Danielle Matias, PA-C discusses our approach to treating Heel Bursitis and Achilles Tendinopathy with PRP Prolotherapy when an acute problem has become chronic. For those who have been unable to return to pain-free sports and activities after months of trying cortisone, stretching, icing, ibuprofen, etc, it could be that you really have an undiagnosed chronic degenerative condition versus true bursitis.
To learn more about Platelet Rich Plasma, Prolotherapy, and ultrasound testing at Caring Medical Florida for Achilles, ankle, and foot pain, as well as to fill out a more detailed case intake form and discuss your case privately, please reach out to us directly through our site. https://www.caringmedical.com/conditions/prolotherapy-treatment-ankle-pain/#get-help-now
You can also email directly at pamatias@caringmedical.com.
Or, call us at 239-308-4773 to speak with our team.
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*DISCLAIMER: As with any medical treatment, no guarantees or claims of cures are made as to the extent of the response to treatment that every person experiences. The video represents only the featured person/people’s experience or opinion. Results may not be the same from patient to patient, even with a similar diagnosis, as the body’s internal status is unique to each individual patient.
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Are you suffering from ongoing pain in your heel? Whether the pain is burning, tingling, or more common in the morning, Dr. Silvester explains how to identify the three most common causes of heel pain so you can start your treatment today! Video Rating: / 5
Airrosti provider Anthony Pavlich, PT, DPT, demonstrates three simple exercises to help relieve heel pain. These exercises will help improved heel and calf mobility and strengthen your leg muscles. You’ll also learn how to use a foam roller to help eliminate muscle tension.
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Many patients ask themselves, “Do I have plantar fasciitis?” Many patients assume they have plantar fasciitis as it is a fairly well known term but there are many types of heel pain. The types of heel pain shown in the video are the most common types of heel pain we see in the office. Based on the location and the type of pain you are experiencing, it is easy to differentiate between let’s say plantar fasciitis or achilles tendonitis, and plantar fasciitis or fat pad syndrome. Once you have a proper diagnosis, then you can go about treatment for heel pain successfully.
One question we often get asked is if a patient has plantar fasciitis or heel spur. The reality is, is that people may have heel spurs and never have pain in the heel. Or patients may have plantar fasciitis symptoms and are also told they have a heel spur after receiving an x-ray. A heel spur is only present if there has been enough tension or pulling from the plantar fascia which causes the heel bone to elongate at the plantar fascia attachment site. Patients may experience plantar fasciitis pain with a heel spur or they may not. Treatment is same if a patient has plantar fasciitis or heel spur.
Less common types of heel pain but still seen in the clinic are peroneal tendonitis and posterior tibialis tendonitis. Peroneal tendonitis can affect the outer portion of the heel while posterior tibialis tendonitis (or flexor tendonitis) can affect the inner heel area.
Are you looking for a diagnosis for the type of heel pain you are experiencing? Schedule with one of our sports chiropractors today! We are conveniently located in Mission Valley, San Diego.
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The causes and symptoms of heel pain and the treatments available, including what you can do to prevent or alleviate it Video Rating: / 5
Get fast heel pain relief with kinesiology taping. This simple method can be used for heel pain caused by insertional achilles tendinitis and bursitis. Like most rehab methods, this is not the only treatment that should be considered and always consult a professional for individualized treatment.
Burke Selbst PT OCS is a licensed physical therapist and educator and is the owner of Focus Physical Therapy in Bend Oregon, a multispecialty and multidisciplinary sports, spine and orthopedic clinic serving all ages with one-on-one care.
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Interested in working with Burke or one of his team? Contact him here: https://focusptbend.com/contact-us/
This is not medical advice! The content is intended to be educational only. If you are a patient, seek the care of a health care professional. Video Rating: / 5
Heel pain can come from plantar fasciitis, heel spurs (or bone spurs), & Achilles tendonitis. It can also be caused by muscle imbalances or alignment issues higher up in the knee, hip, or back. Buy FitMyFoot custom footwear at https://shrsl.com/4eyut (affiliate link) Buy a worksheet with these heel pain relief treatments at https://www.askdoctorjo.com/heel-pain-worksheet
Stretching the bottom of the foot, or the plantar fascia, with a ball, foam roll, or frozen water bottle can help loosen up the area and take pressure off the heel. Then massage the plantar fascia. A fanning or spreading motion from the midline outwards helps relief the pain in the area.
Next, using a stretch strap, belt, or dog leash, stretch the calf muscles. The Achilles tendon that’s attached to the calf can also cause heel pain, so this is a great stretch to help take pressure off the area.
Then in standing, a runner’s stretch for the calf, and then the stretch for the soleus are also great stretches for the lower leg.
Finally, heel raises are some exercises to help strengthen the muscles.
Related Videos:
Plantar Fasciitis Treatment with Massage, Stretches, & Exercises:
Plantar Fasciitis Stretches & Exercises:
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DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a personalized treatment plan and is intended for general education and demonstration purposes only. Perform the moves in this content at your own risk. These moves may not be appropriate for your specific situation, so get approval and guidance from your own healthcare provider before beginning. If anything is painful or doesn’t feel right, stop immediately and contact your healthcare provider.
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common causes of heel pain , very comprehensive review #shorts
Dr. Ebraheim’s educational animated video describes video describing the conditions and treatment associated with heel pain.
Heel pain is an exteremly common complaint with several common causes. It is important to make a correct diagnosis of the cause of the symptoms so that the appropriate treatment can be given.
Common causes of heel pain include:
1-Baxter nerve compression
2-Plantar fasciitis
3-Fat pad atrophy
4-Achilles tendonitis
5-Stress fracture of the calcaneus
6-lumbar disc herniation
7-achillis tendinitis
special thanks for NATHAN ELKINS FOR HIS CONTRIBUTION TO THIS VIDEO Video Rating: / 5
Dr. Michael Coughlin talks about one of the more common issues he sees in treating foot and ankle problems – heel pain. Hear more about how to alleviate heel pain from Dr. Coughlin, internationally renowned foot and ankle surgeon. Video Rating: / 5
Heel pain is a very common problem mostly in females compared to me. It will be early morning pain, like you sleep in the night and wake up in the morning , you have a pain and you walk for few steps, 8 – 10 steps, then it gets better. The Same thing may happen when you sit for half an hour and get up. You may get, you may get pain. Again you take few steps, 8 – 10 steps, then your pain will go off. This condition is grouped into a condition called plantar fasciitis, also called as heel pain. Most of the times, there are no causes for this, it just happens like that. Over time, there is a heel pad fat, between the bone and the skin, which will get flattened or worn off. When it gets worn off, the bone will start taking more load. This is the commonest cause. The other one is, there is a tissue called fascia, which connects the heel one to the toes. The plantar fascia from the heel to the toe, it can get tightened, also giving rise to this pain. It happens due to multiple reasons, like rheumatoid arthritis, uric acid problems leading to gout and gout related or gout type of arthritis. Here are more types of arthritis which can lead to pain, but most times the reason is unknown.it can be an old injury like a stone or a thorn which has pricked you. The stone would have come out, but the fat part is injured, leading to long term pain. Sometimes the infection can also lead to pain. How to manage this? An easier way is by exercises, stretching of the plantar fascia, that is stretching of the foot. Secondly wearing soft footwear. Microcellular rubber, microcellular polymer slippers are available. There is silicone heel pad. For people wearing shoes can use the silicon cup inside the shoes and that will also help. Sometimes with all this pain doesn’t come down, give pain killers and do physical therapies in the form of ultrasonic massages. If this doesn’t work, give local injections with steroids. With one injection, more than 70 – 80 % will get relief. If it doesn’t help, then we have to operate and clear the heel. So the pressure on the heel and then the pain also comes down. Video Rating: / 5
Dr. Ebraheim’s educational animated video describes different causes of heel pain.
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Heel pain is an extremely common complaint with several common causes.
1. Plantar fasciitis (the most common cause)
2. Baxters nerve compression (a rare cause)
3. Fat pad atrophy
4. Achilles tendonitis
5. Haglund’s deformity
6. Stress fractures of the calcaneus
7. Tarsal tunnel syndrome
8. Lumbosacral spine radiculopathy
So it is difficult to determine the source of the pain and this makes diagnosis difficult or confusing. The most common cause is plantar fasciitis. Plantar fasciitis is irritation and swelling of the thick tissue on the bottom of the foot. This fascia can become inflamed and painful, making walking more difficult. Plantar fasciitis is most severe in the morning. The start up pain symptoms is more severe for the first out and persist with activity through the day. Pain symptoms will intensify with prolonged exercise or standing. There will be tenderness over the plantar medial heel with negative Tinel’s sign. X-ray may show a plantar heel spur. Plantar fasciitis is usually associated with a tight heel cord.
The Baxters nerve. It is the first branch of the lateral plantar nerve. The Baxters nerve contributes to 20% of all heel pain cases in this nerve provides motor innervation to the abductor digiti minimi muscle. The nerve courses vertically between the abductor hallucis and the quadratus plantae muscles, then makes a 90 degree horizontal turn, coursing laterally beneath the calcaneus to innervate the abductor digiti minimi muscle. Involvement of the Baxters nerve may affect running athletes causing pain on the medial plantar aspect of the foot. Entrapment of the Baxters nerve is usually overlooked or misdiagnosed.
Fat pad atrophy. The fat pad cushions the calcaneus and in the condition of fat pad atrophy, the fact that cushions the calcaneus is thinned so the calcaneus loses its cushion. This condition is common in elderly people and can cause significant pain while walking. There is always a history of steroid injections. The injections are commonly used to treat plantar fasciitis and they can cause this heel pad atrophy. Patient will have pain when walking. The pain is deep, central, nonradiating plantar heel pain that is worsened when the patient is barefoot and resolves when the patient walks on her toes, with tenderness at the central aspect of the heel pad.
Achilles tendonitis
The patient will have ankle pain for several months (chronic condition).
The patient will complain of pain and swelling because the tendon is thickened with tenderness to palpation about the top of the calcaneus.
Haglund’s deformity
The Haglund’s deformity is an insertional calcification and exostosis at the insertion of the Achilles tendon. The patient is usually treated by physical therapy and noninflammatory medication. Do not injection through the tendon, rather inject around the tendon. If the symptoms persist beyond 6 months, then surgery may be needed with excision of the Haglund’s exostosis and insertional calcification. If more than 50% of the Achilles tendon is detached to remove the posterosuperior calcaneus prominence, and the tendon becomes weak and should be secured to the bone of the calcaneus with suture anchors or tendon transfer to bridge the gap. The operation will be an Achilles tendon debridement, calcaneal exostectomy and FHL tendon transfer, especially if the tendon degeneration is greater than 50% of the width.
Stress fracture of the calcaneus
The stress fractures of the calcaneus can occur due to overuse injuries. The patient will complain of heel pain, severe weightbearing pain in the patient increases with walking and running. The pain associated with the calcaneal stress fracture does not improve throughout the day and each step is painful. The pain is more with medial to lateral compression of the calcaneal tuberosity.
Compression tests or squeeze test
X-ray can be normal. We may need to get an MRI to diagnose the stress fracture of the calcaneus.
Tarsal tunnel syndrome
Paresthesia and numbness in the plantar foot. Symptoms are worse with activity and the paresthesia may wake the patient up at night.
Ganglion cyst of the ankle (tarsal tunnel syndrome). – Known cause of tarsal tunnel syndrome. Check the MRI.
The patient will respond well and have a favorable outcome to excision of the ganglia and the patient may have resolution of the tarsal tunnel syndrome symptoms.
Lumbosacral spine radiculopathy
Pain on the lateral side of the foot can result from L5-S1 herniated disc (will cause radiculopathy). The S1 nerve root supplies the lateral aspect of the foot. Pain on the lateral side of the foot can result from L5-S1 herniated disc. The S1 nerve root involvement causes decreased sensation and pain on the lateral aspect of the foot. Video Rating: / 5
