Corns, Heels and Nails / Heel Pain

Heel pain is a common condition treated amongst podiatrists and can involve injury to the bone, fat pad, ligaments, tendons or muscles. Heel pain includes pain at the base, sides and back of the heel.

  • Common Conditions
    • Achilles Tendinopathy
    • Plantar Fasciitis
    • Sever’s syndrome
  • CAUSES
    • Excessive rolling in of the feet
    • High arches
    • Overuse eg too much running
    • Trauma
    • Poor Footwear
  • SYMPTOMS
    • Pain in the base, sides or back of the heel
    • Pain with the first few steps of the morning
    • Pain after a prolonged period of non-weight-bearing
    • Pain after long periods of weight-bearing
  • TREATMENT

    ORTHOTICS – helping to realign the foot posture and supporting the arch to relieve stress or strain placed upon the plantar fascial band.

    ICING – Apply ice to the affected area for 20 minutes, remove for 10 minutes and repeat. Often a frozen water bottle is the best option for icing plantar fasciitis.

    FOOTWEAR – shoes with a firm heel counter, fasteners and supportive and cushioning soles. Speak to your podiatrist for further footwear education and advice.

    STRETCHING/STRENGTHENING – stretching of the calf muscles is a primary factor involved with healing of the plantar fascia. Calf stretches should be held for 3 x 30 seconds, twice daily unless prescribed otherwise. A podiatrist will demonstrate and recommend an appropriate stretching regime.

  • What can a Podiatrist do for Plantar Fasciitis?
    • Obtain a thorough history of the events leading up to the onset, often the contributing factors that triggered the onset can be identified and hence remedied.
    • Conduct a thorough physical examination to confirm the diagnosis of Plantar Fasciitis.
    • Evaluate any intrinsic and extrinsic factors which may have contributed to the condition.
      • Intrinsic factors include poor foot mechanics, poor physical condition eg increased weight, training load, walking and running technique issues.
      • Extrinsic factors include incorrect/worn out footwear, training terrain.
    • Formulate a management plan for your specific presentation, this may include:
      • Short Term Management
        • Goal is to provide relief of pain in both acute and chronic cases.
        • Taping to unload the plantar fascia.
        • Manual Therapy to the foot and ankle, including mobilisation of stiff joints and release of tight muscles in the foot and lower leg.
        • More specific self management strategies targeted to your individual condition.
        • Advice on appropriate footwear to assist in your recovery.
      • Longer Term Management
        • For more persistent/chronic cases, or in those with higher risks of recurrence.
        • Exercises to retrain and strengthen specific foot muscles.
        • Orthotic Therapy to correct poor foot mechanics and unload the plantar fascia.
        • Additional options may include Night Splinting, Shockwave therapy or Dry Needling.
        • Referral for more invasive medical management such as injections and surgery is avoided and treated as a last resort option.
  • Common Conditions
    • Achilles Tendinopathy
    • Plantar Fasciitis
    • Sever’s syndrome
  • CAUSES
    • Excessive rolling in of the feet
    • High arches
    • Overuse eg too much running
    • Trauma
    • Poor Footwear
  • SYMPTOMS
    • Pain in the base, sides or back of the heel
    • Pain with the first few steps of the morning
    • Pain after a prolonged period of non-weight-bearing
    • Pain after long periods of weight-bearing
  • TREATMENT

    ORTHOTICS – helping to realign the foot posture and supporting the arch to relieve stress or strain placed upon the plantar fascial band.

    ICING – Apply ice to the affected area for 20 minutes, remove for 10 minutes and repeat. Often a frozen water bottle is the best option for icing plantar fasciitis.

    FOOTWEAR – shoes with a firm heel counter, fasteners and supportive and cushioning soles. Speak to your podiatrist for further footwear education and advice.

    STRETCHING/STRENGTHENING – stretching of the calf muscles is a primary factor involved with healing of the plantar fascia. Calf stretches should be held for 3 x 30 seconds, twice daily unless prescribed otherwise. A podiatrist will demonstrate and recommend an appropriate stretching regime.

  • What can a Podiatrist do for Plantar Fasciitis?
    • Obtain a thorough history of the events leading up to the onset, often the contributing factors that triggered the onset can be identified and hence remedied.
    • Conduct a thorough physical examination to confirm the diagnosis of Plantar Fasciitis.
    • Evaluate any intrinsic and extrinsic factors which may have contributed to the condition.
      • Intrinsic factors include poor foot mechanics, poor physical condition eg increased weight, training load, walking and running technique issues.
      • Extrinsic factors include incorrect/worn out footwear, training terrain.
    • Formulate a management plan for your specific presentation, this may include:
      • Short Term Management
        • Goal is to provide relief of pain in both acute and chronic cases.
        • Taping to unload the plantar fascia.
        • Manual Therapy to the foot and ankle, including mobilisation of stiff joints and release of tight muscles in the foot and lower leg.
        • More specific self management strategies targeted to your individual condition.
        • Advice on appropriate footwear to assist in your recovery.
      • Longer Term Management
        • For more persistent/chronic cases, or in those with higher risks of recurrence.
        • Exercises to retrain and strengthen specific foot muscles.
        • Orthotic Therapy to correct poor foot mechanics and unload the plantar fascia.
        • Additional options may include Night Splinting, Shockwave therapy or Dry Needling.
        • Referral for more invasive medical management such as injections and surgery is avoided and treated as a last resort option.

Also consulting at

  • Millicent
  • Kingston SE
  • Edenhope
  • Bordertown
  • Lucindale
  • Casterton
  • Keith
  • Robe
  • Coleraine
  • Penola
  • Beachport
  • Hamilton
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