To properly treat heel pain, you must absorb shock, provide cushioning and elevate the heel to transfer pressure.
This can be accomplished with a heel cup, visco heel cradle, or an orthotic designed with materials that will absorb shock and shear forces.
When the condition is pronation related (usually plantar fasciitis), an orthotic with medial posting and good arch support will control the pronation and prevent the inflammation of the plantar fascia. Footwear selection is also an important criteria when treating heel pain. Shoes with a firm heel counter, good arch support, and appropriate heel height are the ideal choice.
To diagnose the cause of the child’s heel pain and rule out other more serious conditions, the Podiatrist will obtains a thorough medical history and asks questions about recent activities.
The Podiatrist will also examine the child’s foot and leg.
X-rays are often used to evaluate the condition.
Other advanced imaging studies and laboratory tests may also be ordered.
Following an ankle injury it is important to have the ankle evaluated by a Podiatrist or Orthopedic surgeon for proper diagnosis and treatment.
If you are unable to do so right away, go to the emergency room and then follow up with a Podiatrist or Orthopedic surgeon as soon as possible for a more thorough assessment.
The affected limb will be examined by the Podiatrist or Orthopedic surgeon by touching specific areas to evaluate the injury. In addition, the surgeon may order x-rays and other imaging studies, as necessary.
The following options to treat calcaneal apophysitis will be selected:
Reduce activity.The child needs to reduce or stop any activity that causes pain.
Support the heel. Temporary shoe inserts or custom orthotic devices may provide support for the heel.
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, help reduce the pain and inflammation.
Stretching or physical therapy modalities are sometimes used to promote healing of the inflamed issue.
In some severe cases of pediatric heel pain, a cast may be used to promote healing while keeping the foot and ankle totally immobile.
Often heel pain in children returns after it has been treated because the heel bone is still growing. Recurrence of heel pain may be a sign of calcaneal apophysitis, or it may indicate a different problem.
If your child has a repeat bout of heel pain, be sure to make an appointment with your Podiatrist
Ankle fractures are common injuries that are most often caused by the ankle rolling inward or outward. Many people mistake an ankle fracture for an ankle sprain, but they are quite different and therefore require an accurate and early diagnosis. They sometimes occur simultaneously.