Heel or foot pain

Osetopaths can help with pain from conditions such as plantar fasciitis, foot pain or heel spurs. Plantar fasciitis is an inflammation of the plantar fascia of the foot. If it develops into a chronic condition, there can be a heel spur developing at the insertion of the tendon. Symptoms include pain in the sole of the foot when walking or going up on toes/heels. It can take a long time to resolve.

Treatment can allieviate strain and tension in the surrounding muscles and ligaments of the foot and ankle. Maintainance of correct foot biomechanics is also important for gait and posture. Proper footwear is a necessity in the resolution of plantar fasciitis. We can also give some stretching/strengthening exercise to increase foot/calf/tendon flexibility.

In some situations, referral to a podiatrist or use of heel cups and arch supports may be beneficial.

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Research:

Wynne MM, Burns JM, Eland DC, Conatser RR, Howell JN

Published in the J Am Osteopath Assoc Sep;106(9):547-56 2006

Clinical improvement occurs in subjects with plantar fasciitis in response to counterstrain treatment. The clinical response is accompanied by mechanical, but not electrical, changes in the reflex responses of the calf muscles. The causative relation between the mechanical changes and the clinical responses remains to be explored.

Batt J, Neeki MM 

Published in the J Am Osteopath Assoc Nov;113(11):857-61 2013

The authors present a case of a 24-year-old woman with left foot pain that began after an inversion injury obtained while running. The pain minimally improved with nonsteroidal anti-inflammatory medications. Clinical examination revealed a relatively normal foot with palpable changes in the bony structures at the midfoot consistent with a tarsal subluxation. Cuboid reduction was performed using high-velocity, low-amplitude manipulation, after which the patient reported immediate and near-complete pain relief. The authors also review mechanisms of injury, clinical findings, and treatment modalities for patients with tarsal subluxation.