Hi, we’re going to talk about pain in the back of the heel today. so what we’re talking about is pain at the very back portion of the heel. We’re not really talking about the Achilles tendinitis and if we look over here at this picture here’s the Achilles tendon coming in attaching into the back of the heel. If you have pain up in this area, do a search for our page. Go to the website, do a search for Achilles tendinitis, and you’ll find another tutorial and a lot of information on that.
Really what we’re talking about now is pain right at the back of the heel. so there’s a few things that will cause pain in this area. Certainly, you can have an inflammation of the Achilles tendon where it attaches in here. There’s what’s called the bursa between the bone and the tendon that acts as a little bit of cushiony. That can become inflamed, and sometimes this bone will become enlarged itself trapping that tendon between the shoe and the bone. So when we try and treat pain at the back of the heel, there’s a couple.
Of things we need to do. Number one, certainly we need to get rid of the inflammation. So we might use ice, we might use some antiinflammatory medications. We’re very resistant to do any sort of injection in that area that can weaken the Achilles tendon and that’s certainly something you don’t want to do. In addition, we want to get pressure off of this area. So you get pressure off of it by choosing shoes appropriately, doing some stretching on shoes, and sometimes.
We’ll do a little modification of the shoe to get pressure away from this area. will often use some sort of orthotic device that will stop the foot from moving so much. That decreases friction against the back of the heel. So friction it’ll play a big role there, and sometimes we’ll put special patches that decrease friction on the back of a shoe to stop friction in this area. Rarely, but sometimes if the bone is enlarged, we do have to go in surgically and make that bone somewhat smaller so that.
The tendon and the bone is not trapped against the shoe. surgery should always be your very, very last resort. Again, go to our website, do a search for pain on the back of the heel. You’ll find information of both conservative and surgical treatment for this problem. But again, surgery should be your last resort. If you’re in our area, make an appointment to see us and we can give you the best conservative treatment along with the surgical treatment. If you’re.
Heel Spur Treatment How to Avoid Heel Spur Surgery Seattle Podiatrist
Hi. i want to talk for a few minutes about heel spurs, mainly because i keep getting patients coming into my office that have been told they have a heel spur and they think they need surgery for it. So, before we talk about heel spurs, we have to spend a minute talking about the condition, plantar fasciitis, which is the most common cause of heel pain in the foot. Now, the plantar fascia is this thick ligament that runs from here up to your toes. If your foot is flattening.
More than it should, as it flattens, it gets longer. and as it gets longer, if you look at these bottom pictures, that plantar fascia goes from quite loose to quite tight. So, it tugs back here on the heel and causes pain in that region. Now, over many years, tugging on that plantar fascia can result in a heel spur. There’s a law of physiology called Wolff’s law that says, if you tug on bone for a long enough period of time, you’ll develop a spur here.
So, you have a lot of patients that have heel pain. they go somewhere, maybe an urgent care , and get an xray, and it’s seen that they have a heel spur. They’re told that the heel spur causes the pain. But in fact, the spur doesn’t cause any pain. The spur is just a reaction to the bone. What’s causing the pain is the tight plantar fascia. So, if you’ve been told you have a heel spur and you’re told you need surgery for, get a second, third or fourth opinion. You probably do not need surgery. This problem rarely,.
Rarely needs surgery. What we do need to do is to take tension off of the plantar fascia so it is not tugging so hard on this region. And there are some simple ways to do that. You want to wear good shoes. So, if you just go to our website and do a search for shoes, you’ll find our list of recommended shoes. We update it every year. There are athletic shoes, basketball shoes, hiking boots, sandals and dress shoes; any type of shoe you’re looking for.
Number two is, we want to make sure we’ve got good arch support under the foot to stop that foot from going down. By doing so, you take tension off the plantar fascia, and then it doesn’t matter if you have a heel spur. You won’t have pain down there. So, this is a good overthecounter support. If you just go to our website and do a search for, home care or self care of heel pain, you’ll find our recommendation on the best overthecounter arch supports for heel pain and plantar fasciitis. You’ll find some for athletic shoes. You’ll.
Find others that are made for dress shoes. And then if that’s not enough, you’d see a podiatrist. There are a lot of ways to treat heel pain. Again, on the website, we go over that in great detail. I don’t want to oversimplify this right now. But one of the things we may end up doing is making you a custom orthotic that grabs the arch tighter so it takes more tension off of the plantar fascia. Again, by stopping that tugging, in most cases, you can eliminate the pain in that region. Or.
At least it plays a big role in helping people get over the problem. Again, I don’t want to oversimplify that. There are a lot of different treatments for plantar fasciitis. But the big one I want to emphasize here is you probably do not need surgery, even if you do have a heel spur. Heel spurs do not cause pain. All right, so that is it right now on heel spurs. Like I said, there are a lot more information on the website. Just search for, heel pain. And if you like these tutorials, please subscribe.