JOCK DOC

How to help your plantar fascia heal

 

HarlanS@baptisthealth.net

Q. I have had pain in my heel for the last two months. It bothers me most when I wake up in the morning. After I have moved around and have taken a hot shower, it feels better. If I am standing on it for a long period of time, it also starts to ache. When I am playing sports it bothers me some but is worse when I finish. I was looking online and it sounded like I may have plantar fascitis. What should I do?

A. Plantar fascia is the medical name for the arch of your foot. The area that is usually injured is the part where the arch begins as it attaches to the heel bone. The plantar fascia at that point has a poor micro-circulation and when injured it is very slow to heal.

Plantar fascitis can be very painful, particularly when waking up in the morning or after resting after extended exercise. Treatment usually includes anti-inflammatory medication, physical therapy, stretching and a night splint to stretch the plantar fascia out while sleeping. Also, a small air bladder known as an air heel can afford relief for many patients and can be worn in your shoe or sneaker. If these treatments fail, then injections, high-energy shock-wave therapy known as “OssaTron” or in rare circumstances, surgical release, may be necessary.

Acute tears of the plantar fascia can occur while playing sports and are very common in athletes who have had prior plantar fascitis symptoms. Essentially when tearing the plantar fascia, the athlete has done their own surgical release, and although the area will be acutely painful for a couple of weeks, usually it will get better and not be a chronic long-term problem.

I recommend you see an orthopedic surgeon or foot specialist to determine whether this is in fact a correct diagnosis as well as plan a treatment program that can keep you participating in sports and help you heal.

Dr. Harlan Selesnick is team physician of the Miami Heat and director of Miami Sports Medicine Fellowship, Doctors Hospital. Send your questions to HarlanS@baptisthealth.net

Read more Jock Doc stories from the Miami Herald

  • JOCK DOC

    Jock Doc: New advances in hip-replacement surgery can help in the long term

    Q. I have been having hip pain that has gotten worse for several years. I saw my orthopedic surgeon, who said I had bad arthritis and needed a new hip. I have been reading online about minimally invasive hip surgery, robotic hip surgery and traditional hip surgery. Do you have any advice on what I should do?

  • JOCK DOC

    How Miami Heat players prepare during the off-season

    Q. Now that the Miami Heat season has ended what do you do with the players in the off-season?

  •  
Selesnick

    JOCK DOC

    Jock Doc: Surgery might be needed to repair biceps tendon

    Q: I was working out last week and felt a pop in my left arm. It hurt some. Then I noticed a bump in my biceps muscle. The pain has improved, but I still have some weakness. I do not like the way it looks. I have been afraid to go back and work out. I would like to know if this bump can heal itself and what type of doctor I need to see.

Miami Herald

Join the
Discussion

The Miami Herald is pleased to provide this opportunity to share information, experiences and observations about what's in the news. Some of the comments may be reprinted elsewhere on the site or in the newspaper. We encourage lively, open debate on the issues of the day, and ask that you refrain from profanity, hate speech, personal comments and remarks that are off point. Thank you for taking the time to offer your thoughts.

The Miami Herald uses Facebook's commenting system. You need to log in with a Facebook account in order to comment. If you have questions about commenting with your Facebook account, click here.

Have a news tip? You can send it anonymously. Click here to send us your tip - or - consider joining the Public Insight Network and become a source for The Miami Herald and el Nuevo Herald.

Hide Comments

This affects comments on all stories.

Cancel OK

  • Marketplace

Today's Circulars

  • Quick Job Search

Enter Keyword(s) Enter City Select a State Select a Category