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Doctor insights on: Bruised Heel Or Plantar Fasciitis

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I have plantar fasciitis and spur at ball of my foot. New orthotics have an arch and I walk flat footed. Foot feels bruised. Try to adapt? Damaging?

I have plantar fasciitis and spur at ball of my foot. New orthotics have an arch and I walk flat footed. Foot feels bruised. Try to adapt? Damaging?

Give it time: If you have just started wearing the orthotics, your foot may just need more time. Just like anything new, start slowly. Meaning, wear the orthotics in short durations and build from there. If the foot does not come around quickly, see a doctor to check the fit of the orthotic. ...Read more

Dr. Jeffrey Kass
502 Doctors shared insights

Plantar Fasciitis (Definition)

Pain at the area where the band of tissue referred to as the plantar fascia on the bottom of the foot inserts into the heel bone. Too much tension brings on pain. Wearing flat shoes or going barefoot on hard surfaces can be some of the causes that bring this pain. Do not let it linger too long. Can last for months. Pain mostly when standing up ...Read more


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Feeling "pulling" in arch of foot when walking. Tender arch. I am flat-footed. Is this plantar fasciitis? Home treatments? Podiatrist copay is $50. : (

Feeling "pulling" in arch of foot when walking. Tender arch. I am flat-footed. Is this plantar fasciitis? Home treatments? Podiatrist copay is $50. : (

Sounds like but: Sounds like it, but plantar fasciitis is not the only condition that can create pain in the arch. Tendon dysfunction, tendon tear, foot sprain, nerve entrapment or even fracture are some of the conditions thay can create pain in the arch. The co-pay is nothing if you consider how much it would be if you leave something untreated. ...Read more

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Should somebody with plantar fasciitis wear high heels?

Should somebody with plantar fasciitis wear high heels?

Yes and no.: The heels will take a strain off your achilles tendon, but will not be very supportive in the arch or rearfoot. A good supportive structured shoe is best when treating plantar fasciitis: think of it like a brace for the arch of your foot. Like with any injury, you want to brace the area as it heals, whether that's with a sling, cast, or in this case, a supportive athletic shoe with orthotic. ...Read more

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Heel pain/plantar fasciitis/collapsed arch, what to do?

Heel pain/plantar fasciitis/collapsed arch, what to do?

Orthotic: I would advise a good custom molded functional foot orthotic. We have them made all the time and patient's with your symptoms do very well. ...Read more

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What is a home remedy for plantar fasciitis and heel spur?

What is a home remedy for plantar fasciitis and heel spur?

Combo treatment.: The more you can do together, the better:
#1: supportive shoes.
#2: firm inserts or orthotics.
#3: oral antiinflammatories (check with your doctor).
#4: stretching your foot and calf.
#5: icing (10 min at a time).

You may also need physical therapy or cortisone injections. ...Read more

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Is there a special boot I can purchase OTC that relieves pressure off the heel when lying down? Went to E.R. and supposedly have plantar fasciitis.

Yes: What you are looking for is a fabric device that connects the tip of your foot to your shin, keeping your calf muscle lengthened. In addition, do calf stretches 3 times a day. Strengthening the calf muscle will remove pressure from the plantar fascia, curing the condition. Hope this helps! ...Read more

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Feel a throbbing line (not to the touch) under bottom of heel. Hurts under heel in general and can put little weight on it. Is this plantar fasciitis?

Plantar fasciitis: Plantar fasciitis typically causes a stabbing pain in the bottom of your foot near the heel. The pain is usually worst with the first few steps after awakening, although it can also be triggered by long periods of standing or getting up from a seated position. The best thing to do is to see either a podiatrist or an orthopedic surgeon and get this looked at before it gets worse. ...Read more

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What sandals are good for plantar fasciitis and heel spurs?

They aren't!: The best shoes for a person with plantar fasciitis are those that have a sturdy back to them, which sandals don't have. You want a supportive shoe that cups your heel and holds it steady. Sandals tend to allow your heel and arch to function in whatever position it wants to, which might be what caused the plantar fasciitis in the first place. ...Read more

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What is the best remedy for my heel pain (plantar fasciitis)?

What is the best remedy for my heel pain (plantar fasciitis)?

Stretching: Stretching is a good start but you may also need anti-inflamatorices, injections, support,
or shock wave therapy. Consult a podiatrist. ...Read more

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Are there cheap inserts that can help my plantar fasciitis and heel spurs?

Yes.: But they will not be custom-made for your feet, and they'll tend to break down in about a year or so, depending on how much you wear them. Custom inserts can last up to 5-10 years. ...Read more

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I have heel spurs (plantar fasciitis). Would surgery completely eliminate it?

Last resort: Normally this is a last resort since this is caused by improper biomechanical support. Injections, taping, orthotics and stretching exercises are often successful. Surgery to remove spur and release tension on plantar fascia can be considered if other measures do not work. Diagnosis should be re-evaluated first. Surgery if often but not always successful. ...Read more

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For heel pain/plantar fasciitis, what kind of doctor should I see?

For heel pain/plantar fasciitis, what kind of doctor should I see?

A podiatrist!: Podiatrists are specialists of the foot and ankle. We do surgery (bunions, hammertoes, ankle fractures, etc.), wound care for diabetics or trauma patients, treat athlete's foot and toenails fungus, ingrown toenails, tendinitis, sports injuries, birth defects or deformities, bracing and orthotics--just about anything affecting the foot or ankle. Including a lot of plantar fasciitis! ...Read more

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How effective is ultrasound rehab on heel pain (plantar fasciitis)?

How effective is ultrasound rehab on heel pain (plantar fasciitis)?

Mildl to moderately: Might be a good adjunct therapy. Supportive shoe gear and orthotics will provide best long term success. Ice, massage and strtching will also be helpful. ...Read more

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Can both heel spurs and plantar fasciitis get better over 6 months with stretching exercises and orthotic device? Are they self-limiting?

Can both heel spurs and plantar fasciitis get better over 6 months with stretching exercises and orthotic device? Are they self-limiting?

Yes: This is often the main treatment used for plantar fasciitis and heel spurs. Other treatments are available if thus does not work. Sounds like you have a good doc treating you. ...Read more

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Swollen and painful sole from arch to heel. Seems plantar fasciitis. Icing and stretching helped. Is hiking / walking recommended? What else?

Swollen and painful sole from arch to heel. Seems plantar fasciitis. Icing and stretching helped. Is hiking / walking recommended? What else?

Plantar fascitis: Most common cause of heel pain is from plantar fasciitis, a pull/sprain of the plantar fascia from where it attaches to the heel bone on the btm of the foot. Txs include rigid arch support to decrease the pull of the fascia, combined with antiinflammatory medication (oral and/or injectable) to reduce the inflammation. Non weight bearing activity while recovering. ...Read more

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Pain behind and under heel. Also feels like fire in heel at times. Can feel pulse in heel without touch. Calf tightness too. Plantar fasciitis?

Very likely: Plantar fasciitis is most commonly described as pain under the heel which occurs on first step in the morning or after sitting. However, you should get an evaluation by your local Podiatrist to confirm the diagnosis as other pathologies in the heel can cause pain. ...Read more

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Read calf stretches help plantar fasciitis. When I perform calf stretches the heel on same leg starts throbbing within 20 seconds. Is this normal?

Read calf stretches help plantar fasciitis. When I perform calf stretches the heel on same leg starts throbbing within 20 seconds. Is this normal?

Passive only!: If you are standing or bearing weight when you perform these stretches, it is placing more strain on the achilles tendon, Triceps Surae muscle and plantar fascia. The best stretch for this is "Passive Stretching". Like sitting down, keeping your leg straight or extended at the knee and using an elastic band to pull /dorsiflex your foot. If your heel is quite sore, I don't recommend stretches. ...Read more

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What is usually done for plantar fasciitis? I have it and it is very painful. Can't put the heel on the floor. What kind of physical therapy is done?

What is usually done for plantar fasciitis? I have it and it is very painful. Can't put the heel on the floor. What kind of physical therapy is done?

Inflammation: Soft tissue inflammation is usually treated initially with conservative management. Start wearing supportive shoes at all times during the healing period. RICE therapy and oral anti-inflammatory agents. Massage the sore area, followed with ace bandage compression and elevate limb above hip with knee bent and ice area after activity and before bed. Remove ace before sleep. (RICE)
Orthotic control. ...Read more

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Faced with an astute heel pain recently, pain shoots up only when running. It's most likely diagnosed as plantar fasciitis, any advice on the remedy?

Plantar Fasciitis: 26 year old gentleman with plantar fasciitis. The treatment for plantar fasciitis includes rest, ice, stretching, physical therapy, and then injections or surgery for cases that do not respond to more conservative management. According to the AAOS, you can roll your foot over a cold or frozen water bottle for 20 minutes 3-4 times a day to ice it. Http://orthoinfo. Aaos. Org/topic. Cfm? Topic=a00149 ...Read more

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I have heel pain on the right side of my left heel. Hurts even when resting. It's on the bone so doesn't seem like plantar fasciitis. What could it be?

I have heel pain on the right side of my left heel. Hurts even when resting. It's on the bone so doesn't seem like plantar fasciitis. What could it be?

Varies: There are a number of other possibilities, the more common of which include tarsal tunnel syndrome, a calcanesl stress fracture, a tendinitis of the Achilles' tendon to name a few. Don't hesitate to be seen for an accurate diagnosis. ...Read more

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Can plantar fasciitis of the heels also hurt your knees?

Yes.: Whenever you have pain at one level of your body, you tend to compensate by changing your gait to decrease the load on the painful part. This can put more stress on your knees. ...Read more

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How do you cure plantar fasciitis (heel pain)?

How do you cure plantar fasciitis (heel pain)?

Plantar fasciitis: Best managed with stretching your arch and soft supportive orthotics/shoe inserts. Night splints can sometimes be of benefit. Cortisone injections are also popular and effective. There has been recent interest in platelet rich plasma injections. Avoid surgery if possible. ...Read more

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Difference between a heel spur or plantar fasciitis?

Heel spur: Is a projection of bone on the bottom part of the heel. Plantar fascitiis is a broad banded ligament that originates from the bottom of the heel and supports the arch. The symptoms and treatment are virtually the same. ...Read more

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How do I know if I have plantar fasciitis or my heel infected?

How do I know if I have plantar fasciitis or my heel infected?

Plantar fasciitis.: The most common cause of heel pain is plantar fasciitis: an inflammation of a thick band of tissue that helps hold up the arch of your foot. It attaches to your heel bone, and is usually the most painful for the first few steps in the morning, or after sitting a long time and then standing quickly. See your podiatrist to rule out stress fracture, infection, or tarsal tunnel syndrome. ...Read more

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What can be done for heel pain in the morning?   possibly plantar fasciitis.

What can be done for heel pain in the morning?   possibly plantar fasciitis.

S-T-R-E-T-C-H: Stretch your feet and calf muscles. Flap you feet up and down before you get up in the morning or after you've been sitting awhile. Avoid pounding your heels: no walking in bare feet or wearing flat shoes. Use gel heel cup inserts. No high-impact activities [jogging, jumping]. Ice your heels up to 20 minutes, 4 times a day [can roll foot over frozen oj concentrate can]. ...Read more

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What else can cause heel pain other than plantar fasciitis. Back and bottom heel pain. Feels good in am. Worse as day goes on.?

Nerves, tendons...: The most common cause of heel pain is plantar fasciitis, but there are others, too. An irritated or entraped nerve can cause pain as the day goes on, as can tendinitis: the three most common being achilles, peroneal, or posterior tibial tendinitis. You may also have a haglund's deformity: a bony bump that can irritate the achilles from the inside. ...Read more

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I have plantar fasciitis and heel spurs. I'm in pain, had to move real fast, I felt a pop in my foot and it radiated severe pain. I iced it. Help!?

Possible rupture: Your history suggest a rupture (large tear) of the plantar fascia. See your ortho or sports doc for further evaluation. After an x-ray to make sure there's no fracture, a cast or boot is often used in treatment. ...Read more

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I have plantar fasciitis on my left heel. It started 6 weeks ago after running a series of sprints with "barefoot" shoes. I typically do sprint workout 3 times a week with better padding. Since it has not healed How long to discontinue sprinting?

I have plantar fasciitis on my left heel. It started 6 weeks ago after running a series of sprints with "barefoot" shoes. I typically do sprint workout 3 times a week with better padding. Since it has not healed How long to discontinue sprinting?

Ask your doctor: Especially if your not healing well. Get a second opinion from a podiatrist to see what the cause is. If calcification's present from a heel spur, then you may need to have it lasered. Probably won't go away on its own. Always get 2nd opinion. You may have more going on than you think! So see a doctor soon. Good luck! ...Read more

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Can plantar fasciitis cause pain under the heel and a rhythmic throb?

Yes: Yes it can, get it evaluated. I recommend a course of physical therapy, stretching, icing (10 minutes on). See your local Podiatrist as you might benefit from custom inserts. ...Read more

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I am diagnosed with plantar fasciitis. I had done both steroids and prp injections and the pain in my heels aren't going away. What should I do next?

I am diagnosed with plantar fasciitis. I had done both steroids and prp injections and the pain in my heels aren't going away. What should I do next?

Address activity.: The pain is a consequence of inflammation and the inflammation is a consequence of repeated overuse and subsequent micro tears in the fascia and periosteum. Reducing inflammation by injections usually is of temporary benefit if more practical treatment protocols are not included. These "extras" can include rest, rest, limited ambulation, great shoes, great insoles, rest and finally limited activity. ...Read more

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I have plantar fasciitis and my heel and arch hurts but now the side of my foot hurts as well. Is this unusual?

I have plantar fasciitis and my heel and arch hurts but now the side of my foot hurts as well. Is this unusual?

NO: You're walking differently to avoid the painful area, thus putting undue pressure on other areas of the foot. ...Read more

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While running, the inside of my foot on the bottom left side below my heel starting hurting suddenly. Could it be plantar fasciitis?

While running, the inside of my foot on the bottom left side below my heel starting hurting suddenly. Could it be plantar fasciitis?

Plantar fasciitis.: The most common cause of heel pain is plantar fasciitis: an inflammation of a thick band of tissue that helps hold up the arch of your foot. It attaches to your heel bone, and is usually the most painful for the first few steps in the morning, or after sitting a long time and then standing quickly. ...Read more

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Should you soak foot with sesamoiditis in hot bath or ice instead? Also can sesamoiditis cause symtoms similar to plantar fasciitis/heel pain?

Try both: See which you like better there is no right or wrong here. The symptoms are usually pain…can they be similar yes….treatment also would consist of trying to off eight bear the first met head region and trying to avoid propulsion or bending of the first metatarsophalangeal joint. ...Read more

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Soreness in heel of foot. Assuming plantar fasciitis. If so what is the most effective means of treatment. I'm quite active running.?

Soreness in heel of foot. Assuming plantar fasciitis. If so what is the most effective means of treatment. I'm quite active running.?

Plantar fascitis: Stretching of the plantar fascia, during the day and at night. Go online and look up the diagrams that show the proper way of stretching. A short course of NSAIDs., decreasing by 20% the amount of time you are running can also help ...Read more

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Pain in small spot bottom of foot, toward heel- in morning and walking. Feels like it's pulling from heel up back of my leg too. Plantar fasciitis?

Pain in small spot bottom of foot, toward heel- in morning and walking. Feels like it's pulling from heel up back of my leg too. Plantar fasciitis?

Probably: Plantar fasciitis is typically in the bottom of the heel. Worse in morning and after rest. It can hurt up the leg too from walking differently to compensate. Try ice, Achilles stretches, NSAIDs, orthotics, good shoes. Avoid barefoot and flat shoes without support. See you local podiatrist. It could be this problem or something else. They can help you get better. ...Read more

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Pain in the back of my heel when I walk. Had plantar fasciitis before but that pain was bottom of the foot heel pain. This is in the back of my heel?

Compensation..: It sounds like you may be compensating for the fasciitis problem by lifting your heel. This lifting could be causing the Achilles tendon pain. You need to have your foot evaluated for a mechanical solution. ...Read more