How to Treat Heel Pain Without Surgery

“Heel pain is the most common sports injury that we treat in our practice. Heel pain generally is associated with the overextension of a patient’s plantar fascia, or heel muscle. The symptoms experienced by our patients most frequently are pain with their first step out of bed in the morning, or pain when they ambulate after sitting for prolonged periods of time.

Our approach for treating heel pain here starts with a conservative range of treatments that include physical therapy, cortisone injections when needed, oral anti-inflammatory medications, and stretching exercises which we demonstrate to our patients in-office and have them do at home.

In order to correct the underlying biomechanical imbalance that cause the heel pain, we fabricate custom orthotics for the patient, which captures their foot in neutral position and takes the pressure off of their arches. When conservative treatment is not effective, we have a surgical approach which starts with a minimally invasive process called radiofrequency, where we use radio waves to deaden the pain in the heel. If needed, we have procedures that we do in our surgical center or hospitals that include EPFs, which are Endoscopic Plantar Fasciotomies, or using an endoscope to minimally invasively lengthen the arch muscle or, when needed, we do an open approach to correct the problem. Despite the ability of us to do these surgical corrective procedures, 99 out of 100 of our patients tend to do very well with conservative treatment.”