Close up lateral x-ray view, showing:
Calcaneal spur formation
Calcaneodynia: Pain at the heel occurring with the first step taken in the morning, or when arising from a resting position.
Self-Treatment of Heel Pain.
- Initial consideration of shoe wear pattern, shoe selection (shoe should be stiff to twisting and bending), rest/restrict activity level.
- Over the counter anti-inflammatory medication if tolerated.
- ice for 3-6 minutes before and after activities.
- Drug store heel cup.
General Approach to Podiatric Treatment.
- [Explanation of Heel Pain][ACFAS Brochure on Heel Spur/Plantar Fasciitis].
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Initial Protocol of Professional Treatment
| Description | Purpose | Duration |
|---|---|---|
| Physical Therapy | Stretching and strengthening, modalities and taping | 4 Visits |
| Plantar Fascial Night Splint | Pre-stretch plantar fascia during sleep | 4-6 Weeks |
| Injection Therapy | Infiltration of cortisone and local anesthetic | 1 Visit |