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Dr. A.MOHAN KRISHNA
M.S.ORTHO, MCh ORTH(U.K)
Consultant Trauma, Arthroscopy,
Arthroplasty Surgeon
Apollo hospitals, Hyderabad
Consultant Orthopaedic Surgeon at
www.healthyjointclub.com
www.bonesandjointsclinic.com
DISCLAIMER
This presentation is solely for educational purpose.
The material included in the presentation
represents educational material for the patients
and not intended for any treatment purpose
PLANTAR FASCIITIS
Most common cause of foot & heel
pain
It is due to irritation and
inflammation of tight tissue that
forms the arch of the foot
COMPLAINTS
Pain under the heel
Severe pain &
inability to walk in
morning after
getting from sleep
Same pain in heel
after sitting for
long time and
getting up to walk
Pain gets better
after taking few
steps
Worsening pain
after prolonged
standing/walking
DIAGNOSIS
Tenderness / pain at the
bottom of heel on pressing
X ray may show a bony spur .
But it may not cause any
symptoms
POSTERIOR HEEL PAIN
POSTERIOR HEEL PAIN
Pain behind the foot rather
than underneath
Causes are
1. Achilles' tendinitis
(Irritation of tendon)
2. Retrocalcaneal bursitis
COMPLAINTS
Pain behind heel
Severe pain & inability
to walk in morning after
getting from sleep
Pain gets better after
taking few steps
DIAGNOSIS
-Tenderness / pain back of heel on
pressing
-bony or firm hard swelling may be
seen on back side of heel
-X ray may show a bony spur
back of heel bone .
-But it may not cause any
symptoms
TREATMENT OPTIONS
• Anti-
inflammatory
medications
• Exercises &
stretches
• Ice packs• Rest
Shoe
inserts
Injection
therapy
Surgery
Weight
reduction
Not all of these treatments are appropriate for every condition, but
they may be helpful in your situation.
TREATMENT OPTIONS
Rest
• Avoid
precipitating
activity
• Take few days off
jogging prolonged
standing/walking.
• Can reduce
severity of pain &
allow
inflammation to
cool down.
Ice packs
• Can reduce
severity of pain
• Usually helpful in
acute conditions.
Anti
inflammatory
medications
• Decreases pain
• Reduces
inflammation
TREATMENT OPTIONS
Modified Foot wear
Can help to soothe pain
Shoe inserts
TREATMENT OPTIONS
Injection Therapy : Local
corticosteroid injections can help
to reduce inflammation and relieve
pain.
Weight reduction
TREATMENT OPTIONS
Surgery: If all the non operative
methods fail surgery shall be
considered.
CONTACT
Dr.A.MOHAN KRISHNA
M.S.Ortho., MCh Ortho(U.K).,
Consultant Orthopaedic Surgeon,
Apollo Hospitals,
Hyderabad.
Appointments: Secretary :09247258989
09441184590
08332936085
www.healthyjointclub.com
www.bonesandjointsclinic.com
Email: healthyjointclub@gmail.com
bonesandjointsclinic@gmail.com

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Foot and heel pain

  • 1.
  • 2. Dr. A.MOHAN KRISHNA M.S.ORTHO, MCh ORTH(U.K) Consultant Trauma, Arthroscopy, Arthroplasty Surgeon Apollo hospitals, Hyderabad Consultant Orthopaedic Surgeon at www.healthyjointclub.com www.bonesandjointsclinic.com
  • 3. DISCLAIMER This presentation is solely for educational purpose. The material included in the presentation represents educational material for the patients and not intended for any treatment purpose
  • 4. PLANTAR FASCIITIS Most common cause of foot & heel pain It is due to irritation and inflammation of tight tissue that forms the arch of the foot
  • 5. COMPLAINTS Pain under the heel Severe pain & inability to walk in morning after getting from sleep Same pain in heel after sitting for long time and getting up to walk Pain gets better after taking few steps Worsening pain after prolonged standing/walking
  • 6. DIAGNOSIS Tenderness / pain at the bottom of heel on pressing X ray may show a bony spur . But it may not cause any symptoms
  • 8. POSTERIOR HEEL PAIN Pain behind the foot rather than underneath Causes are 1. Achilles' tendinitis (Irritation of tendon) 2. Retrocalcaneal bursitis
  • 9. COMPLAINTS Pain behind heel Severe pain & inability to walk in morning after getting from sleep Pain gets better after taking few steps
  • 10. DIAGNOSIS -Tenderness / pain back of heel on pressing -bony or firm hard swelling may be seen on back side of heel -X ray may show a bony spur back of heel bone . -But it may not cause any symptoms
  • 11. TREATMENT OPTIONS • Anti- inflammatory medications • Exercises & stretches • Ice packs• Rest Shoe inserts Injection therapy Surgery Weight reduction Not all of these treatments are appropriate for every condition, but they may be helpful in your situation.
  • 12. TREATMENT OPTIONS Rest • Avoid precipitating activity • Take few days off jogging prolonged standing/walking. • Can reduce severity of pain & allow inflammation to cool down. Ice packs • Can reduce severity of pain • Usually helpful in acute conditions. Anti inflammatory medications • Decreases pain • Reduces inflammation
  • 13. TREATMENT OPTIONS Modified Foot wear Can help to soothe pain Shoe inserts
  • 14. TREATMENT OPTIONS Injection Therapy : Local corticosteroid injections can help to reduce inflammation and relieve pain. Weight reduction
  • 15. TREATMENT OPTIONS Surgery: If all the non operative methods fail surgery shall be considered.
  • 16.
  • 17. CONTACT Dr.A.MOHAN KRISHNA M.S.Ortho., MCh Ortho(U.K)., Consultant Orthopaedic Surgeon, Apollo Hospitals, Hyderabad. Appointments: Secretary :09247258989 09441184590 08332936085 www.healthyjointclub.com www.bonesandjointsclinic.com Email: healthyjointclub@gmail.com bonesandjointsclinic@gmail.com