heel pain (plantar fasciitis) treatment protocol - worcester, ma

Heel Pain

● Plantar Fasciitis

● Plantar Fibroma

● Achilles Tendonitis

● Haglund's Deformity

● Posterior Tibial Tendonitis

● Sever's Disease

Top Questions● Why did I get it?● How can I get rid of

it quickly?● Do I need surgery?● When can I wear

normal shoes?

● Medial Calcaneal Neuritis● Bursitis

Treatment

Haglund's Deformity

Treatment

Achilles Tendonitis

Treatment

Sever's Disease

Treatment

Posterior Tibial Tendonitis

Treatment

Plantar Fibroma

● Cortisone Injection● Orthotics● Verapamil● Removal

● Examination● X-Rays

Initial Exam

Treatments

● Cold Therapy - Ice or Biofreeze● NSAIDs (Naproxen 500mg - 2x a day)● New Shoes - Asics, New Balance

Trigger Point Tools, Foam Roller or Physical Therapy

Stretching

Procedures

● Injection (3 are the limit)● Physical therapy - Graston and

taping

Deep Heel Cup - Needs to be part of orthotic to reduce abnormal motion

Orthotics and Heel Lifts

Air Heel - to reduce pressure during the day when walking

Night Splint - to reduce pain with 1st step after sitting or in morning

Plantar Fascia Support - provides and continuous support to the heel region

What's Next Shoe Stores

Phase 2

● Cast Walking Boot ● Crutches● Discuss Surgery

Surgical Repair

TOPAZ - Procedure to reduce inflammation

Haglund's Repair - Reduce bump on back of heel

Video

After Surgery

Other Therapies

PRP Injection

Shockwave Therapy

Surgery Preparation