The most common cause of heel pain in dancers is
plantar fasciitis. This occurs when the tough collagen fibers in the long flat ligament on the bottom of the foot get overused or strained and develops small tears, which cause it to become inflamed. The pain from plantar fasciitis is most noticeable with the first steps taken in the morning or after having sat for a long period of time. The pain ranges from dull to intense and increases over a period of months. If left untreated plantar fasciitis will worsen.
Risk factors for plantar fasciitis include the following:
- Foot arch problems either high or low
- Tight Achilles tendon
- Shoes with little or no arch support and soft sides
- Sudden weight gain or obesity
In order to diagnose plantar fasciitis,
Dr. Boucher will perform a physical examination of your feet. This may reveal high or low arches, tenderness on the foot’s bottom, some swelling and stiffness in the arch. Occasionally the doctor will require x-rays just to rule other possible problems.
Thankfully, there are many steps that can be taken to alleviate the pain of plantar fasciitis and combinations are usually successful at reducing the pain, but it does take time. Combinations of the following may be used:
- Rest as much as possible for at least a week
- Wear shoes with good arch support and cushioning
- Do recommended heel stretching exercises
- Take over-the-counter pain relief as needed
- Apply ice twice daily during the first week for 10 to 15 minutes each time
- Use heel cups, felt pads or shoe inserts
- Use night splint to stretch the plantar fascia and allow it healing time
If pain relief is not achieved, Dr. Boucher may recommend a month in a boot cast, custom foot orthotics or steroid shots. Non-surgical attempts usually prove successful by decreasing pain level, but it can take up to two years to completely resolve. There are rare instances where surgery may be required, but there are risks involved with surgery. Dr. Boucher will discuss your personal situation with you. Call her at (203) 238-3668. Many options are available don’t forget to check out Our
Doctor Store on our website.
References:
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004438/http://www.dancevision.com/buyers-guide/resources/dance_tips/health_fitness/197/http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004438/
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