- Pain getting out of bed in the morning
- Pain going from sitting to standing during the day
- Pain at the end of the day
- Shoes are not comfortable
- Cannot walk barefoot without pain
Common Causes of Heel Pain
- Heel Spurs
- Plantar Fasciitis
- Poorly fitting shoes
- Equinus (tight Achilles tendon)
- Back problems (sciatica, prior back surgery)
- Tarsal Tunnel Syndrome
- Trauma (fracture, bruised heel)
- Flat Feet
- High arched feet (cavus foot)
- PAD (poor circulation)
What should you do if your heels hurt
- Change shoes-avoid flat flexible flimsy shoes, find a shoe with good support. (see our recommended shoe list)
- Try an over the counter arch support but don’t spend more than $40 for one.
- Avoid barefoot walking
- Stretch your calf (see our stretching handout)
- Give it a few days and call your podiatrist if you still have pain.
What to expect when you see your podiatrist the first visit for heel pain
- You will be asked questions about when you experience the pain, your shoes, your job, what medications you take, what treatments you have tried that have or have not helped.
- Xrays will be taken to evaluate for possible bone spurs or fractures.
- You may need an ultrasound exam to evaluate ligaments, tendons and soft tissue swelling. This is done in the office.
- In some cases a steroid injection will be recommended. Yes, they hurt, but it can be very effective.
- Your doctor may recommend custom orthotics.
- Sometimes a brace may be recommended.
- A discussion on activities to avoid.
- Sometimes physical therapy may be recommended.
- You should expect a plan which will effectively treat your pain over a 2-6 week period of time. Rarely will severe heel pain be relieved with a simple treatment. You may need a couple visits to the office to get back to 100%.
“After several visits and attempts to rid the pain in my right heel from Plantar Fasciitis, Dr. Neuhaus decided to perform the dry needling procedure. The in-office treatment worked very well, with a local injection and ultrasound he was able to perform the dry needling in about 10 minutes. After a few days, wearing a special boot, and not walking barefoot the soreness subsided, this procedure has given back my mobility in walking without pain and with less discomfort each new day. I will recommend Dr. Neuhaus to all my friends and family. Thanks to a great caring staff at Neuhaus Foot & Ankle.”