Heel Pain

Heel Pain Specialist
Heel pain caused by plantar fasciitis can cause discomfort for many people. At NYC Footcare, Dr. Tsentserensky can offer patients in and around New York City numerous treatment options including custom orthotics and surgery.

Heel Pain Q & A

NYC Footcare

What Causes Heel Pain? 

Heel pain is frequently caused by a condition known as plantar fasciitis which is also known as heel spur syndrome. Other factors can cause heel pain including arthritis, nerve irritation, tendonitis, a stress fracture, or very occasionally a cyst. To determine the exact cause, the podiatric surgeon will examine the foot and ankle thoroughly.

What is Plantar Fasciitis?

Plantar fasciitis is the inflammation or swelling of the plantar fascia which is a band of tissue which connects the heel to the base of the foot. When this ligament becomes irritated it can swell and cause heel pain. The irritation is commonly caused by structure problems within the foot itself. Wearing shoes which do not support the foot especially when standing or walking on hard, flat surfaces can also put strain on the fascia and cause pain. Those with the condition can also have a bony spur present which can contribute to the issue.

How is Heel Pain Treated?

Treatment will typically begin with therapy and at-home strategies. Options will include:

  • Stretching- exercises to stretch the calf can ease pain
  • Avoid being barefoot- this can help relieve pressure and strain on the fascia
  • Icing- using an ice pack for 20 minutes a few times a day can ease swelling
  • Shoe modifications- wear shoes with good arch support and a slightly raised heel
  • Limit certain activities- cut down on activities which can put pressure on the fascia
  • Medications- NSAIDs such as ibuprofen can help reduce inflammation and pain
  • Padding- pads in the shoes and straps to support the ankle can reduce strain
  • Orthotic devices- custom devices can help to correct structural issues
  • Splints- wearing a splint at night can maintain a stretch overnight and reduce morning pain
  • Walking cast- a cast can be used to keep the foot immobile for a while to help it heal
  • Injections- corticosteroid injections can help reduce pain and swelling

Surgery can be used when these above treatments have failed and often can rid the person of the heel spur and/or operate on the plantar fascia itself.


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80 Maiden Lane
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