A Simple Guide to Plantar Fascilitis and Heel diseases
By Kenneth Kee
()
About this ebook
Heel pain is the pain which is felt in the heel either when standing too long or when walking.
It occurs more in women than in men maybe because they tend to wear high heel shoes more than in men.
What are the causes of Heel Pain?
1. The most common cause is Plantar fascilitis which is an inflammation of the fascia stretching in the sole of the foot from the heel to the toes.
2. A calcaneal spur is the protrusion of the calcaneun bone due to constant weight or pressure.
It appears as a sharp protrusion of the bone on its front and lower end of the calcaneum bone or the upper and back end of the bone.
The front lower end protrusion is sharp and can press into the tissues or nerve causing pain on contact with the floor when walking or standing.
It can be typically seen as a sharp protrusion on X- rays.
3. Over weight or Obesity is another factor which can occur to cause heel pain because of the excessive weight on the heels.
4. Poor blood circulation of the foot typically results in a blood clot at the heel which is most painful when a person wakes up in the morning and steps on the floor resulting in the swollen blood clot pressing against the heel tissue causing heel pain.
After walking a bit, the heel pain disappears because the blood clot becomes dissipated and the blood starts flowing normally again.
Soaking in warm water before sleep and wearing warm socks usually helps to prevent this blood clot to form so easily at night.
5. Pain in the heel may occur as part of the pain incurred in all arthritis of the ankle including osteoarthritis, gouty arthritis or rheumatoid arthritis.
6.Injury to the heel including falls leading to fractures of the calcaneal bone
What are the symptoms of Heel Pain?
The symptoms are usually:
1. pain in the heel while walking or standing
2. pain in the heel when stepping on the floor and improvement after walking causing the blood clot to dissipate.
3. pain in the upper part of the back of the heel during walking due to the protrusion hitting the nerve in the Achilles tendon area.
Signs
1. local heel tenderness in the area of inflammation or pressure on the calcaneal spur.
2. Direct pressure at the painful region causes pain.
How is Heel Pain diagnosed?
1.Involvement of pain at the heel region
2. X-rays of the foot may show the presence of calcaneal spurs.
What is the treatment of Heel Pain?
Conventional Medicine:
1.Use of tapes and relief pads
2. Use of cushions and heel cups for the heel
3. Exercises of the heel muscle may help after the acute pain has subsided.
4. Loss of weight will reduce the weight on the foot and calcaneal spur
5. Exercise in warm will help in cases of blood clot in thee heel region
6. Wearing warm socks and raising the foot above the ground when sitting or on a pillow while lying in bed will reduce pressure on the heel bone.
7. A local anesthetic with steroid into the painful area will reduce inflammation and relieved pain and swelling
Pain killers such as NSAIDs can temporarily relieve pain
Surgery
Surgical removal of the calcaneal spur will help relieve the pain .
TABLE OF CONTENT
Chapter 1 Heel Pain
Chapter 2 Plantar Fascilitis
Chapter 3 Achilles Tendonitis
Chapter 4 Flat Foot
Chapter 5 Arthritis of Ankle and Foot
Chapter 6 Foot Care
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"
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Book preview
A Simple Guide to Plantar Fascilitis and Heel diseases - Kenneth Kee
A
Simple
Guide
to
Planter Fascilitis
And
Heel Diseases
by
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2012 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 the Plantar Fascilitis and Other Heel Diseases such as Achilles Tendonitis, Flat foot and Osteoarthritis of the ankle which cause Heel Pain and are seen in some of my patients in my Family Clinic.
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.
Chapter 1
Heel Pain
What is Heel Pain?
Heel pain is the pain which is felt in the heel either when standing too long or when walking.
It occurs more in women than in men maybe because they tend to wear high heel shoes more than in men.
What are the causes of Heel Pain?
1. The most common cause is Plantar fascilitis which is an inflammation of the fascia stretching in the sole of