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Molly Maloof, MD

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@DoctorBase

foot

is there a cure other than surgery for heel pain
Poster
  • Complaint duration: 90 days
  • Medications: none
  • Conditions: no

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Sure there is. It depends on the diagnosis. Find a good Orthopedic surgeon in your area that specializes in foot and ankle conditions. That is where I would start.
Heel pain is most commonly caused by Plantar Fasciitis, but may have other causes. If it is plantar fasciitis, surgery is usually not necessary. (I see 15-25 new cases of this per week and only 2 of those patients required surgery in 15 years of practice). Go to my website blog and read the artical I wrote on heel pain and plantar fasciitis. www.apachefoot.com
Follow these instructions for a 95% cure rate. http://ocpodiatry.com/plantar%20fasciitis.html#anchor
Absolutely. Be very careful of many new therapies for heel pain that have no controlled clinical studies to prove effectiveness. A simple program of calf and plantar fascia stretching, anti-inflammatory medication and soft over the counter supports have studies that prove effectiveness. Weight loss and activity modification is also helpful. Be wary of cortisone injections and other treatments that sound too good to be true. This is a self-limiting problem that typically improves with time.
David Kay
Yes! Surgery is the last resort for heel pain. You should consider EPAT acoustic vibration technology for heel pain. There are no injections involved. See a Podiatrist who offers this treatment.
Corinne Kauderer
there are many treatment options for heel pain. First you must have an x-ray to rule out the obvious heel spur versus a fracture. if it is a heel spur or tendinitis sometimes physical therapy can help as well as anti-inflammatories. A good stretching program to lengthen and strengthen the tendons and ligaments in the arch of the foot will help reduce the patient's pain. Inserts can also help in cases of mechanical problems, but over-the-counter insoles are essentially useless. Seek the opinion of the podiatrist to first validate the condition and then have an appropriate treatment for the condition. Generally heel pain caused by plantar fasciitis and heel Spurs will resolve with simple treatments and time. Unfortunately it is a fracture or something more serious, you will need a cast for a period of time and/or possibly surgery. good luck.
Flavio Cordano
Surgery is the last resort but this is not a replace a visit to your doc podiatrist or Orthopedist x-ray can rule out fracture and tumor most of the time these get better in less then six moths but waiting make treatment harder all the other treatments mentioned will work with some case and should be tried before Surgery and again seeing a Doc is a good idea
Henry J. Miller
The most common cause for atraumatic heel pain is plantar fasciitis otherwise known as a heel spur.Initcially I recommend a heel cup or arch supports anti inflammatory medication with physical therapy for stretching exercises for the foot & achilles tendon.There are small massage balls to roll over the painful area to break up scar tissue as well as promote vascular ingrowth to heal the damage fascia.

I do not recommend cortisone since it reduces inflammation but prevents healing.In the event that conservative does not reduce the symptoms there are several minimally invasive procedures that are very successful . Ultrasound guided injection of PRP or more recently I have been using stem cells with very good results. The benefit of using ultrasound guidance is that it allows the physician to place the injection directly into the damage tissue, therefore increasing the rate of success. Endoscopic release of the plantar fascia will work in refractory cases.A new percutaneous procedure with ultrasound guidance uses a small instrument developed by Tenex to debrided the scar & inflamed tissue under direct visualization in minutes.

Most importantly find out why did this occur.Is it related to the shape of your foot, activities, tightness of your plantar fascia or achilles tendon otherwise the heel pain may return
Steven M. Stoller
Yes. There are cortisone injections that work well with some people, along with orthotics/arch supports.

Stretching, massage, ice therapy also help. There is also shockwave therapy that uses sound waves/pulses and that has a very high success rate. Another, minimally invasive, but non surgical, is PRP or Platelet Rich Plasma which is an injection of a patient's platelets into to heel where the plantar fascia inserts/is painful. THe platelets help with healing the plantar fascia and reducing the inflammation associated with plantar fasciitis
Kelvin A. Barry
Most heel pain is caused by plantar fasciitis but treatment is based on diagnosis.

First get a diagnosis

If it turns out to be plantar fasciitis surgery is the last thing on the list of treatments that range from wearing a good jogging shoe ,using over the counter inserts, night splint , to cortisone injection and my most successful modality of custom made orthotics.

Resistant cases require shock wave therapy

Do not wear flat shoes or flip flops