Heel Pain: Most Commonly asked Questions
Many people complain of heel pain that is worse with the first step in the morning. What is the usual cause of this?
Pain that increases with the first step in the morning and then decreases as the day goes on is usually associated with a heel spur. This is caused by a foot that flattens excessively. There is a tendon that is on the bottom of the foot, which runs from the heel to the toes (called the Plantarfascia). The function of this tendon is to assist in pulling the arch up once it comes down. If the person’s foot flattens excessively this tendon is torn. These are usually very small tears that begin to heal overnight. When taking the first step in the morning this tendon re-tears. Inflammation and calcification of this area leads to the formation of a point of bone called a heel spur.
What are the treatments for heel spurs?
The treatment consists of initially ruling out other possible causes for heel pain, such as a stress fracture. This is done with the use of an X-ray. The arch is the taped to prevent any stress on the plantar tendon. The patient is allowed to walk for several days and the re-evaluated. If the patient responds with 70% to 80% improvement from this taping, chances are good that a properly fitted orthotic will alleviate their discomfort. If they do not respond well, several cortisone injections may be utilized to calm this area. Once the heel pain is calmed, a properly fitted orthotic will then be utilized.
This information is given to you in the interest of better foot health. Please share this information with friends and family. For more information, call (201) 261-9445.
NJ Foot and Ankle Centers
550 Kinderkamack Road, Suite 202
Oradell, NJ 07649
Disclaimer: This information was directly from the NJ Foot and Ankle Centers pamphlet and I give them full credit for it. Please call the above number for more information on the subject.