Heel Pain

Heel painHeel pain is often placed under an umbrella of ‘policemans heel’, however as anyone with heel pain knows – it is not unique to the professional police service, nor is it minor problem – it can be debilitating and can become chronic if left untreated. Here are some common offenders:

  • Plantar fasciitis – inflammation of the long fibrous fascia under the arch of the foot, often where it inserts under the heel bone.
  • Sub-calcaneal bursitis – a bursal sac benealth the heel bone which becomes painful and inflamed.
  • Severs Disease – a painful heel condition often experienced in the juvenile at the location of the growth plate on the heel bone.
  • Nerve-related pains – Nerves pass around the ankle joint and then pass near the heel.  Pain can be due to local irritation of these nerves, or even due to irritation or compression further up the nerve.

We therefore have a stepped approach to treating heel pain:

Step 1 – Initial assessment – We undertake a history including a medical history, condition history and lifestyle history.

Step 2 – Diagnostics – We undertake specific diagnostic tests in clinic to ascertain which type of heel pain we think you may have.  We may refer you on for further diagnostic testing including imaging or may conduct further diagnostic biomechanical assessments.

Step 3 – Conservative treatments for heel pain may include footwear adaptation, lifestyle advice, exercise plans, stretching and strengthening.  We may advise on ways to reduce inflammation, provide strapping, padding.  We may offer treatments such as Low Level Laser therapy.

Step 4 – Some people may require specialist devices such as orthoses (orthotic insoles) or may need referral for manual therapy such as physiotherapy or other multidisciplinary referral.

Step 5 – For non-resolving heel pain we will arrange for onward referral to a suitable consultant for assessment of your heel pain.  Advanced treatments for heel pain include injection treatments, extracorporeal shockwave therapy or surgical interventions.

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