Foot and heel pain
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Transcript of Foot and heel pain
Dr. A.MOHAN KRISHNA
M.S.ORTHO, MCh ORTH(U.K)Consultant Trauma, Arthroscopy, Arthroplasty Surgeon Apollo hospitals, Hyderabad
Consultant Orthopaedic Surgeon at
www.healthyjointclub.comwww.bonesandjointsclinic.com
DISCLAIMER
This presentation is solely for educational purpose. The material included in the presentation represents educational material for the patients and not intended for any treatment purpose
PLANTAR FASCIITIS
Most common cause of foot & heel pain
It is due to irritation and inflammation of tight tissue that
forms the arch of the foot
COMPLAINTS
Pain under the heelSevere pain & inability to
walk in morning after getting from sleep
Same pain in heel after sitting for long time and
getting up to walk
Pain gets better after taking few steps
Worsening pain after prolonged standing/walking
DIAGNOSIS
Tenderness / pain at the bottom of heel on pressing
X ray may show a bony spur .But it may not cause any
symptoms
POSTERIOR HEEL PAIN
POSTERIOR HEEL PAIN
Pain behind the foot rather than underneath
Causes are 1. Achilles' tendinitis
(Irritation of tendon)2. Retrocalcaneal bursitis
COMPLAINTS
Pain behind heel
Severe pain & inability to walk in morning after getting from sleep
Pain gets better after taking few steps
DIAGNOSIS
-Tenderness / pain back of heel on pressing-bony or firm hard swelling may be seen on back side of heel
-X ray may show a bony spur back of heel bone .-But it may not cause any symptoms
TREATMENT OPTIONS
• Anti-inflammatory medications
• Exercises & stretches
• Ice packs• Rest
Shoe inserts Injectio
n therapy
SurgeryWeight reductio
nNot all of these treatments are appropriate for every condition, but they may be helpful in your situation.
TREATMENT OPTIONS
Rest
• Avoid precipitating activity
• Take few days off jogging prolonged standing/walking.
• Can reduce severity of pain & allow inflammation to cool down.
Ice packs
• Can reduce severity of pain
• Usually helpful in acute conditions.
Anti inflammatory medications
• Decreases pain• Reduces
inflammation
TREATMENT OPTIONS
Modified Foot wearCan help to soothe pain
Shoe inserts
TREATMENT OPTIONS
Injection Therapy : Local corticosteroid injections can help
to reduce inflammation and relieve pain.
Weight reduction
TREATMENT OPTIONS
Surgery: If all the non operative methods fail surgery shall be
considered.
CONTACT
Dr.A.MOHAN KRISHNAM.S.Ortho., MCh Ortho(U.K).,Consultant Orthopaedic Surgeon,Apollo Hospitals,Hyderabad.Appointments: Secretary :09247258989 0944118459008332936085 www.healthyjointclub.comwww.bonesandjointsclinic.comEmail: [email protected] [email protected]