Heel Pain Treatments

Heel pain is one of the most common complaints in foot pain. It can be the result of many conditions such as plantar fasciitis or Achilles tendinitis. Plantar fasciitis occurs underneath the heel, and Achilles tendinitis is caused by the Achilles tendon (where the tendon is attached to the heel bone). Heel pain is easily treatable, and it rarely requires surgery.

Self Care

• If heel pain is manageable, there are non-invasive treatments available. These treatments include rest, ice, better adapted shoes, foot supports and medication. Avoid activities that may put repeated stress on your heels, such as running. When pain becomes severe, ice packs can help alleviate pain. According to the Mayo Clinic, replace your shoes every six months, or after every 500 miles. This is especially true for athletes. Foot supports can help provide relief, and medications such as aspirin or ibuprofen can help reduce swelling and inflammation.

Plantar Fasciitis Treatments

• Plantar fasciitis treatments include many options. Medications such as Aleve or Advil can ease symptoms. Corticosteroids also can be applied to the area. In a process known as iontophoresis, a corticosteroid solution is applied. According to the Mayo Clinic, once the solution is administered, this medication becomes absorbed into the skin with the help of an electrical current that is applied to the heel.

Therapy

• Therapy can include physical therapy in order to help stretch out the Achilles tendon or plantar fascia. Leg muscles can also be strengthened, which can help develop stronger ankles and heels to prevent any heel pain. A doctor may recommend the use of a night splint, which can immobilize the tendon and plantar fascia as you sleep. As a result, the tendon and fascia can stretch without causing pain.

Other Treatments

• Surgery is a last resort if the options are not offering relief. According to the Mayo Clinic, few individuals need surgery to sever the plantar fascia from the heel bone. This may be necessary to relieve severe pain. However, as a result of the procedure, the arch of the foot may become weakened.

Extracorporeal Therapy

• Extracorporeal shock wave therapy is a procedure where sound waves are placed directly at the site of pain. These shock waves help promote healing. This type of treatment may be needed if symptoms of plantar fasciitis have not been resolved by other means. Extracorporeal shock wave therapy has many side effects, and you should discuss whether this type of treatment may be right for you with your doctor due to such side effects. Side effects can include numbing and tingling, burning, pain, swelling and bruising. According to the Mayo Clinic, it is unknown if extracorporeal shock wave therapy is even an effective form of therapy.