Foot Pain

Foot pain is what Podiatrists do. There are plenty of good and bad resources on the web on foot pain.

Most Useful Resources:
Foot Health Forum (Foot Health Forum)
Foot Pain Info (Foot Pain Info)
Foot Pain (ePodiatry)
Foot Health Friday (Foot Health Friday)
Dr the Foot Without the Dr (Dr the Foot Without the Dr)

Plantar Heel Fat Pad Atrophy

The fat pad under the heel protects the foot by providing cushioning and shock absorption. A problem can arise if that fat pad atrophies and it can result in heel pain.

Most Useful Resources:
Heel fat pad atrophy (Foot Health Forum)
heel pad atrophy HELP (Foot Health Forum)
Fat pad atrophy (PodiaPaedia)
Heel Fat Pad Atrophy (Foot Health Friday)
Heel Fat Pad Atrophy Cushioning Pad (FootStore)
Fat Pad Atrophy (Croydon Foot)

Rupture the plantar fascia to treat plantar fasciitis

This is something of a legend that happened in Australia where a footballer with a chronic plantar fasciitis allegedly jumped from a height in order to rupture his plantar fascia to facilitate healing. A surgical cutting of the plantar fascia is often used to treat chronic plantar fasciitis. It apparently worked.

Most Useful Resources:
Deliberate Rupture of Plantar Fascia to Treat Plantar Fasciitis (PodiaPaedia)
Rupture the plantar fascitis to help? (Podiatry Experts)
Deliberate rupture of plantar fasica to treat plantar fasciitis (Podiatry Arena)

Treatment for a plantar fascia rupture typically involves a combination of conservative measures and, in some cases, surgical intervention:

Rest and immobilization: Initially, it’s important to rest the affected foot and avoid activities that worsen the pain. Immobilization through the use of a walking boot, cast, or crutches may be necessary to allow the plantar fascia to heal.

Ice therapy: Applying ice to the affected area as soon as it happend can help reduce pain and inflammation. Ice packs or frozen water bottles can be used for 15-20 minutes several times a day.

Pain management: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help alleviate pain and reduce inflammation. Always consult a healthcare professional before taking any medication.

Physical therapy: A physical therapist may provide specific exercises to stretch and strengthen the muscles and tissues surrounding the foot and ankle. These exercises can help improve mobility, reduce pain, and promote healing.

Orthotic devices: Wearing orthotic devices, such as arch supports or custom-made shoe inserts, can help alleviate stress on the plantar fascia and provide support during the healing process.

Night splints: Night splints are devices worn while sleeping to keep the foot and ankle in a stretched position, which can help prevent the plantar fascia from tightening and promote healing.

Extracorporeal shock wave therapy (ESWT): In some cases, ESWT may be recommended. This treatment involves using shock waves to stimulate healing and reduce pain.

Surgical: If thee above conservative measure do not help, then surgery is an option.

Corticosteroid injections: Corticosteroid injections may be considered if conservative treatments are not effective. However, these injections are generally used sparingly due to potential risks.

Surgical intervention: Surgery is typically considered only when conservative treatments fail to provide relief. Surgical options may include plantar fascia release, where the tight or damaged portion of the plantar fascia is surgically cut or detached to relieve tension.

Oscon for Severs Disease

Severs disease or calcaneal apophysitis is a common problem causing pain in the heel of kids; it is an overuse type injury to the growth plate at the back of the heel bone. It is a self limiting problem that always comes right eventually when the growth in the heel bone stops. Several treatments have been advocated for it treatment. One of these is a dietary supplement called Oscon which consists of selenium and vitamin E. It is only supported by the use of testimonials and no clinical study has been done on it. It is not clear if it is worth trying or not as most children do get the minimum dietary requirements for Vitamin E and Selenium from their normal daily intake.

The best treatment for Severs disease is generally managing the activity levels and using a cushioned heel raise.

Most Useful Resources:
Oscon Supplements for Severs Disease (PodiaPaedia)
Discussion on Oscon and Severs (Podiatry Arena)
Does Oscon work for Severs disease? (Podiatry Experts)