Materiały źródłowe

• #1 Heel Pain: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/symptoms/heel-pain

  Heel pain is a very common foot and ankle problem. You might experience pain, soreness or tenderness anywhere in your heel, but the most common areas are underneath it or the back of it. […] Heel pain can make it difficult to walk and participate in daily activities. Its important to see your healthcare provider to help you determine the exact cause of pain in the heel of your foot. Most heel conditions improve with nonsurgical treatments, but your body will need time to recover. […] Most problems that cause heel pain get better over time with nonsurgical treatments. Heel pain treatment focuses on easing pain and inflammation, improving foot flexibility and minimizing stress and strain on your heel. These treatments include: Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) combined with ice packs can ease pain and swelling.

• #1 Heel Pain: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/symptoms/heel-pain

  Its rare to need surgery to treat most causes of heel pain. […] Heel pain often improves over time with nonsurgical treatments. Your healthcare provider can determine whats causing the pain. Your provider can also show you stretching exercises and recommend orthotics and other methods if needed. Many people try to ignore heel pain and continue with activities that make the problem worse. But its essential to give your body time to recover. Otherwise, you may develop chronic heel pain that sidelines you for an extended time. The longer you have heel pain, the harder it is to treat effectively, so its important to get evaluated.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8318

  You can have heel pain from an injury or from everyday overuse, such as running or walking a lot. Plantar fasciitis is the most common cause of heel pain. In this condition, the bottom of your foot from the front of the heel to the base of the toes is sore and hard to walk on. […] Your heel can get better with rest, anti-inflammatory pain medicines, and stretching exercises. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Rest your feet often. Reduce your activity to a level that lets you avoid pain. If possible, do not run or walk on hard surfaces.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8318

  Wear shoes with good arch support. Athletic shoes or shoes with a well-cushioned sole are good choices. […] Try a heel lift, heel cup or shoe insert (orthotic) to help cushion your heel. You can buy these at many shoe stores. Use them in both shoes, even if only one foot hurts. […] Maintain a weight that puts less strain on your feet. Extra weight puts a lot of stress on the large, weight-bearing joints such as the balls of the feet. Losing even a little weight can take stress off your joints. Talk to your doctor if you need help losing weight. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have heel pain with fever, redness, or warmth in your heel. […] You have numbness or tingling in your heel. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You cannot put weight on the sore foot. […] Your heel pain lasts more than 2 weeks.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8318

  Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label. […] Put ice or a cold pack on your heel for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake). Put a thin cloth between the ice and your skin. […] If ice isn’t helping after 2 or 3 days, try heat, such as a heating pad set on low. […] If your doctor says it is okay, try these calf stretches. Tight calf muscles can cause heel pain or make it worse. […] Wear a night splint if your doctor suggests it. A night splint holds your foot with the toes pointed up. This position gives the bottom of your foot a constant, gentle stretch.

• #3 Heel Pain: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.heel-pain-care-instructions.uf8318

  You can have heel pain from an injury or from everyday overuse, such as running or walking a lot. Plantar fasciitis is the most common cause of heel pain. In this condition, the bottom of your foot from the front of the heel to the base of the toes is sore and hard to walk on. […] Your heel can get better with rest, anti-inflammatory pain medicines, and stretching exercises. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Rest your feet often. Reduce your activity to a level that lets you avoid pain. If possible, do not run or walk on hard surfaces. […] Ask your doctor if you can take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Be safe with medicines. Read and follow all instructions on the label.

• #3 Heel Pain: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.heel-pain-care-instructions.uf8318

  Put ice or a cold pack on your heel for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake). Put a thin cloth between the ice and your skin. […] If ice isn’t helping after 2 or 3 days, try heat, such as a heating pad set on low. […] If your doctor says it is okay, try these calf stretches. Tight calf muscles can cause heel pain or make it worse. […] Wear a night splint if your doctor suggests it. A night splint holds your foot with the toes pointed up. This position gives the bottom of your foot a constant, gentle stretch. […] Wear shoes with good arch support. Athletic shoes or shoes with a well-cushioned sole are good choices. […] Try a heel lift, heel cup or shoe insert (orthotic) to help cushion your heel. You can buy these at many shoe stores. Use them in both shoes, even if only one foot hurts.

• #4 Heel Pain: Causes, Symptoms, Treatment and Prevention

  https://www.carehospitals.com/symptoms/heel-pain

  Heel pain is a common complaint that significantly impedes a person’s daily life, affecting mobility, productivity, and overall well-being. […] Understanding the causes, manifestations, and treatment options for heel pain is crucial for effective management and recovery. […] Heel pain refers to discomfort or tenderness in the heel area, typically arising from inflammation or injury to the structures within the foot. […] The most common ailments associated with heel pain include plantar fasciitis, Achilles tendinitis, bursitis, and heel spurs. […] These conditions can negatively impact a person’s quality of life, making seeking proper diagnosis and treatment essential. […] Heel pain is a prevalent condition affecting many individuals worldwide. […] It is more common among middle-aged individuals, athletes, and those who stand for prolonged periods.

• #4 Heel Pain: Causes, Symptoms, Treatment and Prevention

  https://www.carehospitals.com/symptoms/heel-pain

  While heel pain can occur in both men and women, women are more likely to develop certain conditions, such as plantar fasciitis, due to the biomechanical differences in their feet. […] Pain beneath the heel is mainly caused by plantar fasciitis. […] Other factors contributing to this condition include obesity, improper footwear, and high-impact activities. […] Heel spurs, bony outgrowths that develop on the underside of the heel bone, can cause pain beneath the heel. […] Heel pain manifests differently depending on the underlying condition. […] However, common heel pain symptoms include pain that worsens with weight-bearing tasks. […] You may experience heel pain when walking or running. […] The heel pain treatment depends on the underlying cause and severity of the condition.

• #5 Foot Pain and Ankle Problems: Causes and Treatments

  https://www.webmd.com/pain-management/foot-pain-causes-and-treatments

  Achilles tendonitis. Achilles tendonitis is an overuse injury that causes inflammation of the tough band of tissue that attaches your calf muscles to your heel bone. To treat it: Rest your foot. Use ice or cold packs on the bottom of your foot and your heel for about 15 minutes as you feel pain. Compress your ankle with a snug elastic bandage or wrap. Keep your foot raised above the level of your heart as much as possible, including when you sleep. Take over-the-counter pain relievers. […] Heel fracture. A heel fracture usually results from a high-impact injury such as a fall or car accident. Your heel bone may not just break, it could also shatter. Heel pain, bruising, swelling, or trouble walking are the main symptoms. To treat it: Dont put pressure on the heel. You can use crutches. Protect the heel with pads. Wear a splint or cast to protect the heel bone. Ask your doctor about over-the-counter or prescription pain relievers. Try physical therapy. If youre still in pain, ask your doctor about surgery.

• #6 Heel Spur Causes, Symptoms, Treatments, and Surgery

  https://www.webmd.com/pain-management/heel-spurs-pain-causes-symptoms-treatments

  Although heel spurs are often painless, they can cause heel pain. […] Treatments for heel spurs and associated conditions include exercise, custom-made orthotics, anti-inflammatory medications, and cortisone injections. If conservative treatments fail, surgery may be necessary. […] The heel pain associated with heel spurs and plantar fasciitis may not respond well to rest. […] If you have heel pain that persists for more than one month, consult a health care provider. […] Heel pain may respond to treatment with over-the-counter medications such as acetaminophen (Tylenol), ibuprofen (Advil), or naproxen (Aleve). […] More than 90 percent of people get better with nonsurgical treatments. […] If conservative treatment fails to treat symptoms of heel spurs after a period of 9 to 12 months, surgery may be necessary to relieve pain and restore mobility. […] You can prevent heel spurs by wearing well-fitting shoes with shock-absorbent soles, rigid shanks, and supportive heel counters; choosing appropriate shoes for each physical activity; warming up and doing stretching exercises before each activity; and pacing yourself during the activities.

• #7 Plantar Heel Pain Treatment & Management: Medical Care, Surgical Care, Complications

  https://emedicine.medscape.com/article/1233178-treatment

  Extracorporeal shockwave therapy (ESWT) was approved by the US Food and Drug Administration (FDA) in 2005; it had been used in Europe for more than a decade previously. […] Platelets-rich plasma (PRP) is derived from autologous blood and contains high concentrations of growth factors necessary for tissue healing. […] Fat pad atrophy is managed conservatively with the use of heel cups, soft insoles, and soft-soled footwear. […] Because 90% of patients with plantar fasciitis respond favorably to conservative care, conservative methods should be tried for at least 6, or preferably 12, months before surgery is considered. […] The surgery can be performed by open or endoscopic methods. […] For nonsurgical treatment, depot steroid injections can provide good short-term relief of symptoms; however, multiple injections can cause the plantar fascia to rupture and the fat pad to atrophy, especially if the injection is not administered deep into the fascia. […] Because overuse is the most common cause of plantar fasciitis in athletes, avoiding overuse can help prevent this problem.

• #8 Heel pain Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/heel-pain

  Heel pain is most often the result of overuse. However, it may be caused by an injury. […] The following steps may help relieve your heel pain: Use crutches to take weight off your feet. Rest as much as possible for at least a week. Apply ice to the painful area. Do this at least twice a day for 10 to 15 minutes. Ice more often in the first few days. Take acetaminophen or ibuprofen for the pain. Wear well-fitted, comfortable, and supportive shoes. Use a heel cup, felt pads in the heel area, or shoe insert. Wear night splints. […] Your health care provider may recommend other treatments, depending on the cause of your heel pain. […] Contact your provider if your heel pain does not get better after 2 to 3 weeks of home treatment. Also contact them if: Your pain is getting worse despite home treatment. Your pain is sudden and severe. You have redness or swelling of your heel. You cannot put weight on your foot, even after resting.

• #8 Heel pain Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/heel-pain

  Your provider may order a foot x-ray. You may need to see a physical therapist to learn exercises to stretch and strengthen your foot. Your provider may recommend a night splint to help stretch your foot or place you in a boot to rest your foot. At times, further imaging, like CT scan or MRI may be needed. Surgery may be recommended in some cases.

• #9 Foot problems – heel pain | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/foot-problems-heel-pain

  The heel is a padded cushion of fatty tissue that holds its shape despite the pressure of body weight and movement. […] Heel pain is a very common foot complaint. […] Common causes of heel pain include obesity, ill-fitting shoes, running and jumping on hard surfaces, abnormal walking style, injuries and certain diseases. […] Plantar fasciitis is inflammation of the ligament that runs the length of the foot, commonly caused by overstretching. It results in pain under the heel, particularly after rest. […] A heel spur is a bony growth that is not usually painful to the touch. […] Severs disease is caused by stress on the growth plate in the heel bone. […] Depending on the underlying cause, treatment can include: Rest from activities that stress the heel (such as running and jumping), Ice packs, Regular foot massage, concentrating on the arch of the foot, Professional strapping, A splint worn at night, Flexibility exercises, Ultrasound therapy, Anti-inflammatory medicine (topical or oral), Checking your posture and walking style, to correct imbalances and gait abnormalities that may contribute to the pain, Shoe inserts (orthoses) to help support the foot, In some cases, surgery may be recommended to treat conditions including neuroma, bursitis and heel spurs.

• #10 6 Common Foot Problems in Nurses and Effective Foot Care Tips – NurseRegistry

  https://www.nurseregistry.com/blog/foot-problems-in-nurses/

  Heel pain usually has to do a lot with the stress on the heel bone, nerves, or ligaments in the heel area of the foot. Walking or jumping on uneven or hard surfaces could result in stress. But it can also result from wearing ill-fitting footwear. Being overweight also contributes to heel pain. […] The growth of bone at the bottom of the heel can result in heel spurs. Heel spurs and heel pain result in plantar fasciitis, an inflammation of the connective tissue which runs from the heel to the ball of the foot. […] Carrying excess body weight increases your chances of developing foot problems. People who are overweight are more likely to experience tendonitis, heel pain, ball-of-foot pain, arthritis, fractures, and sprains in their feet.

• #11 Diagnosis and management of plantar fasciitis in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3404327/

  Plantar fasciitis (PF) is a common overuse injury that occurs as a result of repetitive traction forces on the plantar fascia at its origin over the distal calcaneus. It accounts for 810% of running related injuries and 80% of heel pain, and is commonly seen in primary care. Individuals with pes planus (flat foot) and pes cavus (high arch) deformity are at increased risk of developing PF, as are individuals who wear poorly supporting footwear and who undertake excessive walking or weight bearing activity (often job-related such as policemans heel). Previous heel pain and a high body mass index are also risk factors for plantar fasciitis. It commonly occurs in middle-aged individuals with an equal preponderance in males and females and has a lifetime prevalence of 10%. […] Heel pain tends to develop insidiously and characteristically affects the medial aspect of the heel, radiating into the arch of the foot. Pain tends to be worse in the morning with maximal discomfort on the initial steps after getting out of bed. The ache usually warms up with movement, however as the condition progresses, pain may be experienced during activity. Diagnosis is usually made on a clinical basis, however, thickening and swelling of the plantar fascia may be demonstrated on ultrasound. A calcaneal spur may be seen on X-ray however this finding is not causally related to the pain of plantar fasciitis and X-ray is not recommended in the management algorithm.

• #12 Nursing Self-Care: Keep Feet Feeling Their Best Before, During and After Shifts

  https://consultqd.clevelandclinic.org/nursing-self-care-keep-feet-feeling-their-best-before-during-and-after-shifts

  To avoid work-related health and foot problems, its important for nurses to take proper care of their feet. […] Both Bar and Dr. Smik agree that wearing supportive footwear is at the top of the list. […] In addition to the shoe itself, shoe inserts or orthotics are good solutions for helping nurses avoid or relieve foot pain. […] Smik admits that given the nature of the nursing profession, it may be challenging for nurses to perform foot exercises while at work. […] After work, if nurses are experiencing swelling or pain, they should spend significant time relaxing and elevating their feet above their heart, as well as soaking feet in a warm Epsom saltwater bath for 10 to 15 minutes. […] Nurses should also keep in mind that it is important to address foot-related problems or issues right away to keep them from worsening and improve the chance of reversing possible damage.

• #13 Nurse Problems: The Common Issue of Heel Pain | Capsol

  https://www.mycapsol.com/the-breakroom-blog/the-top-common-causes-of-heel-pain-in-nurses-2/

  Foot ailments are among the most common physical afflictions nurses suffer from. […] Heel pain is one of the most frequent complaints related to feet issues in nurses and needs to be identified and treated promptly. […] As nurses, we know how essential it is to know the root cause of pain so it can be treated. […] Treatment for heel pain will vary based on your diagnosis from a physician. […] If heel pain is interfering with your nursing career and regular daily activities, see a doctor immediately. […] As a nurse, you especially need to be attentive to pain as it arises, as the strain of normal work can put you at greater risk for injury. […] Above all else, listen to your body!

• #14 Heel Pain: Causes, Treatments, and Prevention

  https://www.healthline.com/health/heel-pain

  Heel pain can result from injuries like sprains and fractures. Some medical conditions, including bursitis and reactive arthritis, may also cause it. Treatment can depend on the cause. […] If you develop heel pain, you may first try some home remedies, such as rest, to ease your symptoms. If your heel pain doesn’t get better within two to three weeks, you should make an appointment with your doctor. […] If these home care strategies don’t ease your pain, you need to see your doctor. They’ll perform a physical exam and ask you about your symptoms and when they began. […] In many cases, your doctor may prescribe physical therapy. This can help to strengthen the muscles and tendons in your foot, which helps to prevent further injury. […] Your doctor may also recommend that you support your foot as much as possible either by taping the foot or by using special footwear devices.

• #14 Heel Pain: Causes, Treatments, and Prevention

  https://www.healthline.com/health/heel-pain

  Heel pain can be disabling and affect your daily movements. It may also change the way that you walk. If this happens, you may be more likely to lose your balance and fall, making you more prone to other injuries. […] It may not be possible to prevent all cases of heel pain, yet there are some easy steps that you can take to avoid injury to the heel and prevent pain: Wear shoes that fit properly and support the foot. Wear the right shoes for physical activity. Stretch your muscles before exercising. Pace yourself during physical activity. Maintain a healthy diet. Rest when you feel tired or when your muscles ache. Maintain a healthy weight.

• #15 Patient education: Plantar fasciitis (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/plantar-fasciitis-beyond-the-basics

  Plantar fasciitis is one of the most common causes of heel and foot pain in adults. It is caused by a strain of the area of the foot called the plantar fascia. The fascia provides support as the toes bear the body’s weight when the heel rises during walking. Running, jumping, or standing for long periods of time can strain the plantar fascia. […] Most people with plantar fasciitis will recover fully over time, with or without treatment, with most people becoming pain-free within a year. Even patients with persistent symptoms typically have good outcomes. […] The most common symptom of plantar fasciitis is pain beneath the heel and sole of the foot. The pain is often worst when stepping onto the foot, particularly when first getting out of bed in the morning or when getting up after being seated for some time.

• #16 Sever’s Disease | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/severs-disease

  Severs disease is a type of heel pain. It happens when the Achilles tendon is too tight and puts too much pressure on the growth plate in the heel. Severs disease may be painful, but it doesn’t cause long-term damage. It often goes away as the child gets older and when the growth plate closes. […] Heel pain that comes and goes […] Pain that gets worse with running and jumping activities […] Limping or walking on toes to avoid putting pressure on the heel […] Pain when the back of the heel is pressed or squeezed […] Pain that is worse when your child wakes up. […] Limit activities, like running and jumping, while having pain. Choose a different sport, like biking or swimming, until the heel pain gets better. Take rest breaks between activities. […] Ice the heel for 15 to 20 minutes when having pain or after activities.

• #17 Plantar fasciitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/diagnosis-treatment/drc-20354851

  Plantar fasciitis is diagnosed based on your medical history and physical exam. During the exam, your health care professional will check for areas of tenderness in your foot. The location of your pain can help determine its cause. […] Most people who have plantar fasciitis recover in several months with conservative treatment, such as icing the painful area, stretching, and modifying or staying away from activities that cause pain. […] Pain relievers you can buy without a prescription such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can ease the pain and inflammation of plantar fasciitis. […] Physical therapy or using special devices might relieve symptoms. Treatment may include: A physical therapist can show you exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles. A therapist also might teach you to apply athletic taping to support the bottom of your foot.

• #17 Plantar fasciitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/diagnosis-treatment/drc-20354851

  Your care team might recommend that you wear a splint that holds the plantar fascia and Achilles tendon in a lengthened position overnight to promote stretching while you sleep. […] Your health care professional might prescribe off-the-shelf or custom-fitted arch supports, called orthotics, to distribute the pressure on your feet more evenly. […] Your health care professional might suggest one of these for a brief period either to keep you from moving your foot or to keep you from placing your full weight on your foot. […] If more-conservative measures aren’t working after several months, your health care professional might recommend: Injecting steroid medicine into the tender area can provide temporary pain relief. […] Sound waves are directed at the area of heel pain to stimulate healing. This is for chronic plantar fasciitis that hasn’t responded to more-conservative treatments.

• #17 Plantar fasciitis – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/diagnosis-treatment/drc-20354851

  Few people need surgery to detach the plantar fascia from the heel bone. It is generally an option only when the pain is serious and other treatments have failed. […] To reduce the pain of plantar fasciitis, try these self-care tips: Extra weight can put extra stress on your plantar fascia. […] Buy shoes with a low to moderate heel, thick soles, good arch support and extra cushioning. Don’t wear flats or walk barefoot. […] Hold a cloth-covered ice pack over the area of pain for 15 minutes three or four times a day to help reduce pain and swelling. […] Simple home exercises can stretch your plantar fascia, Achilles tendon and calf muscles. […] Your health care professional might refer you to someone who specializes in foot disorders or sports medicine.

• #18 Heel pain – UF Health

  https://ufhealth.org/conditions-and-treatments/heel-pain

  Contact your provider if your heel pain does not get better after 2 to 3 weeks of home treatment. Also call if: Your pain is getting worse despite home treatment. Your pain is sudden and severe. You have redness or swelling of your heel. You cannot put weight on your foot, even after resting. […] Your provider may order a foot x-ray. You may need to see a physical therapist to learn exercises to stretch and strengthen your foot. Your provider may recommend a night splint to help stretch your foot or place you in a boot to rest your foot. At times, further imaging, like CT scan or MRI may be needed. Surgery may be recommended in some cases.

• #19 Plantar Heel Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499868/

  Plantar heel pain is a pervasive issue that afflicts numerous adults and significantly hampers their quality of life. […] This condition underscores the pivotal role of an interprofessional team in recognizing and managing plantar heel pain effectively. […] The program facilitates a practical approach to identifying the underlying cause through comprehensive history-taking and physical examination, which form the foundation of accurate diagnosis. […] The activity discusses evidence-based management strategies, encompassing lifestyle modifications, nonsteroidal anti-inflammatory drugs, rehabilitation, local injections, and surgical interventions. […] By participating in this activity, learners will be better prepared to address the challenges posed by plantar heel pain and improve patient outcomes through a comprehensive and interdisciplinary approach.

• #19 Plantar Heel Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499868/

  Surgery is indicated for patients who have failed at least 6 months of conservative care. […] Intervention includes releasing the medial and central bands of the plantar fascia, which can be done with an open incision or by endoscopy. […] Patients with heel fat pad atrophy often have the most significant improvement with a simple silicone heel cup; in contrast, patients who undergo surgery may experience residual pain from scarring. […] Nonsteroidal anti-inflammatory drugs and anticonvulsants can help reduce symptoms. […] Non-responders can benefit from ultrasound-guided corticosteroid injection, hydro dissection using dextrose 5%, radiofrequency, or cryoablation. […] Surgical tarsal tunnel release decompresses the entire tibial nerve and its branches through an open incision or a minimally invasive technique.

• #19 Plantar Heel Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499868/

  As a common problem among adults, plantar heel pain can lead to significant disability and impairment of activities of daily living. […] History taking and physical examination are crucial for correct diagnosis. […] Treatments include lifestyle modification, non-steroidal anti-inflammatory drugs, rehabilitation, local injection, and surgery. […] The first-line treatment for plantar fasciitis should be conservative. […] Treatment should always target the primary cause of heel pain (neurologic, arthritic, mechanical, traumatic, or other). […] The best shoes for plantar fasciitis have a rocker bottom sole and should be combined with an orthosis. […] These should be combined with cryotherapy, oral anti-inflammatories, limitations to provoking activity, avoidance of barefoot walking, and weight loss consultation.

• #19 Plantar Heel Pain – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499868/

  Patient education is one of the mainstays of treatment. […] Patients who understand the primary pain driver and the meaning of pain throughout their recovery may be more inclined to commit to conservative protocols. […] Improving understanding of promptly evaluating and treating this condition is crucial for achieving better patient outcomes. […] Practitioners should recognize that further evaluation is warranted when patients fail the initial 6 weeks of conservative therapy.

• #20 Understanding Heel Pain: Causes, Treatments, and When to Seek Help | Saint Joseph Health System

  https://www.sjmed.com/newsroom/blog-articles/understanding-heel-pain-causes-treatments-and-when-seek-help

  Heel pain is a common issue that can significantly impact your daily life, making simple activities like walking or standing uncomfortable. […] Proper diagnosis is crucial for effective treatment. […] Plantar fasciitis is the most common condition when it comes to heel pain. […] When you experience heel pain, it’s important to monitor the symptoms closely. […] If you have rested, worn appropriate footwear, and tried over-the-counter pain relievers without improvement, its advisable to consult a healthcare provider. […] Treatment for heel pain varies depending on the underlying cause. […] For cases of plantar fasciitis, which accounts for a significant majority of heel pain complaints, we often recommend corticosteroid injections directly into the heel. […] It’s important to prevent heel pain in the first place. […] If you suffer from chronic heel pain, its essential to manage the condition effectively to maintain your quality of life.

• #21 Heel Pain: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2018/0115/p86.html

  The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. The specific anatomic location of the pain can help guide diagnosis. The most common diagnosis is plantar fasciitis, which leads to medial plantar heel pain, especially with the first weight-bearing steps after rest. […] Heel pain is a common presenting symptom to family physicians and has an extensive differential diagnosis. Most diagnoses stem from a mechanical etiology. A thorough patient history, physical examination of the foot and ankle, and appropriate imaging studies are essential in making a correct diagnosis and initiating proper management. […] Initial treatment is typically conservative, with rest, activity modification, stretching, strengthening exercises, ice massage, and use of anti-inflammatory or analgesic medications. Custom or prefabricated orthotics, arch taping, night splinting, and physical therapy are effective and can be combined with more conservative approaches.

• #22 Plantar Fasciitis and Bone Spurs – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/plantar-fasciitis-and-bone-spurs

  Most people sleep with their feet pointed down. This relaxes the plantar fascia and is one of the reasons for morning heel pain. […] Your doctor may recommend the following procedures if you still have symptoms after several months of nonsurgical treatments. […] Because more than 90% of patients with plantar fasciitis recover with nonsurgical treatment, surgery is generally saved for people who have not seen improvement after 12 months of aggressive nonsurgical treatment. […] Most patients have good results with surgery. However, because surgery can result in chronic pain and dissatisfaction, it is recommended only after trying all nonsurgical treatments.

• #23 Plantar Fasciitis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/plantar-fasciitis/?srsltid=AfmBOopVDaljMlNMhkO0HWg5QThanqGp4E_k6c_fGlubaAun4fhATrWN

  Planter fasciitis leads to heel or foot pain and disruption in normal foot function. […] Many individuals with plantar fasciitis experience recovery of symptoms with or without the conventional treatments of: Over the counter anti-inflammatory and pain medicines such as: Ibuprofen (Motrin), Acetaminophen (Tylenol), Rest, Cool applications, Stretching. […] Treatment protocols for planter fasciitis revolve around conservative means including: Medications: Acetaminophen (Tylenol), NSAIDS (Motrin, Aleve), Corticosteroid injections (Depo-Medrol), Platelet rich plasma injections, Botulinum toxin type A (Dysport), Extracorporeal shock wave therapy. […] Develop plan of care and teaching plan. […] Promote rest. […] Support use of ice and heat applications as ordered. […] Assist with physical therapy plan.

• #23 Plantar Fasciitis: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/plantar-fasciitis/?srsltid=AfmBOopVDaljMlNMhkO0HWg5QThanqGp4E_k6c_fGlubaAun4fhATrWN

  Assist and teach use of assistive and supportive devices. […] Support a relaxing atmosphere. […] Encourage relaxation techniques. […] Include individual in creation of teaching plan. […] Provide clear explanations and demonstrations. […] Demonstrates reduced anxiety levels. […] Reports decreased pain. […] Shows understanding of condition, prevention, and management. […] Remains free from complications. […] Regains ability to perform desired activities without pain.

• #24

  https://www.nursingcenter.com/journalarticle?Article_ID=1368425&Journal_ID=54016&Issue_ID=1368320

  How will my heel pain be treated? Your healthcare provider will recommend one or more of these treatments: Taking a nonsteroidal anti-inflammatory drug, such as aspirin, ibuprofen, or naproxen. This helps reduce pain and swelling. Resting your foot. Your healthcare provider will let you know how long to avoid putting weight on your foot and explain how long to prop up your foot if it’s swollen. Wearing shoe inserts (orthotics) to help support your feet. You can get custom orthotics from your healthcare provider or buy ready-made orthotics from a drugstore. Stretching your calf muscles by standing barefoot on a wedge board placed up against a wall. With both feet facing the wall, lean into the wall until you feel a stretch along the back of your calf. Hold this stretch for 5 minutes two times a day. Applying an ice pack to your heel and arch for 5 minutes or less, three times a day. Don’t apply ice directly to your skin. Wearing a splint on your foot while you sleep. This bootlike device helps stretch your calf muscle and reduces heel pain. Injecting a steroid into your heel. Your healthcare provider will do this only if you have severe pain. This may relieve the pain for a short time. Surgery, although this is rarely needed.

• #24

  https://www.nursingcenter.com/journalarticle?Article_ID=1368425&Journal_ID=54016&Issue_ID=1368320

  What can I do to prevent heel pain? Let your healthcare provider check your shoes. You may need different shoes to ease your heel pain. Don’t walk barefoot. Even when you’re walking around your house, wear comfortable shoes that support your arches and protect your feet from injury. Contact your healthcare provider if your pain gets worse or if it isn’t better after a month of treatment.

• #25 Plantar Fasciitis and Foot Pain in Nursing | Ausmed

  https://www.ausmed.com/learn/articles/plantar-fasciitis

  Nurses are constantly on their feet. […] One of the most common causes of foot pain, found often in athletes, is plantar fasciitis – though you dont have to exercise to acquire this ailment. […] The shoes nurses wear are absolutely critical to preventing plantar fasciitis and saving themselves a great deal of pain. […] If your shoes do not have these features, you can use orthotics to prevent plantar fasciitis. […] Orthotics, which are placed inside the shoes and provide extra support for the arch of the foot, are (theoretically) perfect for preventing plantar foot pain and are often the first line of treatment. […] Splints are the next line of treatment. These devices hold your foot at a flexed angle to relieve the pressure on the tears. They are usually worn at night (Young 2023).

• #26 12 Best Shoes for Nurses with Plantar Fasciitis

  https://nurse.org/articles/best-shoes-for-nurses-plantar-fasciitis/

  Nurses can deal with a lot of aches and pains on the job and I’m not just talking about the patients. […] But one of the most challenging types of pain nurses can deal with is foot painfoot pain can seem like a small thing, but when you work a job that requires you to be on your feet all day or night, having the right supportive footwear makes all the difference. […] Thanks to long hours of walking and standing, combined with fast-paced work that involves quick pivots, lifting heavy loads, and unpredictable needs, nurses are especially prone to foot issues and a type of heel pain called plantar fasciitis. […] Plantar fasciitis is caused by inflammation in the tissue between the toes and heels and can be especially painful for nurses because it can lead to severe heel pain. You might have plantar fasciitis if you notice your heel pain is worse when you first stand up after sitting or resting. […] If you have any sort of heel or foot pain, be sure to visit your doctor and have it evaluated and equally as important, be sure you are wearing a supportive pair of shoes while you’re at work.

• #26 12 Best Shoes for Nurses with Plantar Fasciitis

  https://nurse.org/articles/best-shoes-for-nurses-plantar-fasciitis/

  Many types of plantar fasciitis can be healed with the right arch support and cushioning, so choose a pair of shoes that works just as hard as you. […] Nurses and healthcare workers are especially prone to plantar fasciitis for a few different reasons: 1) they spend long hours on their feet, which can inflame the ligaments 2) they frequently work on hard surfaces and have sudden starts in activity levels (think: Code Blues) 3) they may not always have adequate footwear 4) lack of stretching is involved and 5) health conditions like obesity. […] If you have had plantar fasciitis in the past, you may be more prone to getting it again in the future. The best way to help prevent it is to rest your feet after working a long shift, invest in supportive footwear (and be sure to replace your shoes often), and stretch as often as you can. […] For recurring heel pain, be sure to visit a podiatrist who can help you determine if you need physical therapy or more personalized treatment options.

• #27 Heel pain reducing my quality of life… – Page 3 – General Nursing Support

  https://allnurses.com/heel-pain-reducing-quality-life-t124022/?page=3

  I’m a 22 year old female nurse with plantar fasciitis (heel pain) bilateraly. This has prevented me from working in the hospital, grocery shopping, renting videos, etc. […] I too have had this painful disorder, and finally was fitted with molded shoe inserts… made especially for my feet. […] You really should find a podiatrist and ask for custom molded arch supports. […] The crocs worked for me! I had unrelenting Plantar Fascitis for 6 months. […] Standing for long periods will increase the symptoms. Walking doesn’t aggravate the symptoms as much as standing in one spot. When you find the right shoes, you will find relief. […] The pain you are experiencing is not necessarily forever. As everyone has posted, there are multiple ways of managing this situation. As is typical with most issues in the feet/ankles, rest is a necessity. You will need to stay off your feet for however long it takes to heal.

• #28 Help, new nurse, suffering from Heel Pain. – General Nursing Support

  https://allnurses.com/help-new-nurse-suffering-heel-t88374/

  I’m suffering from bad heel pain and have been diagnosed with plantar fasciitis. […] I spent a LOT of money on podiatry treatment, but the only thing that finally healed it was rest. […] One thing I did that helped was I stopped wearing the work boots, unless I was working with unloading skids of nursery stock (risk of nail punctures, or having a skid land on my toes.) […] I saw an ortho doc who prescribed shoe implants for me. […] I also iced the bottom of my feet. […] Stop wearing heels or shoes that are older than a year old. […] Ask an ortho doc or podiatrist for help with your feet problems….that’s your best source of help and information. […] I bought my first pair of Birkenstocks (suggested by my osteopathic physician) and it helped greatly. […] He told me that it also helps to sleep with a pillow under your feet in such a way that you leg to foot angle is at 90 degrees.

• #29 Heel pain – NHS

  https://www.nhs.uk/conditions/foot-pain/heel-pain/

  See a GP if heel pain is severe or stopping you doing normal activities, the pain is getting worse or keeps coming back, the pain has not improved after treating it at home for 2 weeks, you have any tingling or loss of sensation in your foot, you have diabetes and have heel pain foot problems can be more serious if you have diabetes. […] Heel pain is often caused by exercising too much or wearing shoes that are too tight. […] If you have heel pain, you might be able to refer yourself directly to services for help with your condition without seeing a GP.

• #30 Heel pain

  https://www.mayoclinic.org/symptoms/heel-pain/basics/when-to-see-doctor/sym-20050788

  Even mild heel pain can be bothersome, but you usually can safely try simple home remedies for a short time. […] Seek immediate medical attention if you: Have serious heel pain right after an injury. Have serious pain and swelling near the heel. Are not able to bend the foot downward, rise on the toes or walk as usual. Have heel pain with fever and numbness or tingling in the heel. […] Schedule an office visit if: There’s heel pain even when not walking or standing. Heel pain lasts more than a few weeks, even after you’ve tried rest, ice and other home treatments. […] Heel pain often goes away on its own with home care. Try the following: Rest. If possible, don’t do anything that puts stress on your heels, such as running, standing for long periods or walking on hard surfaces. Ice. Place an ice pack or bag of frozen peas on your heel for 15 to 20 minutes, three times a day. New shoes. Be sure your shoes fit properly and give plenty of support. If you’re an athlete, choose shoes that are designed for your sport. Replace them regularly. Arch supports or orthotics. Arch supports that you can buy without a prescription can help relieve pain. Custom-made orthotics usually aren’t needed for heel pain. Pain medicines. Medicines you can get without a prescription can help relieve pain. These include aspirin, ibuprofen (Advil, Motrin IB, others) and acetaminophen (Tylenol, others).

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