Lecture on heel pain with how to diagnose and how to treat the condition.

1. Heel Pain
Plantar Fasciitis
Donald Pelto, DPM
Central Massachusetts Podiatry, PC
Worcester, MA

2. Doctor dilemma
• Too much information
• Too little time with patient
• Need to get better quicker
• Many treatment options

3. This is for you if…
• You have pain in your heel when getting
up in the morning
• You have bought inserts for your shoes
without success
• You have been see by another doctor and
not gotten better
• You think heel pain is just part of your life!

4. Today we will cover
• What is plantar fasciitis?
• Symptoms
• Causes
• Diagnosis
• Treatment

5. What is plantar fasciitis?

6. What is plantar fasciitis?

7. Symptoms of plantar fasciitis
• First step pain
• Inside arch
• Central heel

8. Causes of plantar fasciitis
• Too much activity too fast
• Too hard of a surface
• Old shoes without support or cushion
Common Questions
• Heel spur?
• Weight?

9. Causes of plantar fasciitis

10. Causes of plantar fasciitis

11. Causes of plantar fasciitis

13. Diagnosis

14. Diagnosis

15. Heel Pain Treatments
Home vs Office
• Topical Treatment
• Shoes and feet
• Stretching
• Medications
• Surgery

16. Topical Treatment

17. Shoes and feet
• No barefoot

18. Shoes and feet

19. Stretching

20. Stretching

21. Medications
• Motrin & Ibuprophen (NSAIDs)
• Medrol Dose Pack (Steroid)

22. Medications
• Steroid Injection
– 25G Needle
– 3cc Syringe
– 1cc 1%
Lidocaine
– 1cc 0.5%
Marcaine
– 0.5cc Kenalog
– 0.5cc
Dexamethasone

23. Surgery

24. Surgery

25. What next?
• Watch this presentation at
www.slideshare.net/donpelto
• Request book on Common Foot Problems
e-mail don@worcesterfootcare.com put
“The foot book” in the e-mail title
• Listen to a free recorded message on
“Quick and effective relief from plantar
fasciitis”
Call: 641.715.3800 Access 32299 Code 3

26. Donald Pelto, DPM
Central Massachusetts Podiatry
299 Lincoln Street Suite 202
Worcester, MA
don@worcesterfootcare.com
(508) 757-4003