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?
Heel Pain (Plantar Fasciitis) Treatment Protocol - Worcester, MA
Dec 01, 2014
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.
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Transcript
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?
● Medial Calcaneal Neuritis● Bursitis
Treatment
Haglund's Deformity
Treatment
Achilles Tendonitis
Treatment
Sever's Disease
Treatment
Posterior Tibial Tendonitis
Treatment
Plantar Fibroma
● Cortisone Injection● Orthotics● Verapamil● Removal
● Examination● X-Rays
Initial Exam
Treatments
● Cold Therapy - Ice or Biofreeze● NSAIDs (Naproxen 500mg - 2x a day)● New Shoes - Asics, New Balance
Trigger Point Tools, Foam Roller or Physical Therapy
Stretching
Procedures
● Injection (3 are the limit)● Physical therapy - Graston and
taping
Deep Heel Cup - Needs to be part of orthotic to reduce abnormal motion
Orthotics and Heel Lifts
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
Phase 2
● Cast Walking Boot ● Crutches● Discuss Surgery
Surgical Repair
TOPAZ - Procedure to reduce inflammation
Haglund's Repair - Reduce bump on back of heel
Video
After Surgery
Other Therapies
PRP Injection
Shockwave Therapy
Surgery Preparation
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