KARR FOOT & LEG CENTER
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HEEL PAIN - PLANTAR FASCIITIS

What Causes Heel Pain, How Do We Treat Heel Pain?There is a tight ligament that stretches across the arch, from the ball of the foot to the heel hone, called the Plantar Fascia.  Under circumstances where there is an excessive pulling on this ligament, the attachment of the ligament to the heel begins to separate.  An injury occurs where the ligament progressively tears off the hell, fiber by fiber.  Bleeding occurs next to the none and inflammatory fluids accumulate between the ligament and the hone forming a bursitis or fluid filled sack.  The hone spur itself has no nerves and doesn't hurt, you are not walking on it, as is commonly thought.  It is just an associated finding that tells us that the inflammatory process, the bursa and Plantar Facilitis have been present for awhile.

What Causes the Excessive Pulling?There are several reasons that eh chronic injury can occur.  Weight gain and increased activity often start an episode.  A person who is sedentary and then begins to walk a lot is a prime candidate.  Excessive athletic activity can also be a cause.  When the foot collapse or the arch flattens, the Plantar Fascia can be stretched, causing injury where it attaches to the heel bone.  Conditions tha cause general inflammation, like osteo - or rheumatoid arthritis can do it.

Why Is The Pain Worse After I Get Up from RestingWhen the constant pulling on the Plantar Fascia ends by being off your feet, the body gradually "glues" the ligament back on to the heel with fibrosis  or scarring (which is later replaced by calcium, creating the Heel spur).  When the person stands, the fascia stretches, ripping this new healing tissue off the heel. This causes a lot of pain.

How Successful is Treatment?When the entire treatment plan prescribed by Dr. Karr is followed, statistics in our office show that 90% of patients have complete relief of pain.  The remaining 10% of patients do not have satisfactory improvement and, if their medical condition permits, are given the option of surgical repair by release of the Plantar Fascia attachment to the heel by  traditional surgical methods.

What Will Dr. Karr Do To Eliminate and Keep The Pain From Coming Back?He will use a combination of non-surgical treatments to try to eliminate your heel pain in the shortest possible time.  Dr. Karr has been successful in providing pain-free walking to approximately 90% of patients with heel pain within 2 months when all of the recommended treatments are done at the proper time intervals.


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