
  Who gets heel pain?                          population may have heel spurs
                                                                                                                                                  your heel pain and your
  The greatest incidence of heel pain          without any pain. Heel spurs result
                                                                                                                                                  individual health. If you
  is seen in middle-aged men and               from strain on the muscles of the
                                                                                                                                                  are suffering with a
  women. It is also seen in those who          foot. This may result from
                                                                                            Bruises or stress fractures to       heel spur or plantar fascitis, it normally
  take part in regular sporting                biomechanical imbalance, a condition
                                                                                             the heel bone.                       takes about six to eight weeks for a
  activities and those significantly           occurring in many people.
  overweight and on their feet a lot.          PLANTAR FASCIITIS
                                                                                       Overcoming the problem                     healthy individual to fully recover. That
                                                                                       If the pain and other symptoms of          is when the injured area is fully rested
  Heel pain can also occur in children,        Both heel pain and heel spurs are
                                                                                       inflammation – redness, swelling and       or properly strapped.
  usually between 8 and 13, as they            frequently associated with an
  become increasingly active in                inflammation of the long band of
                                                                                       heat persist, you should limit normal      Preventing future problems
                                                                                       daily activities and consult your          FOOTWEAR
  sporting activities.                         tissue that connects the heel and
                                                                                       podiatrist first and then your GP who
  The causes of heel pain.                     the ball of the foot. Shoes that lack
                                                                                       may arrange a number of X-rays to look
                                                                                                                                  Wear shoes that fit well – front, back
                                               appropriate support, especially in                                                 and sides – and have shock-absorbent
  While heel pain has many causes, it                                                  for heel spurs or fractures.
                                               the arch area, may aggravate the                                                   soles, rigid uppers and supportive heel
  is usually the result of faulty
  biomechanics, (abnormalities in the
                                               inflammation and by the chronic         Treatment                                  counters. Do not wear shoes with
                                               irritation that sometimes               Early treatment might involve exercise     excessive wear on the heels or soles.
  way we walk). This can place too
  much stress on the heel bone and
                                               accompanies an athletic lifestyle.      and shoe recommendations, taping or        STRETCHES AND EXERCISES
  the soft tissues attached to it. The         Other Causes of Pain                    strapping and anti-inflammatory            Prepare properly before exercising.
                                                                                       medication, (such as aspirin). Taping or   Warm up before running or walking and
  stress may also result from injury,           Excessive rolling in of the feet
                                                                                       strapping supports the foot, placing       do some stretching afterwards.
  or a bruise incurred while walking,            when walking.
                                                                                       stressed muscles in a restful state and    Pace yourself when you participate in
  running or jumping on hard surfaces,          An inflamed bursa, (bursitis), a
                                                                                       preventing stretching of the plantar       athletic activities. If overweight, try
  wearing poorly constructed                     small, irritated sack of fluid at
                                                                                       fascia. Other physical therapies may       non-weight bearing activities such as
  footwear, or being significantly               the back of the heel.
                                                                                       also be used, including ice packs and      swimming or cycling.
  overweight.                                   A neuroma, (a nerve growth).
                                                                                       ultra- sounds. These treatments will       ADDITIONAL CONTROL
  Systemic diseases such as arthritis           Other soft tissue growths.
                                                                                        effectively treat the majority of heel
  and diabetes can also contribute to           Heel bumps or “pump bumps”, a                                                    Your Podiatrist may also use taping and
                                                                                       and arch pain without the need for
  heel pain.                                     bone enlargement at the back of                                                  strapping to provide extra support or
                                                                                       surgery. Only a relatively few cases of
                                                 the heel bone.                                                                   Orthoses specifically made to your
                                                                                       heel pain require surgery. If required,

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