Plantar Heel Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Plantar Heel Pain, Diagnosis and Treatment and Related Diseases
Plantar Heel pain is most often a symptom indicating the result of overuse.
It can also be caused by an injury.
Causes
The heel may become painful and swollen from:
1. Shoes with poor support or shock absorption
2. Running on hard surfaces, like concrete
3. Running too frequently
4. Tension or rigidity in the calf muscle or the Achilles tendon
5. Sudden inward or outward turning of the heel
6. Landing hard or uncomfortably on the heel
Disorders that may cause heel pain are:
1. Swelling and pain in the Achilles tendon (Achilles tendonitis)
2. Swelling of the fluid-filled sac (bursa) at the back of the heel bone under the Achilles tendon (bursitis)
4. Swelling of the thick band of tissue on the bottom of the foot (plantar fasciitis)
5. Fracture of the heel bone that is related to landing very hard on the heel from a fall (calcaneus fracture)
Most cases of heel pain have a mechanical cause.
Other causes are:
1. Trauma;
2. Neurological,
3. Arthritic,
4. Infectious,
5. Neoplastic
6. Autoimmune conditions, and
7. Other systemic conditions.
Main disorders causing plantar heel pain are:
1. Plantar fasciitis - the most frequent cause in adults - tenderness at the origin of the plantar fascia (the medial tubercle of the os calcis).
2. Achilles tendonitis - an acute disorder and painful because of acute minor tears and linked inflammatory change
3. Calcaneal apophysitis (Sever's disease), which happens most often in adolescents.
Diagnosis and Assessment
The doctor should always consider trauma in an acute manifestation:
1. Talar injuries often accompany falls on to the feet or after violent dorsiflexion of the ankle.
2. Calcaneal fractures normally accompany a fall from height on to the heel.
3. Fractures are often bilateral.
4. There is swelling, bruising and tenderness over the calcaneum.
5. There may be related injuries to the knees, hips, pelvis, lumbar spine or cervical spine.
6. Talar and calcaneal fractures should be referred for urgent orthopedic assessment.
7. Patients with plantar fasciitis often have higher amount of heel pain with their first steps in the morning or when they stand up after prolonged sitting.
8. There is normally painful palpation at the calcaneal tuberosity and pain is raised with passive dorsiflexion of the toes.
9. Achilles tendonitis is linked with posterior heel pain.
More pain happens with running, jumping, or making quick turns.
There is pain and tenderness over the insertion of the Achilles tendon.
There is often a rise in pain with dorsiflexion of the foot.
10. Calcaneal stress fractures are more likely to happen in athletes who partake in sports that need running and jumping.
11. Tarsal tunnel syndrome may manifest with plantar heel pain followed by tingling, burning or numbness.
12. Symptoms are often started by percussion of the tarsal tunnel or dorsiflexion and eversion of the foot.
Treatment
Home Care
Crutches are used to take weight off the feet.
Rest is important and should be done
Ice should be applied to the painful area.
Acetaminophen or ibuprofen is taken for the pain.
The patient can use a heel cup, felt pads in the heel area, or shoe insert.
Night splints can be worn
Initial treatment choices will be dependent on the diagnosis but are:
1. Rest,
2. Non-steroidal anti-inflammatory drugs (NSAIDs),
3. Local steroid injection,
4. Orthotics
Physiotherapy may be helpful.
If symptoms are not better then surgery may be required - e.g., removal of the prominent posterior superior aspect of the calcaneus and inflamed bursa, the plantar fascia is released from where it attaches to the bone, removal of spur
TABLE OF CONTENT
Introduction
Chapter 1 Plantar Heel
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
Read more from Kenneth Kee
Hyper-Pigmentation Of The Skin A Simple Guide To The Condition, Treatment, And Related Conditions Rating: 5 out of 5 stars5/5Hernia, (Different Types) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Avoidant Personality Disorder, A Simple Guide To The Disorder, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsIodine Deficiency, A Simple Guide to the Condition, Treatment and Related Diseases Rating: 4 out of 5 stars4/5A Simple Guide to The Pineal Gland (The Third Eye) And Its Function Rating: 5 out of 5 stars5/5Oppositional Defiant Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Shoulder Disorders, A Simple Guide To The condition, Diagnosis, Treatment And Improvised Treatment Rating: 5 out of 5 stars5/5A Simple Guide to Skin Fungal Infections, (Updated 2023) Diagnosis, Treatment and Related Conditions Rating: 5 out of 5 stars5/5Congestive Heart Failure, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Vitamin B12 Deficiency, A Simple Guide To The Condition, Treatment And Related Diseases Rating: 5 out of 5 stars5/5Ankylosing Spondylitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsIntestinal Parasitic Diseases, A Simple Guide to These Conditions Rating: 4 out of 5 stars4/5Peripheral Neuropathy, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5A Simple Guide to Psychosis, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsCase Notes From A Family Doctor Rating: 5 out of 5 stars5/5A Simple Guide to Anemia, Treatment and Related Diseases Rating: 5 out of 5 stars5/5Liver Cirrhosis, A Simple Guide To The Condition, Treatment And Related Diseases Rating: 0 out of 5 stars0 ratingsLymphedema (Lymph Obstruction), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsElectrolyte Imbalance, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 1 out of 5 stars1/5Sulfur Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 3 out of 5 stars3/5Dependent Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsParanoid Personality Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Cervical Spondylosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Melasma, (Chloasma) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsVitamin B1 Deficiency, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 4 out of 5 stars4/5Delusion Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratings
Related to Plantar Heel Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Related ebooks
A Simple Guide to Extensor Tendonitis, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsScaphoid Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsAvascular Necrosis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 4 out of 5 stars4/5The Thoracic Outlet Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsTrochanteric Bursitis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsAnkle Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatments Rating: 0 out of 5 stars0 ratingsFlat Foot (Pes Planus), A Simple Guide to The Condition, Treatment And Related Conditions Rating: 1 out of 5 stars1/5Lisfranc Foot Injury, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsNeck Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsBack Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment Rating: 0 out of 5 stars0 ratingsFoot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment Rating: 0 out of 5 stars0 ratingsNeck Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment Rating: 0 out of 5 stars0 ratingsAdhesive Capsulitis, (Frozen Shoulder) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsCarpal Tunnel Syndrome, A Simple Guide To The Condition, Treatment And Related Conditions Rating: 5 out of 5 stars5/5Tarsal Tunnel Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsForearm Fractures, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsBursitis, (Inflamed Bursa) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsHip Neck Fracture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsHallux Varus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsAchilles Tendon Rupture, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsMeniscus Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsPiriformis Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsSpinal Stenosis And Pinched Nerve A Simple Guide to These conditions Rating: 5 out of 5 stars5/5Foot Drop, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsShoulder Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsA Simple Guide to Post-stroke Recovery, Diagnosis, Treatment and Related Conditions Rating: 0 out of 5 stars0 ratingsShoulder Disorders, A Simple Guide To The condition, Diagnosis, Treatment And Improvised Treatment Rating: 5 out of 5 stars5/5Osteochondritis Dissecans, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions Rating: 0 out of 5 stars0 ratingsKnee Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatments Rating: 0 out of 5 stars0 ratings
Medical For You
Gut: The Inside Story of Our Body's Most Underrated Organ (Revised Edition) Rating: 4 out of 5 stars4/5Living Daily With Adult ADD or ADHD: 365 Tips o the Day Rating: 5 out of 5 stars5/5Brain on Fire: My Month of Madness Rating: 4 out of 5 stars4/5The Vagina Bible: The Vulva and the Vagina: Separating the Myth from the Medicine Rating: 5 out of 5 stars5/5What Happened to You?: Conversations on Trauma, Resilience, and Healing Rating: 4 out of 5 stars4/5Mating in Captivity: Unlocking Erotic Intelligence Rating: 4 out of 5 stars4/5The Emperor of All Maladies: A Biography of Cancer Rating: 5 out of 5 stars5/5Tight Hip Twisted Core: The Key To Unresolved Pain Rating: 4 out of 5 stars4/5Women With Attention Deficit Disorder: Embrace Your Differences and Transform Your Life Rating: 5 out of 5 stars5/5Mediterranean Diet Meal Prep Cookbook: Easy And Healthy Recipes You Can Meal Prep For The Week Rating: 5 out of 5 stars5/5The Diabetes Code: Prevent and Reverse Type 2 Diabetes Naturally Rating: 4 out of 5 stars4/5The Amazing Liver and Gallbladder Flush Rating: 5 out of 5 stars5/5The Song of the Cell: An Exploration of Medicine and the New Human Rating: 4 out of 5 stars4/5Adult ADHD: How to Succeed as a Hunter in a Farmer's World Rating: 4 out of 5 stars4/5The People's Hospital: Hope and Peril in American Medicine Rating: 4 out of 5 stars4/5ATOMIC HABITS:: How to Disagree With Your Brain so You Can Break Bad Habits and End Negative Thinking Rating: 5 out of 5 stars5/5Herbal Healing for Women Rating: 4 out of 5 stars4/5A Letter to Liberals: Censorship and COVID: An Attack on Science and American Ideals Rating: 3 out of 5 stars3/5The Big Fat Surprise: Why Butter, Meat and Cheese Belong in a Healthy Diet Rating: 4 out of 5 stars4/5"Cause Unknown": The Epidemic of Sudden Deaths in 2021 & 2022 Rating: 5 out of 5 stars5/5The Art of Dying Well: A Practical Guide to a Good End of Life Rating: 4 out of 5 stars4/5Unhinged: The Trouble with Psychiatry - A Doctor's Revelations about a Profession in Crisis Rating: 4 out of 5 stars4/5Holistic Herbal: A Safe and Practical Guide to Making and Using Herbal Remedies Rating: 4 out of 5 stars4/5Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner Rating: 4 out of 5 stars4/5
Reviews for Plantar Heel Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
0 ratings0 reviews
Book preview
Plantar Heel Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Plantar Heel Pain,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Plantar Heel Pain, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Plantar Heel Pain)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Plantar Heel pain
What is Plantar Heel pain?
Plantar Heel pain is most often a symptom indicating the result of overuse.
It can also be caused by an injury.
The heel may become painful and swollen from:
1. Shoes with poor support or shock absorption
2. Running on hard surfaces, like concrete
3. Running too frequently
4. Tension or rigidity in the calf muscle or the Achilles tendon
5. Sudden inward or outward turning of the heel
6. Landing hard or uncomfortably on the heel
Disorders that may cause heel pain are:
1. Swelling and pain in the Achilles tendon (Achilles tendonitis)
2. Swelling of the fluid-filled sac (bursa) at the back of the heel bone under the Achilles tendon (bursitis)
4. Swelling of the thick band of tissue on the bottom of the foot (plantar fasciitis)
5. Fracture of the heel bone that is related to landing very hard on the heel from a fall (calcaneus fracture)
Causes:
Most cases of heel pain have a mechanical cause.
Other causes are:
1. Trauma;
2. Neurological,
3. Arthritic,
4. Infectious,
5. Neoplastic
6. Autoimmune conditions, and
7. Other systemic conditions.
Differential diagnosis
1. Plantar fasciitis - the most frequent cause in adults - tenderness at the origin of the plantar fascia (the