Doctor, "My Heel Hurts"

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With over 30 years of experience, Dr. Howard Finkelstein provides excellent care for those in our community.

Plantar fasciitis is one of the most common problems that we see on a daily basis in our office. Patients first present with a complaint of pain and discomfort in the heel and perhaps even in the arch of the foot. Pain can occur in one or both feet at the same time and is typically viewed as an overuse syndrome. There are several factors however that contribute to the development and evolution of plantar fasciitis. This can include the architecture of your foot, how much standing and walking you do on a daily basis, the type of terrain on which you walk, the kind of shoe you are wearing and even going around the house barefoot - since most homes today have hard flooring surfaces. 

Pain is typically experienced when arising from a sedentary position. This is because the plantar fascia contracts or shortens when we are off of our foot. As a result, when we step down on it the plantar fascia is being pulled as the foot stretches. This creates inflammation in the area where the plantar fascia attaches at the level of the heel.

Early treatment is essential. As with most problems, the longer that you experience it, the more difficult it is to remedy. Most of the time, it can be relieved with stretching and adjustment of the shoes and perhaps an over-the-counter anti-inflammatory medication. If the pain does not respond to this within an appropriate period of time, additional treatment can be rendered through your podiatrist's office. This may include a corticosteroid injection, stronger oral anti-inflammatory medication, adjustment of the shoe, accomodative insoles, and perhaps physical therapy to name a few treatment options.

In short, it is not necessary to suffer with this pain for a prolonged period of time when there are many simple remedies for this old world problem.

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