My Blog

Posts for tag: Heel Pain

By JAY MERMELSTEIN, D.P.M.
March 06, 2019
Category: Foot Condition
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By JAY MERMELSTEIN, D.P.M.
May 02, 2016
Category: Foot Care
Tags: Heel Pain   Cryosurgery   Surgery  

CryotherapyWhen your feet hurt, your entire body hurts, especially when you're suffering from painful neuromas or heel pain caused by plantar fasciitis. Generally, rest, anti-inflammatory medications, physical therapy or orthotics can effectively treat the pain. But when these conservative treatments aren't enough, chronic heel pain may require surgical treatment.

At our practice, we can treat irritating heel pain and get you back to your active lifestyle quickly with a new, fast-acting procedure known as Cryosurgery. For decades, this technique has been used for various areas of the body and is now proving to be very successful at helping treat and manage foot and ankle conditions.

The Procedure

Also known as Cryotherapy, Cryosurgery is a minimally invasive procedure performed comfortably in our office in just one appointment to alleviate pain and nerve problems of the foot.

Using localized freezing temperatures to deaden the irritated nerve, the treatment involves inserting a probe into the tissue of the foot. The extreme freezing temperatures produce an anesthetic effect, reducing inflammation to the site and causing a mild "numbing" effect for as long as it is applied. The freezing inactivates the nerve and, as a result, painful nerve irritation is relieved.

Benefits of Cryosurgery include:

  • Painless procedure
  • Use of local anesthetic
  • In-office performed procedure
  • Minimal to no downtime from walking, work and other activities
  • Decreased use of pain medications that can cause complications
  • No stitches, hospitalization or sedation are required

Cryosurgery has proven to be an effective and popular alternative for treating many chronic and painful foot ailments that involve irritation of an isolated nerve of the foot. If you're looking to get rid of your heel pain, but haven't had much success with conservative treatments, visit our office and find out if you are a good candidate for Cryosurgery.

By Jay Mermelstein, D.P.M.
October 02, 2014
Category: Foot Care
Tags: Heel Pain  

Heel pain is one of the leading problems that cause patients to visit their podiatrist, and it’s no wonder. The relentless ache in the bottom of your foot or the sharp pain as you step out of bed in the morning is often enough to persuade even the most stubborn patient to make an appointment with his or her podiatrist.

Because there are many potential causes of heel pain, such as a stress fracture, tendonitis, nerve damage or arthritis, it’s important to have your foot examined by a podiatrist with expert training in heel pain. Jay Mermelstein, D.P.M. will examine your foot, determine the underlying source of your heel pain, assess your symptoms, make a proper diagnosis and recommend a treatment plan based on your individual case. Early diagnosis and treatment can help prevent more serious problems.

Plantar fasciitis is the most common cause of heel pain, occurring when the thick band of tissue (plantar fascia) that connects the heel to the toes becomes irritated and inflamed. When the plantar fascia is strained over time beyond its normal extension, tissues of the fascia may tear or stretch, which leads to pain.

Faulty foot structures, such as flat feet or high arches are common causes of plantar fasciitis. Non-supportive shoes and increased weight or strain may aggravate the condition as well.

Common symptoms of plantar fasciitis include:

  • Bottom of the heel pain
  • Pain that intensifies after sitting for extended periods of time and subsides after a few minutes of walking
  • Pain that worsens over a period of months

Most types of heel pain, once properly diagnosed, can be successfully treated with conservative measures, such as use of anti-inflammatory medications and ice, rest, stretching exercises, orthotic devices, footwear modifications, and physical therapy. The longer heel pain is allowed to progress, the longer treatment can take. When plantar fasciitis doesn’t respond to conservative care, your podiatrist may recommend surgery as a last resort.  Always seek care from our East Windsor office for heel pain in its earliest stages for proper treatment.