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Heel pain - when heel pain won't go away
New England Foot & Ankle, P.C.
New England Foot & Ankle, P.C. is located in
New England Foot & Ankle, P.C. is located
the Courthouse office complex on Parkhurst
on Merrimac Street, approx 1/2 mile west from
Road behind Wal-Mart. Follow the signs to
downtown Newburyport (towards Amesbury).
Gold’s Gym. Our office is in the yellow building
Parking and entrance at rear of building. Enter
(the second building) on the left, just past the
We Can Help
We accept most managed care plans and private
insurances, Check, Cash and major credit cards
Heel Pain Has Many Causes
We treat all types of adult and children’s foot problems, stressing preventive care
Treatment of plantar fasciitis begins with first-
and early medical intervention. Common problems that we treat are:
plantar fasciitis, a condition sometimes
line strategies, which you can begin at home.
mislabeled “heel spur syndrome”, when a spur
Stretch the calf
is present. However, there is no correlation
• Toe joint (implants) replacements • Custom Orthotics
between heel pain and the presence or absence
Avoid going barefoot.
• Children’s gait problems (intoe, outtoe)
of a spur. Heel pain can also be due to other
supportive shoes puts undue strain on the
causes, such as a fracture, tendonitis, arthritis,
nerve irritation, or rarely, a cyst. Because there
are several causes, it’s important to have heel
Putting an ice pack on your heel for 10
then your podiatrist will discuss what alternative
minutes a day helps reduce inflammation.
treatments are available, and which may be
What is Plantar Fasciitis?
Plantar fasciitis is an inflammation of the band
Treatment for Chronic Heel Pain
of tissue (plantar fascia) that extends from the
anti-inflammatory drugs (NSAID’s such as
In our practice, we consider conventional surgical
base of the toes to the heel. The fascia first
intervention for chronic heel pain as a last resort.
become irritated and then inflamed-resulting
Instead, there are 3 minimally invasive treatments,
your foot, to help guide the technician to the
Extra pounds put extra
with excellent results (85-90%) that are available.
appropriate target area in your heel. During the
Symptoms of Plantar Fasciitis
• Autologous Platelet Concentrate (APC).
treatment, several thousand shockwaves will be
People with plantar fasciitis often describe
Qualified medical personnel will take a small
delivered to the point of maximum tenderness
If you still have pain after several weeks, see
the pain as worse when they get up in the
amount of blood from the patient, similar to
over a period of 20 minutes. Altough patients
your podiatrist, who may add some of these
morning, or after they’ve been sitting for long
giving blood for a routine test. The vial of blood is
may return to their pre-treatment levels of
periods of time. After a few minutes of walking,
placed in a specialized centrifuge that spins and
activity following the procedure, it is suggested
Padding and strapping.
Taping the foot
automatically separates the red blood cells from
that a 24 hour recovery period be considered,
walking stretches the fascia. For some people,
reduces strain on the fascia as you walk.
the plasma. A yellow material is obtained
and patients are instructed to refrain from using
the pain subsides, but returns after spending
any anti-inflammatory medication (Advil, Aleve)
containing cells called platelets, that are very
for 3 weeks post treatment. Relief is usually
injections may be used to help reduce pain
abundant with factors that aid in healing known
appreciated over the course of 3-6 months.
as “growth factors.” These growth factors are
Causes of Plantar
believed to decrease the inflammation causing
• TOPAZ Treatment
plantar fasciitis. The platelets from the patient’s
devices to fit in your shoes help to correct
own blood are injected into the area of pain in
This procedure utilizes “Coblation”, a bipolar
the heel. Patients are then fitted with a removable
walking boot, and will use crutches to prevent
technology, to ablate tissue and create small
modalities such as stretching, ultrasound
putting any weight on the heel for a short period
shallow impressions in ligaments and tendons.
of time after treatment. After that, they advance
Unlike conventional surgical procedures, TOPAZ
to sneakers, and although the range of time for
does not change the biomechanics of the foot
Allows you to maintain
pain relief is variable, it can be appreciated as
and offers minimal risk to the patient. The
procedure is done in a hospital setting under
sleeping. May help to reduce “morning pain”.
light anesthesia. No incisions are required and
• Extracorporeal Shockwave Therapy
recovery is typically 48 hours, with onset of
After local anesthetic is administered to
Although most patients (95%) respond to some
your foot, the ultrasound technician will position
combination of the above, if adequate relief has
the machine near your foot. Ultrasound imaging
not been obtained after 3 months of treatment,
will be utilized to obtain a “live” picture of
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