Hello Spring, Hello Heel Pain??

By: Lowell Weil, Jr., DPM

The baseball season, which marks the unofficial start of spring, is finally here.  Actually, this year in Chicago, spring has started very early with unprecedented great weather in March.  Usually we are still hunkered down with frigid temperatures, hoping and wishing for just a glimpse of spring to arrive.  Spring means many things to different people, but to those who take care of feet at the Weil Foot & Ankle Institute, it means the beginning of PLANTAR FASCIITIS SEASON.

Plantar Fasciitis is that annoying pain to the bottom of our feet, particularly in the heels, that grabs us when we get out of bed in the morning or get up from a rested or seated position.  Oh, it starts out slowly and we think we just have a heel bruise that will go away, but a month or two later we realize not only has it not gone away, your heel pain has actually gotten slightly worse.  Now we are limping a bit in the morning and have cut back on exercise, which is annoying because we know how important exercise is for our overall health.

Why is the onset of plantar fasciitis so prominent in the spring, you ask? The primary reason is that as the weather gets nicer, people want to get out and enjoy it.  Gardeners will take to their gardens for priming, pruning, and planting. Runners and walkers will begin more intense workouts embarking on faster times and longer distances. Golfers will hit the links with more vigor, and many of us will simply get out those sandals that we love, which, by the way, don’t offer much support for our feet.

But why do those things cause heel pain?  Well, heel pain/plantar fasciitis is most frequently caused from tight calf muscles and heel cords.  We get tight calf muscles for several reasons.  One reason is that as we get older, we inevitably get less flexible.  Another reason is that we rarely stretch regularly, even those of us who do yoga. The tight pull of the calf muscles and heel cords causes stress to the plantar fascia, a tissue on the bottom of the foot that connects to the heel bone.  This irritation to the plantar fascia may cause very small tears that result in pain and swelling. When our calf muscles are too tight and we increase our activities, this all results.  Soft surfaces such as grass or sand make heel pain/plantar fasciitis worse by causing our heels to sink downward and putting more stress on the tissues.  To some degree sandals, flip-flops and bare feet do the same thing and do not provide much support.

So now the question you've been waiting for: What do you do if you start getting heel pain?  There are some easy steps you can take to alleviate your heel pain and prevent it from worsening. 

1. Wear shoes that give more support.  A running shoe (I said running shoe, NOT just gym shoe) will provide excellent support and slightly raise the heel to relax the calf muscle.  Wearing shoes with a slight heel can really help.  Look for something that has 1-1.5 inches of heel.
2. Avoid bare feet, slippers, sandals and flats…until your condition gets better.  There are some good sandals, here, that have support that you may want to try out. There are also arch supports (Orthoheel and Powerstep) that can be purchased on line that are better than what is offered in the pharmacy.
3. Increase your stretching. Start stretching your calf muscle 3-4 times a day. See this site for useful stretches.
4. Use conservative treatment to alleviate symptoms. Take over-the-counter anti-inflammatory medicines (Ibuprofen, Aleve, etc.) as directed on the bottle consistently for a week or so.  Putting ice on the area for ten minutes at a time, once or twice a day will also help.

So what happens if your heel pain persists?  If your pain does not subside within a week or two, you face the possibility of having a chronic problem.  That is where physicians from the Weil Foot & Ankle Institute come in.  Physicians at the Weil Foot & Ankle Institute are renown for their treatment of heel pain.  The doctors here have done many studies, published papers and books and lectured around the world on heel pain and plantar fasciitis.  They have treated professional athletes from the Chicago Bulls, Chicago White Sox, Chicago Bears and other professional organizations, and Olympic and collegiate athletes from around the country for plantar fasciitis.Weil Foot & Ankle Institute Physicians have pioneered non-invasive and minimally invasive treatments for the treatment of plantar fasciitis. (See treatment options here and here).  They can create a specialized treatment regimen to meet your daily needs and successfully rid you of heel pain.

So as spring creates optimism for our typically disappointing baseball teams, don’t let your heel pain get you down. Protect your heels with the steps we’ve mentioned, and if that heel pain persists, come see one of our doctors at the Weil Foot & Ankle Institute. They’ll have you out and enjoying the weather, free of heel pain, before you know it!

Lowell Weil, Jr., DPM, MBA, FACFAS Fellowship Director, Weil Foot & Ankle Institute

Team Podiatrist, Chicago White Sox 
Dr. Weil Jr. has been on the staff of Weil Foot & Ankle Institute since 1996. His special areas of interest are reconstructive foot and ankle surgery, tendon and ligament reconstruction, radiofrequency techniques, Extracorporeal Shock Wave Therapy and sports medicine.

Relieving Heel Pain with Orthotics and the Arizona Brace

Dear Dr. Bongiovanni: (or as known in my office "Dr. BonJovi")

I thought I would drop you an email to give you an update on my progress with my new orthotics and Arizona brace.

Honestly, I was a little apprehensive when I left your office with my new devices. They initially felt obtrusive and uncomfortable. Within an hour I felt very secure and comfortable in the Arizona brace and actually left it on all day. (as you suspected I went all out!)

I have worn it every day with the exception of the last two days because I was in Phoenix for a night and wore shorts and topsiders. Even being without it my left ankle and foot felt much better, better than they have in years. I still have slight heel pain but much less than before. I cannot tell you how liberating the feeling is. I have seen over three different Podiatrists and Orthopedic Surgeons and nobody was able to give me the level of relief that you and Dr. Weil have given me. I would just like to express my deepest gratitude to you. Your help is so greatly appreciated.

Thank you for your honesty and professionalism and more importantly, your talent! You should be very proud. You guys are awesome.

Sincerely,

Dr. James Kakos
one happy patient!!!:-)