In some cases, a change in footwear alone may not be able to provide the specific type of cushioning and corrective support your feet need. Orthotics can be a great help in these situations, as they can be better tailored or exactly customized to the needs of your feet.
If orthotics are a consideration, we will typically start out with prefabricated inserts. These are not just the types you can buy off the shelf at the store, however. They are higher quality, more durable, and we can properly adjust their fit here in the office.
If even more precision is required, we may upgrade to custom orthotics. They are prescribed specifically to the shape of your feet, much like prescription eyewear is made for only one pair of eyes.
Orthotics will not correct an abnormality in foot structure or gait that may be causing heel pain, but they can provide the support and proper redistribution of weight to negate the symptoms it causes.
With conditions such as plantar fasciitis or Achilles tendinitis, pain is often worse after the affected area has been in a resting position for an extended period of time, such as while you sleep.
Night splints counter this factor by holding the plantar fascia, Achilles tendon, and/or calf muscle in a stretched position, resulting in less pain when you begin moving again.
When heel pain is intense, a cortisone injection can provide a period of lasting relief. These injections are not intended as a long-term solution, but can be very helpful when needed.
A cortisone shot may be administered using ultrasound guidance, so we can get the injection to the exact spot where it will be the most effective.
MLS Laser Therapy
Laser therapy is an advanced form of treatment that can be particularly effective when heel pain is based in a soft tissue injury (and the majority of them are). This form of treatment can not only help relieve pain, but accelerate the recovery as well.
MLS laser therapy is scheduled over a number of sessions, with the positive effects of each successive session stacking. It has long been a recommended treatment among performance athletes, but can be beneficial for many different types of patients.