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 quot;shoes,quot; 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, quot;home care or self care of heel pain,quot; 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, quot;heel pain.quot; And if you like these tutorials, please subscribe.
KT Tape Plantar Fasciitis
Hi this is Chris Harper, here with Makayla to demonstrate an application for plantar fasciitis. This is where you have pain located on the underside of the heel, or arch of the foot. This may be caused by shortening, tightening, or inflammation of the connective tissue bands under the foot. This may be due from over training, poor fitting or worn shoes,.
Weight gain, over pronation, or abnormal foot structure. KT Tape helps treat this condition by offering support, and resting the tissues. For this application We’re going to cross our foot and ankle over our other knee, and we’re going to place the ankle in an up position, and same with the toes. We’re going to go into extension like this. Okay, we’re going to take our first full strip,.
And we’re going to twist and tear the paper backing to create an anchor point. We’re going to place this just behind the toes, and we’re applying this with absolutely no stretch on that piece of the tape. We’re going to make sure our toes stay in as much extension as we can hold. As we peel the paper off, we’re going to apply this with fifty percent stretch, So if you stretch out a hundred percent and back halfway off, We’re going to apply this now to the bottom of the heel, and then up and around the backside of the heel along the achilles tendon.
For the last part of this we’re going to apply that last bit of anchor with no stretch. Okay, we’re going to tap that bowstring of tape down to the bottom of the foot, and then rub that on really well so that it creates a little friction and heat, and adheres to the skin. Okay for our next piece, We’re going to take and tear and again create an anchor point, by twisting the paper backing and tearing that off. Okay, we need to measure this piece by going to the opposite or outside part of the foot.
Just in front of the heel, going up underneath the heel, and applying that anchor down with no stretch whatsoever. Okay, now we can peel that paper backing off. We’re going to lay this tape down to about where that ankle bone juts out. And then from there we’re now going to apply a bit of stretch nice and evenly throughout the tape. With about eighty percent stretch, we’re going around the heel, and then applying the opposite side.
With absolutely no stretch, so the end of that tape has no stretch on it. Okay, I’m going to give that a good rub to create some friction, some heat, to get it to adhere to the skin well. We’re going to take our last full strip, again twisting and tearing the paper backing. This time we’re going to apply this just behind, and on a slightly steeper angle than that first piece. Applying that anchor with absolutely no stretch on the tape and.
Peeling that paper backing off. From here we’re going to apply eighty percent stretch, just once we get below the ankle and around the foot underneath the arch. We apply the anchor end with absolutely no stretch. Now from here we’re just going to have to apply some really good friction as the ankle moves around quite a bit. This creates some heat and good adhesion to the skin. That looks great.