Plantar fasciitis, heel pain and heel spurs
Usually pain is located directly underneath the heel and is worst when getting out of bed in the morning. Once you warm up and get moving the pain often settles. The pain can also return after periods of rest or non weight bearing. Over time without treatment this pain can become worse and scar tissue can develop. The pain starts as a niggly discomfort and over time becomes more severe which may lead to limping. This limping may lead to other part of the body becoming painful or injured. This type of pain is often diagnosed as plantar fasciitis. Plantar fasciitis is usually detectable on ultrasound and occasionally troublesome heel spurs may be present. More often than not the plantar fascia is the structure that causes pain rather than the heel spur itself.
Some of the causes of heel pain:
- Foot posture related (ie. a pronated or supinated foot type)
- Muscle tightness in the calf.
- Inappropriate runners (ie. runners with too little or too much rear or midfoot control)
What our assessment involves:
- Custom orthotic prescription to correct foot posture, reduce pressure and strain through the plantar fascia.
- Dry needling to improve muscle length and reduce contractures
- Fitting of cam boots for plantar fascia tears