heel pain (plantar fasciitis) treatment protocol - worcester, ma
DESCRIPTION
Here is a presentation I use for patients with heel conditions. It covers plantar fasciitis, plantar fibroma, Achilles tendonitis, Haglund's deformity, posterior tibial tendonitis, Severe's Disease. To get access to the full presentation and the links please visit www.drpelto.com and go to the Foot Pain Toolkit.TRANSCRIPT
![Page 1: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/1.jpg)
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?
![Page 3: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/3.jpg)
● Medial Calcaneal Neuritis● Bursitis
Treatment
![Page 4: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/4.jpg)
Haglund's Deformity
Treatment
![Page 5: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/5.jpg)
Achilles Tendonitis
Treatment
![Page 6: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/6.jpg)
Sever's Disease
Treatment
![Page 7: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/7.jpg)
Posterior Tibial Tendonitis
Treatment
![Page 8: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/8.jpg)
Plantar Fibroma
● Cortisone Injection● Orthotics● Verapamil● Removal
![Page 9: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/9.jpg)
● Examination● X-Rays
Initial Exam
![Page 10: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/10.jpg)
Treatments
● Cold Therapy - Ice or Biofreeze● NSAIDs (Naproxen 500mg - 2x a day)● New Shoes - Asics, New Balance
![Page 11: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/11.jpg)
Trigger Point Tools, Foam Roller or Physical Therapy
![Page 12: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/12.jpg)
Stretching
![Page 13: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/13.jpg)
Procedures
● Injection (3 are the limit)● Physical therapy - Graston and
taping
![Page 14: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/14.jpg)
Deep Heel Cup - Needs to be part of orthotic to reduce abnormal motion
Orthotics and Heel Lifts
![Page 15: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/15.jpg)
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
![Page 16: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/16.jpg)
Phase 2
● Cast Walking Boot ● Crutches● Discuss Surgery
![Page 17: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/17.jpg)
Surgical Repair
TOPAZ - Procedure to reduce inflammation
Haglund's Repair - Reduce bump on back of heel
Video
After Surgery
![Page 18: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/18.jpg)
Other Therapies
PRP Injection
Shockwave Therapy
![Page 19: Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA](https://reader034.vdocuments.us/reader034/viewer/2022051513/547dca2eb47959b1508b49bf/html5/thumbnails/19.jpg)
Surgery Preparation