Heel Pain
Heel pain (i.e. plantar fasciitis, heel spur syndrome) is one of the most common conditions seen by Podiatrists.
Plantar fasciitis is a soft tissue injury, whereby the plantar fascia experiences inflammation. The plantar fascia is a broad band of tissue that starts at the heel and extends to the ball of the foot. Irritation of the fascia can occur anywhere between these two points but usually is localised to the medial aspect (inner part) of the heel.
The plantar fascia plays a crucial role in stabilising the arch of the foot and also, providing adequate shock absorption when performing any activity. However, this also means it is susceptible to injury due to overuse, and can be difficult to heal as we constantly require to use our feet.
An estimated 4-7% of the population experiences this condition. It is commonly seen in very physically active individuals or those with high amounts of standing occupational work. People who have been sedentary for a while and suddenly commence physical activity (e.g. gym training, fitness boot camp) are prone to developing this injury also.
Causes of heel pain may include one or more of the following factors:
Poor lower limb biomechanics.
Poor flexibility and/or strength.
Muscle tightness.
Incorrect footwear.
Sudden change in level of physical activity.
Increase in body weight.
Treatment
Each individual responds to treatment differently and the time it takes to repair can vary dramatically. With plantar fasciitis, both short and long term management plans are required as the risk of re-injury is very likely.
We will perform a biomechanical assessment on you and you may require one or a number of the following treatment options:
Footwear advice.
Taping.
Orthotic therapy.
Stretching exercises for the plantar fascia, calf and shin muscles.
Strengthening exercises of the muscles associated with the plantar fascia.
Soft tissue massage therapy.
Dry needling.
Splinting or immobilisation devices.