heel pain

Heel Pain?

The adult foot is a complicated part of the body with many tendons, ligaments and bones. One of the most common foot complaints is heel pain. The most common cause of heel pain in adults is plantar fasciitis, which is an inflammation of the plantar fascia (a ligament connecting the heel to the toes that fans out under the bottom of the foot). This condition can be seen in people with either flattened or high arches and risk factors include obesity, standing for long periods of time, and certain exercises.

Most people with plantar fasciitis complain of pain when taking the first step in the morning as well as pain when standing, after sitting for long periods of time. Sometimes the pain is restricted to the heel area and sometimes it can fan out along the bottom of the foot. Luckily, treatment is typically non-surgical. Your podiatrist may recommend rest and ice to help with pain, stretching, custom orthotics, physical therapy, or corticosteroid injections. If none of the above relieve pain, surgery can be a last resort. This may entail cutting a small part of the plantar fascia and sometimes can even be done utilizing a minimally invasive technique with a small camera. Don’t let heel pain slow you down.

Call Quality Foot Care today at 215-230-9707 to Visit with Doylestown’s community podiatrists. We will be happy to discuss the condition in detail with you and get you back on your feet!


Why is My Child Limping: A Guide To Children’s Heel Pain

Pediatric heel pain is a common occurrence because a child’s feet are constantly growing. The bones in the foot of a child between the ages of 8 and 14 grow faster than the tendons, and the calcaneus, or heel bone, doesn’t fully develop until age 14. Until the calcaneus forms, new bone will grow in the area of the growth plate. There is also uneven development of the heel cord and leg bone, resulting in the heel cord pulling on the growth plate. This is the root of most of the heel pain children will experience, however, there are various other causes, including:

  • Sever’s Disease, an inflammation of the heel’s growth plate which occurs because of muscle strain and repeated stress
  • Tendo-achillies Bursitis, an inflammation of the fluid-filled sac  (bursa) between the Achilles tendon and heel bone, which is caused by injury, juvenile rheumatoid arthritis, or wearing improper footwear
  • Stress fractures, which are hairline breaks resulting from repeated stress on the bone
  • Frequent irritation caused by running on hard surfaces
  • Achillies tendonitis, inflammation of the achillies tendon caused by intensive or repeated exercise which is stressful on the tendon
  • Plantar faciitis, a strain of the plantar fascia ligament that connects the heel bone to the toes, which can be caused by various conditions and occurrences

The following are the symptoms and warning signs of pediatric heel pain:

  • Limping
  • Walking on the toes
  • Pain in the bottom of or back of the heel
  • Difficulty taking part in sports

If you believe your child is experiencing heel pain, it may be time to give Dr. Ken Lefkowitz of Quality Foot Care a call at 215-230-9707. Diagnosing the underlying cause of pediatric heel pain is a challenging task which requires a trained professional, and early intervention is necessary to avoid a lifetime of discomfort. Dr. Lefkowitz and his staff would be happy to schedule an appointment at their Doylestown office.

New Foot Spray or Magic: Is There a Solution for High Heel Pain?

Lady Gaga in one of her many crazy pairs of heels at the MuchMusic Video Awards.

After last week’s blog post, you know that high heeled shoes and pain are synonymous, but before you throw out your favorite pair of stilettos, listen to this:  a new company called Biochemistry has developed a foot spray that supposedly relieves high-heel pain.

Heel No Pain, as it will appear in stores, is set to be released in less than two weeks. It will be available at Walgreens and Footlocker in two sizes: 1-oz for $15 or a larger tube for $32. It is most likely another expensive product with false claims, but there is some science behind it: it is a painkiller with a heat treatment that allows it to penetrate the skin. Unlike when getting an injection, Heel No Pain allegedly does not take away protective pain reflexes. The main ingredient is a common anesthetic, Lidocaine, and the product is already FDA approved.

To take advantage of the benefits of Heel No Pain, you must spray your foot with it 10 to 15 minutes before heading out in your heels (or any other shoe that gives you discomfort, for that matter) to allot time for it to kick in. The product’s claim is that you will then be able to experience 2 to 3 hours of pain-free walking. The properties of this spray seem almost magical, and since it is so new, it should be interesting to monitor how effective it is in providing pain relief.

If you have any questions, or would like a professional opinion on new products like Heel No Pain, call Dr. Lefkowitz at 215-230-9707, or schedule a visit at his Doylestown office, Quality Foot Care.