This is a small presentation on causes of foot and heel pain. This gives brief description of conditions like plantar fasictis, retrocalcaneal bursitis, calcaneal spur etc. This presentation provides information on causes, symptoms and management of foot and heel pain problems.

2. Dr. A.MOHAN KRISHNA
M.S.ORTHO, MCh ORTH(U.K)
Consultant Trauma, Arthroscopy,
Arthroplasty Surgeon
Apollo hospitals, Hyderabad
Consultant Orthopaedic Surgeon at
www.healthyjointclub.com
www.bonesandjointsclinic.com

3. DISCLAIMER
This presentation is solely for educational purpose.
The material included in the presentation
represents educational material for the patients
and not intended for any treatment purpose

4. PLANTAR FASCIITIS
Most common cause of foot & heel
pain
It is due to irritation and
inflammation of tight tissue that
forms the arch of the foot

5. COMPLAINTS
Pain under the heel
Severe pain &
inability to walk in
morning after
getting from sleep
Same pain in heel
after sitting for
long time and
getting up to walk
Pain gets better
after taking few
steps
Worsening pain
after prolonged
standing/walking

6. DIAGNOSIS
Tenderness / pain at the
bottom of heel on pressing
X ray may show a bony spur .
But it may not cause any
symptoms

7. POSTERIOR HEEL PAIN

8. POSTERIOR HEEL PAIN
Pain behind the foot rather
than underneath
Causes are
1. Achilles' tendinitis
(Irritation of tendon)
2. Retrocalcaneal bursitis

9. COMPLAINTS
Pain behind heel
Severe pain & inability
to walk in morning after
getting from sleep
Pain gets better after
taking few steps

10. DIAGNOSIS
-Tenderness / pain back of heel on
pressing
-bony or firm hard swelling may be
seen on back side of heel
-X ray may show a bony spur
back of heel bone .
-But it may not cause any
symptoms

11. TREATMENT OPTIONS
• Anti-
inflammatory
medications
• Exercises &
stretches
• Ice packs• Rest
Shoe
inserts
Injection
therapy
Surgery
Weight
reduction
Not all of these treatments are appropriate for every condition, but
they may be helpful in your situation.

12. TREATMENT OPTIONS
Rest
• Avoid
precipitating
activity
• Take few days off
jogging prolonged
standing/walking.
• Can reduce
severity of pain &
allow
inflammation to
cool down.
Ice packs
• Can reduce
severity of pain
• Usually helpful in
acute conditions.
Anti
inflammatory
medications
• Decreases pain
• Reduces
inflammation

13. TREATMENT OPTIONS
Modified Foot wear
Can help to soothe pain
Shoe inserts

14. TREATMENT OPTIONS
Injection Therapy : Local
corticosteroid injections can help
to reduce inflammation and relieve
pain.
Weight reduction

15. TREATMENT OPTIONS
Surgery: If all the non operative
methods fail surgery shall be
considered.

17. CONTACT
Dr.A.MOHAN KRISHNA
M.S.Ortho., MCh Ortho(U.K).,
Consultant Orthopaedic Surgeon,
Apollo Hospitals,
Hyderabad.
Appointments: Secretary :09247258989
09441184590
08332936085
www.healthyjointclub.com
www.bonesandjointsclinic.com
Email: healthyjointclub@gmail.com
bonesandjointsclinic@gmail.com