Home Forums Marketplace Table of Contents Events Member List Site Map Register Mark Forums Read



Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

If you have any problems with the registration process or your account login, please contact contact us.


Tags:

Is there more heel pressure in heel pain?

Reply
Submit Thread >  Submit to Digg Submit to Reddit Submit to Furl Submit to Del.icio.us Submit to Google Submit to Yahoo! This Submit to Technorati Submit to StumbleUpon Submit to Spurl Submit to Netscape  < Submit Thread
 
Thread Tools Display Modes
  #1  
Old 21st September 2010, 02:28 AM
Rica Rica is offline
Member
 
About:
Join Date: Mar 2010
Location: Zurrieq Malta
Posts: 5
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 2
Thanked 0 Times in 0 Posts
Default Is there more heel pressure in heel pain?

Podiatry Arena members do not see these ads
Most of us assume that yes there is because we always give pts heel pads...but how do we know that that is the problem? i.e. solution=deviate the pressure to ease the pain?
So my study is about the relationship between heel pain and heel plantar pressures...to see if there is a difference in heel plantar pressure in pts living with heel pain and pts not living with heel pain.
I have not yet started working on my dissertation but i am doing some research for now. And i would really appreciate it if you would give me your opinion regarding this subject.
Thanks!

Regards

Erica (Maltese student)
Reply With Quote
Sponsored Links
  #2  
Old 21st September 2010, 03:42 AM
B. Englund B. Englund is offline
Senior Member
 
About:
Join Date: Jul 2008
Location: Sweden
Posts: 34
Join Date: Jul 2008
Marketplace reputation 0% (0)
Thanks: 1
Thanked 4 Times in 3 Posts
Default Re: Is there more heel pressure in heel pain?

Heel pain, MAJOR topic. Maybe you need to be more precise in what diagnosis you will include in your study.

Look at plantar fasciitis; major cause = strain in the plantar fascia insertion, not of ground reaction forces on the heel. Plantar heel pad will maybe give some relief of symptoms, but do nothing in treating the cause (the strain).

Plantar fat pad syndrome on the other hand, degeneration of the fat pad sub calcaneus due to impact forces. Plantar heel pad as treatment in order to replace some of the function of the fat pad.

Both included in the “heel pain” category, however, two different diagnosis with two different etiologies. My tip, be more precise in your research question. Interesting idea for dissertation nonetheless!

Good Luck!

Björn Englund
Lecturer
Karolinska Institute
Reply With Quote
The Following User Says Thank You to B. Englund For This Useful Post:
Rica (24th September 2010)
  #3  
Old 23rd September 2010, 05:47 AM
Dananberg Dananberg is offline
Podiatry Arena Veteran
 
About:
Join Date: Nov 2004
Posts: 228
Join Date: Nov 2004
Marketplace reputation 0% (0)
Thanks: 0
Thanked 48 Times in 34 Posts
Default Re: Is there more heel pressure in heel pain?

Erica,

It has become my impression that it is the duration of heel contact, rather than impact shock, that has the most effect on heel pain, particularly in the plantar fascia. The longer the heel stays in ground contact during the single support phase of the gait cycle, the more the medial arch must lower to accommodate the movement of the body above it. Prolonged heel contact periods can create an environment in which heel pain becomes chronic. Interestingly, using a heel cushion will only serve to lengthen heel contact....and therefore be very poor at addressing plantar fascia type pain.

Howard
Reply With Quote
The Following User Says Thank You to Dananberg For This Useful Post:
Rica (24th September 2010)
  #4  
Old 24th September 2010, 12:35 AM
Rica Rica is offline
Member
 
About:
Join Date: Mar 2010
Location: Zurrieq Malta
Posts: 5
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 2
Thanked 0 Times in 0 Posts
Default Re: Is there more heel pressure in heel pain?

Thankyou for your advice and support! You have been such great help! I am going to include any type of diagnosis that i will be represented with as my method of sampling will be Convenience sampling (1st through the door). But i shall be excluding pts with certain systemic conditions ex: neuropathic diabetes in order to minimise conditions as much as possible. Thus pts are going to be between 18 and 55 yrs of age. A matched subject design will be used; similarities in age, gender and weight between each pt with/without heel pain. Pts with heel pain will be new cases and the control group should have no history of heel pain.
Thankyou Howard as you have given me a very very good issue that i can use on in order to stress my point.

Erica
Thread Starter
Reply With Quote
  #5  
Old 25th September 2010, 04:09 PM
Admin2's Avatar
Admin2 Admin2 is offline
Administrator
 
About:
Join Date: May 2005
Location: Cyberspace
Posts: 3,845
Join Date: May 2005
Marketplace reputation 0% (0)
Thanks: 15
Thanked 133 Times in 117 Posts
Default Re: Is there more heel pressure in heel pain?

You might want to look at this thread:
Calcaneal spurs - traction or compression?
Reply With Quote
  #6  
Old 26th September 2010, 01:56 PM
Rica Rica is offline
Member
 
About:
Join Date: Mar 2010
Location: Zurrieq Malta
Posts: 5
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 2
Thanked 0 Times in 0 Posts
Default Re: Is there more heel pressure in heel pain?

Thankyou for this thread! What I thought would be a quick look has lead me to stay for hours on the pc as i've opened other threads and articles as a result. So thankyou very much! So after all do you think that Kevin Kirby is right? Because he has stressed his point that traction is the case in all threads... I am still a student so I cant actually rely on what I think hehe. Thanks again for your feedback.

Erica
Thread Starter
Reply With Quote
  #7  
Old 26th September 2010, 05:01 PM
Kevin Kirby's Avatar
Kevin Kirby Kevin Kirby is offline
Podiatry Arena Veteran
Most Valuable Poster (MVP)
 
About:
Join Date: Nov 2004
Posts: 7,461
Join Date: Nov 2004
Marketplace reputation 0% (0)
Thanks: 402
Thanked 2,116 Times in 1,163 Posts
Default Re: Is there more heel pressure in heel pain?

Quote:
Originally Posted by Rica View Post
Thankyou for this thread! What I thought would be a quick look has lead me to stay for hours on the pc as i've opened other threads and articles as a result. So thankyou very much! So after all do you think that Kevin Kirby is right? Because he has stressed his point that traction is the case in all threads... I am still a student so I cant actually rely on what I think hehe. Thanks again for your feedback.

Erica
Erica:

From my clinical experience and knowledge of foot function/physiology of tissues, I believe that plantar heel pain, of mechanical origin, can be subdivided into one of three groups:

1. Plantar heel pain caused predominantly by excessive tensile force within plantar fascia and/or plantar intrinsics.

2. Plantar heel pain caused prodominantly by excessive compression force on plantar calcaneus from ground reaction force.

3. Plantar heel pain caused by both excessive tensile force within plantar fascia/plantar intrinsics and excessive compression force on plantar calcaneus.

Hope this helps.
__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

E-mail: kevinakirby@comcast.net
Website: www.KirbyPodiatry.com

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************
Reply With Quote
  #8  
Old 28th September 2010, 01:24 AM
Rica Rica is offline
Member
 
About:
Join Date: Mar 2010
Location: Zurrieq Malta
Posts: 5
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 2
Thanked 0 Times in 0 Posts
Default Re: Is there more heel pressure in heel pain?

Yes thanks alot! So if i've understood right only tensile force can occur in the plantar fascia. But in other parts of the heel compression takes place. And thus there is a difference in pressure in pts with plantar heel pain (if the plantar fascia is not involved) and pts with no history of plantar heel pain. Therefore heel pads are effective in this case.
Thanks again for your support!

Regards,

Erica

Last edited by Rica : 28th September 2010 at 01:31 AM. Reason: I have reread the latter message and realised i have misunderstood what was said.
Thread Starter
Reply With Quote
Reply



Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Translate This Page

Similar Threads
Thread Thread Starter Forum Replies Last Post
Is there more heel pressure in heel pain? Rica Introductions 0 10th September 2010 01:40 AM
Severe Heel Pain when applying pressure RSSFeedBot Foot Health Forum 0 28th July 2010 10:00 AM
pain at the side of foot when pressure applied to the heel RSSFeedBot Foot Health Forum 0 11th February 2009 12:40 PM
High heel shoes help leg venous pressure NewsBot General Issues and Discussion Forum 4 9th November 2006 03:31 AM
Heel pain from shoe spike pressure tjrrehab@rediffmail.com Biomechanics, Sports and Foot orthoses 4 6th August 2006 05:32 PM


New To Site? Need Help?

Finding your way around:

Browse the forums.

Search the site.

Browse the tags.

Search the tags.


All times are GMT -7. The time now is 09:29 AM.