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Posts for category: Heel Pain

By Dr. Howard Schaengold
February 13, 2014
Category: Heel Pain

X-raySports are big in the Sammamish area, from basketball at Skyline or East Lake High School to the local Boys and Girls Club leagues. Your child can benefit from the exercise and team building that results from participation in organized sports. Conditions like tarsal coalition in athletes (fusing of tarsal bones), though, can put a damper on their enthusiasm. You can help your child through the disappointment and pain of a sports injury by understanding it and choosing to make the right decisions about treatment.

With tarsal coalition, two or more bones in the back part of the foot are joined. The rigidity can cause the foot to have problems performing as it should and make it more prone to injury. Tarsal coalition is a hereditary trait, but it may not show up until the child is 10 – 16 years of age--sometimes even later. Your first indication of a problem may be when your child sustains an injury like a sprained ankle and the fusion shows up on the X-rays.

It is very important that your son or daughter stop the activity that caused the injury right away. This is a hard choice for a child in the middle of a season, but the sooner treatment is begun, the better the foot will heal—and the fewer problems they will have down the road. Start the RICE treatment immediately (Rest, Icing, Compression, Elevation), and get them to The Plateau Foot & Ankle Clinic so we can examine and diagnose the problem. The important thing is to keep weight off as long as there is any pain. Treatment may involve use of crutches or custom orthotics, taping or bracing, or even a cast or cast boot. We may also prescribe anti-inflammatory medication to reduce swelling and pain.

Dr. Howard Schaengold specializes in sports injuries and wants to keep your child’s feet healthy for all their activities. Call (425) 868-3338 today for expert foot care in Sammamish, Issaquah, Redmond, and Bellevue, WA.

Photo credit: zirconicusso via

Heel pain is one of the leading problems that cause patients to visit their podiatrist, and it’s no wonder. The relentless ache in the bottom of your foot or the sharp pain as you step out of bed in the morning is often enough to persuade even the most stubborn patient to make an appointment with his or her podiatrist.

Because there are many potential causes of heel pain, such as a stress fracture, tendonitis, nerve damage or arthritis, it’s important to have your foot examined by a podiatrist with expert training in heel pain. Howard Schaengold, DPM will examine your foot, determine the underlying source of your heel pain, assess your symptoms, make a proper diagnosis and recommend a treatment plan based on your individual case. Early diagnosis and treatment can help prevent more serious problems.

Plantar fasciitis is the most common cause of heel pain, occurring when the thick band of tissue (plantar fascia) that connects the heel to the toes becomes irritated and inflamed. When the plantar fascia is strained over time beyond its normal extension, tissues of the fascia may tear or stretch, which leads to pain.

Faulty foot structures, such as flat feet or high arches are common causes of plantar fasciitis. Non-supportive shoes and increased weight or strain may aggravate the condition as well.

Common symptoms of plantar fasciitis include:

  • Bottom of the heel pain
  • Pain that intensifies after sitting for extended periods of time and subsides after a few minutes of walking
  • Pain that worsens over a period of months

Most types of heel pain, once properly diagnosed, can be successfully treated with conservative measures, such as use of anti-inflammatory medications and ice, rest, stretching exercises, orthotic devices, footwear modifications, and physical therapy. The longer heel pain is allowed to progress, the longer treatment can take. When plantar fasciitis doesn’t respond to conservative care, your podiatrist may recommend surgery as a last resort.  Always seek care from our Sammamish office for heel pain in its earliest stages for proper treatment.