Plantar Fascitis (HEEL PAIN)


Heel Pain medically known as Plantar fascitis is a very common condition in today’s fast paced lifestyle.Apart from plantar fascitis there are other causes of heel pain as well.

8 causes of Heel Pain

Plantar fascitis
Heel spur
Calf strain
Achilles tendonitis
Heel neuritis
Heel bursitis
Due to wearing high heels
Stress fracture of the calcaneus

What are the symptoms of Plantar Fascitis?

Severe pain and swelling over heel
Numbness or tingling in the heel
You are unable to walk normally
You can’t stand on the back of the foot
Morning Pain in the heel
Difficulty in walking

Diagnosis

TThe therapist will ask the patient how much walking and standing the patient does, what type of footwear is worn, and details of his/her medical history.Often this is enough to make a diagnosis.

Physical Examination

On physical examination, patients may walk with their affected foot in an equine position to avoid placing pressure on the painful heel.Palpation of the medial plantar calcaneal region will elicit a sharp,stabbing pain.Passive ankle/first toe dorsiflexion can cause discomfort in the proximal plantar fascia; it can also assess tightness of the Achilles tendon.Other causes of heel pain should be sought if history and physical examination findings are atypical for plantar fascitis.

PHYSIOTHERAPY MANAGEMENT

Cryotherapy15-20min. for reducing pain and swelling.

Ultrasonic therapy

TENS(Transcutaneous Electrical Nerve Stimulation)

Plantar fascia stretching

Calf stretches

Ankle strengthening exercises

Advanced Physiotherapy

Myofascial Release

Dry needling

Taping

IASTM

Prevention

Dont’s

Avoid wearing high heels.

Avoid prolonged standing.

Avoid running.

Avoid walking on uneven hard surfaces.

Do not walk bare foot even at home.

Avoid driving for long hours.

Do’s

Do stretch your calves muscle twice daily.

Do wear comfortable shoes with soft and spongy insoles.Use silica gel heel cushion.

Do take rest while prolnged standing or walking.

Inputs from Dr. Chakshu & Dr. Pankaj (Physiotherapist, Pain Free Zone) West Delhi & Faridabad.