San Diego Heel Pain Running injuries painful heels plantar fasciitis

Heel Pain - Plantar Fasciitis and More ...


Chronic Heel Pain

La Jolla Plantar Fasciitis Heel pain is a common complaint for athletes, runners and the non-athletic individual. There can be a number of causes for pain in one or both heels.

What is Plantar Fasciitis?

Plantar fasciitis is caused by inflammation and irritation of the tight tissue forming the arch of the foot. The most common cause of heel pain, it typically affects men, aged 40 - 70 who are physically active.

The bottom or inside of the foot and / or heel (where heel and arch meet) may hurt or cause severe pain upon standing after resting -- or most often, when arising in the morning. The pain is usually experienced within the first few steps and is often characterized as "walking on nails" or knife blades. The pain may let up after walking a bit but most commonly returns after prolonged movement or a rest.

Plantar Fasciitis Symptoms

Pain in the bottom of the heel is the most common symptom. The pain is often described as a knife-like, pinpoint pain that is worse in the morning and generally improves throughout the day. By the end of the day the pain may be replaced by a dull ache that improves with rest. The pain results from stretching the damaged tissues. For the same reason atheletes' pain occurs during beginning stages of exercise and is relieved over time as warm-up loosens the fascia. Plantar fasciitis onset is usually gradual, only flaring up during exercise. If pain is ignored, it can eventually interfere with walking and overall, plantar fasciitis accounts for about ten percent of all running injuries.

Relieving Plantar Fasciitis Pain:

  • Anti-inflammatory medication
  • Heel stretching exercise
  • Ice application to painful area - twice a day or more, for 10 - 15 minutes
  • Rest
  • Supportive, well-fitting, padded shoes
  • Heel cup, felt pads or orthotics
  • Night splints - stretches injured fascia and allows healing

    Basic treatment

    First thing in the morning, before getting out of bed -- massage the bottom of the affected foot or feet for at least five minutes. Ensure that the plantar is stretched and warmed up so that overnight healing remains intact.

    Before stepping out of bed, be sure that you have soft, padded, supportive shoes or slippers to wear - especially if your flooring is hard -- tile or uncarpeted flooring.

    If pain continues, or is acute, contact Dr. Jeffers -- (858) 452-7770


    Heel Spurs

    Heel spurs are commonly assumed to be caused by plantar fasciitis but research has revealed that this is not necessarily the case. X-rays show that heel spurs are found in people with and without plantar fasciitis. The bone spur itself is extra bone that usually forms as a result of pressure, stress or rubbing that continues for a prolonged period of time.

    Treatment may be oriented to the symptoms or causes of the bone spur itself. Weight loss, for example, can take some pressure off the foot and heel. Other treatments can include orthotics, shoe padding, ice, rest, anti-inflammatories and stretching.

    Other causes of heel pain can be:

  • Achilles tendinitis
  • Bone bruising
  • Bone cysts
  • Bursitis
  • Fractures
  • Gait problems
  • Gout
  • Heel pad overuse, wear and tear
  • Neuroma
  • Osteomyelitis
  • Peripheral neuropathy
  • Pinched nerves
  • Rheumatoid arthritis
  • Ruptured achilles tendon
  • Sciatica
  • Stress fractures
  • Tarsal tunnel syndrome
  • Tendinitis

    More information coming...


    If you have questions about your heel pain and plantar fasciitis or need analysis and treatment
    Call Dr. Jeffers today at (858) 452-7770
  • San Diego Chiropractic Care
    General & Sports Chiropractor

    Chiro Facts
    Foot pain may be caused by a large number of different injuries or conditions. Repeated trauma, acute trauma or disease are the most common causes. Trauma resulting from forces outside the body that directly impact the body, forcing it into a position in which one or more forces result in damage to body structure.

    Chiro Facts
    Foot pain can be the result of improper biomechanical alignment. High heeled shoes or shoes that are too tight, loose, or provide little support can cause foot and heel pain. Even shoes that are simply tied too tightly can cause damage, including bruising on the top of the foot.

    "I could barely stand getting out of bed in the morning -- thank you for diagnosing and FIXING my heel pain. I'm running better than ever and back to marathon prep..."
    L. Rennert




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    Call Today (858) 452-7770



    Keith Jeffers Chiropractic & Sports Injuries
    7770 Regents Road, Suite 105
    San Diego, CA 92122
    (858) 452-7770

    San Diego Chiropractic Care and Sports Medicine



    Our mission is to heal your heel -- Find us: Serving San Diego County, Del Mar, La Jolla, UTC, Downtown, Solana Beach, Mira Mesa, UTC, UCSD, Sorrento Mesa, Rancho Santa Fe, Solana Beach, Penasquitos, Rancho Bernardo, Sorrento Valley and downtown San Diego - YOUR San Diego Chiropractor Zip code: 92121, 92130, 92122, 92037, 92038, 92039, 92092, 92093, 92118, 92178, 92067, 92091, 92107 and 858, 760, 619 area code



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