Heel spurs are caused by inflammation at the insertion of the plantar fascia into the heel bone. The condition can be treated successfully using a conservative approach in 98% of the cases. Diagnosis includes a physical exam and possibly an x-ray, especially if there is a history of trauma.
Heel pain can be reduced by using trigger point injections of a mild steroid from the side of the foot with a cold spray to numb the skin to significantly reduce the pain from the injection. Typically, treatment requires 1 to 3 office visits for evaluation and injections. If nerve pain is present that causes shooting pain at rest, this can be treated with dehydrated alcohol injections to destroy the painful section of the nerve.
If heel pain is intolerable or persists after conservative treatment, new treatments are available—PRP (platelet-rich plasma) injections or Shockwave Therapy. Surgery today is rare but, if necessary after all treatments, it is usually successful. If surgery is necessary we can use a new advanced procedure called Tenex. This procedure removes the damaged tissue to allow correct healing. Call us the next time you need a heel pain doctor in Kansas City.
As we start treatment it’s important to support the arch with an OTC arch support, wrapping the arch with reusable wraps or Coban. When treating long term, Custom made Orthotics are often the best choice. They are constructed from a flexible plastic material and can be made to fit both gym and dress shoes.
Trusted in Kansas City and Overland Park for 44 years, Dr. Thomas Bembynista, DPM, is Board Certified by the American Board of Podiatric Surgery since 1988 and a Diplomat of the Board (abfas.org). Patients rely on him for heel pain relieve quickly.