Heel Pain Treatment in Grand Island, Nebraska
Heel pain is the most common reason people come to see us at Prairie Foot & Ankle. Most heel pain is plantar fasciitis, and most cases get better without surgery. Dr. Corey Blackburn, DPM, treats heel pain at our Grand Island clinic and through outreach clinics in Hastings, Superior, St. Paul, Broken Bow, and Hebron. No referral is needed for most insurance plans.
What causes heel pain?
Most heel pain is plantar fasciitis. The band of tissue under the foot becomes overloaded from standing on concrete, a sudden increase in activity, or worn-out footwear. It tightens overnight, which is why the first step in the morning often hurts. Less common causes include stress fractures, nerve problems, Haglund’s deformity, cracked skin, and a growth-plate condition called Sever’s disease in children ages 8–14. An exam and imaging when needed help identify the cause.
How do you treat heel pain?
We start with conservative care: a stretching program you can do at home, shoe changes, icing, and custom orthotics when appropriate. If pain does not improve after several weeks, physical therapy or a corticosteroid injection may help. Surgery is rare; only a small minority of heel-pain patients need it.
“Heel pain is one of the most common complaints that we see in the clinic. It also is one of the complaints that causes the most disruption to daily life for our patients.”
— Karl Vollers, APRN
What is plantar fasciitis?
Plantar fasciitis is inflammation or irritation of the strong band of tissue that runs from the heel toward the toes and supports the arch. Typical symptoms include sharp or tearing heel pain, especially with the first step after sleep or rest. Prolonged standing, ladder use, repetitive activity, footwear, and body weight can increase strain on the tissue. Treatment may include stretching, icing, massage, orthotics, physical therapy, and injections.
What is Haglund’s deformity?
Haglund’s deformity is a bony prominence at the back of the heel that can rub against the Achilles tendon and nearby bursa. This may cause pain, swelling, and tendon irritation. Treatment often includes heel lifts, footwear changes, therapy, and stretching. Surgery to remove the prominence is sometimes needed but is uncommon.
Why do heels crack in summer?
Heel fissures are cracks in the skin that can become painful, red, swollen, or bleed. They are common during summer because open-backed sandals allow the heel to move and the skin to split. Dry skin, eczema, psoriasis, and other inflammatory skin conditions may also contribute. Persistent or deep cracks should be evaluated, especially for people with diabetes or poor circulation.
What causes heel pain in children?
Sever’s disease is irritation of the heel growth plate, most often affecting active children ages 8–14. Parents may notice limping, unusual walking, or less interest in sports because of pain. Rest, ice, temporary activity changes, supportive footwear, a walking boot, or physical therapy may be recommended. Imaging is sometimes needed to rule out other problems.
How do I get seen?
Call (308) 646-0077 or use our online patient portal to request an appointment. Visit our Grand Island clinic or call for the current outreach schedule in Hastings, Superior, St. Paul, Broken Bow, or Hebron.
Read more: Why does my heel hurt most in the morning?
Medical content reviewed by Dr. Corey Blackburn, DPM.