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Posts for tag: heel pain

By Patrick Fettinger DPM
July 27, 2020
Category: blog

At Patrick Fettinger, DPM, one of the most frequent reasons patients come to our Fairfield County offices is to get relief from heel pain. This painful symptom can become quite debilitating. When every step you take hurts, it’s easy to see how heel trouble can prevent you from enjoying the active lifestyle you take for granted.

Tracking Down the Cause

The first step is finding out what is making your heel hurt. Our podiatrist, Dr. Patrick J. Fettinger, will examine your feet and also get a complete medical history. The foot doctor may also order imaging studies such as x-rays to get a clearer picture of your heel disorder. One of the primary sources of heel pain doesn’t even originate in the heel and that is plantar fasciitis. The plantar fascia is a band of tissue located on the bottom of your foot between your heel and your toes. If the plantar fascia becomes inflamed, it can lead to pressure and pain in the heel. Most often structural defects in your foot such as overly high arches, or overpronation are the source of plantar fasciitis. Other possible causes of heel pain include:

  • Fat pad atrophy on the heel (a natural part of the aging process)
  • Being overweight
  • Stress fracture
  • Tendonitis
  • Nerve problem

Determining Treatment

Finding the underlying cause of your heel pain will in turn dictate the course of treatment.

There are several conservative methods available:

  • Shoe modifications—particularly choosing styles with better arch support
  • Icing
  • Stretching exercises
  • Physical therapy
  • Anti-inflammatory medications and injection therapy
  • Custom orthotics

For persistent cases of heel pain, we also offer Extracorporeal Shock Wave Treatment (ESWT).

Continuing to walk on a heel that hurts will most likely result in worsening the injury. Contact our office in New Fairfield (203-746-9660) or Middlebury (203-598-0357) to schedule an appointment at your earliest convenience. Don’t suffer needlessly with heel pain.

By Patrick Fettinger DPM LLC
April 01, 2019
Category: injury prevention
Tags: heel pain  

At Patrick Fettinger, DPM LLC we know that spring sports are heating up in Fairfield County and lots of young athletes are getting out on the fields and courts. Too often, however, we see injuries and chronic foot disorders as a result of sports. The good news is that many of these can be prevented and parents can play a key role in ensuring that their child enjoys a safe season.

Check Up on Young Feet

Before your child suits up for a new sport, an examination at our New Fairfield (203-746-9660) or Middlebury (203-598-0357) office is a smart idea, especially if there has been a previous foot or ankle injury or an ongoing podiatric condition. Our foot doctor, Patrick Fettinger, DPM will analyze your child’s foot and determine if there are any special needs or accommodations necessary for safe sport participation. Protection against disorders like chronic ankle instability and heel pain will prevent injury and help your child play pain-free. A service we offer that is particularly helpful in sports medicine is computerized gait scan. This tool can help diagnose biomechanical dysfunction and improve athletic performance.

Choose the Right Footwear

No matter what sport your child plays, the equipment that is most important is the same: their shoes. Appropriate footwear prevents injuries. Shoes should:

  • Fit properly—get feet professionally measured at a sports shoe store
  • Be designed for the specific sport your child plays
  • Have good ankle and arch support
  • Not be hand me downs

Safe Play

The final component for a safe and successful season is a sound program. Your child should be coached by a qualified person who understands the sport and the conditioning necessary to play it. Practices should emphasize proper technique and drills should include appropriate time for stretching and warming up as well as a cool down period at the end. Training should start slowly and gradually increase in intensity and duration to prevent lower extremity injuries like Achilles tendonitis and shin splints. There should also be days off and periods of rest to avoid overuse injuries such as stress fractures and Sever’s disease.

If after starting a sport your child experiences foot or ankle pain, never encourage them to “play through it.” Contact us for an appointment so that we evaluate your child’s condition and prescribe any necessary treatment.