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Dr Hitesh Patel is Consultant – Pain Management & Palliative Care he recieved his M.D. from B.J. Medical College Ahmedabad, Asia’s largest hospital, Civil Hospital, Ahmedabad. He earned his F.I.P.M. (Fellow In Pain Management) at Daradia Pain Hospital in Kolkata, which is affiliated with the Aesculap Academy in Germany. He received his C.C.P.P.M. (Certificate Course in Pain and Palliative Medicine) from Gujarat Cancer Research Institute Ahmedabad, the state’s largest cancer hospital.

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Heel Pain

2 Main Cause

  • Achilles tendinitis
  • Plantar Fasciatis

What is Achilles tendinitis?

Achilles tendinitis (Achilles tenosynovitis, Achilles tendinopathy, calcaneal tendinitis) is disruption of the Achilles tendon by degeneration, trauma, or inflammation. This tendon is the extension of the gastrocnemius and  soleus  muscles onto the  calcaneus  (heel bone): it causes the foot to extend (plantar flexion) when those muscles contract.

Who are at more Risk ?

  • Male more than Female
  • More common in young people
  • A flat arch in your foot can strain the Achilles tendon.
  • Obesity
  • Tight calf muscles also can increase tendon strain.

Symptoms of Achilles tendinitis

  • Pain in the foot, while walking on the floor
  • Pain is usually worse in the morning when you take your first steps out of bed
  • if you’ve been sitting or lying down for a while

Diagnosis For Achilles Tendinitis

  • Proper history
  • Physical examination
  • X-ray
  • MRI

Treatments for Achilles tendinitis

heel spur pain
heel spur pain

What is Plantar fasciitis?

Plantar fasciitis is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year. Plantar fasciitis occurs when the strong band of tissue (plantar fascia) that supports the arch of your foot becomes irritated and inflamed. Normally, these ligaments act as shock absorbers, supporting the arch of the foot. Too much pressure on your feet can damage or tear the ligaments; the plantar fascia becomes inflamed, and the inflammation causes heel pain and stiffness

Symptoms of Plantar fasciitis

  • Pain on the bottom of the heel, while you take your first step in the morning.
  • people feel a burning or ache on the bottom of the foot extending outward from the heel.
  • After sitting or lying down for a while.
  • Pain isn’t usually felt during the activity but rather just after stopping.

Risk Factors of Plantar fasciitis

  • Most common between the ages of 40 and 60. Factory workers, teachers and others who spend most of their work hours walking or standing on hard surfaces can damage their plantar fascia.
  • Certain types of exercise. Activities that place a lot of stress on your heel and attached tissue — such as long-distance running, ballistic jumping activities, and ballet dancing and aerobic dance— can contribute to an earlier onset of plantar fasciitis.
  • Foot mechanics. Being flat-footed, having a high arch or even having an abnormal pattern of walking can affect the way weight is distributed when you’re standing and put added stress on the plantar fascia.
  • Obesity put extra stress on your plantar fascia.
  • Occupations that keep you on your feet. Factory workers, teachers and others who spend most of their work hours walking or standing on hard surfaces can damage their plantar fascia.
  • Heel Spurs –Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with heel spurs has foot pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.

 

 

heel spur pain
plantar

Diagnosis of Plantar fasciitis

  • History
  • Physical examination
  • Blood Test
  • X-RAY
  • MRI

Treatment for Plantar fasciitis

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Consulting

Service Recipient Says

Chandresh Bharada

I'm 32 year old and suffering from chronic heel pain since last 6 months. I can't even walk properly.My all sports activities were be stopped. I had taken many medicine in this 6 months and consult many doctors bt not get satisfactory results. Then I came to Dr Hitesh Patel sir director -at Healthy life pain management centre Gota. PRP therapy with some medicin given by Dr Hitesh sir. (New latest treatment in the developed countries for chronic pain). Within just 1 week I get almost 80 % recovery. Much satisfied by PRP therapy. Thank you so much sir for bringing me back to my old days 🙏🏼🙏🏼.

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kunjan

I had been experiencing a lot of foot pain recently and decided to try Healthy Life Pain Management. The results are immediate and the relief is noticeable. I'm unsure if this works for everyone but I have to give it a 10/10, it's something that has been working well for me.

Nidhi

I'm a runner and Healthy Life Pain Management provides me with the relief I need to run without pain. It has also helped my healing process after surgery. The foot and ankle pain is totally gone now and I can walk in complete comfort again.