Kenneth Kee

Plantar Heel Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Plantar Heel Pain, Diagnosis and Treatment and Related Diseases

Plantar Heel pain is most often a symptom indicating the result of overuse.
It can also be caused by an injury.
Causes
The heel may become painful and swollen from:
1. Shoes with poor support or shock absorption
2. Running on hard surfaces, like concrete
3. Running too frequently
4. Tension or rigidity in the calf muscle or the Achilles tendon
5. Sudden inward or outward turning of the heel
6. Landing hard or uncomfortably on the heel
Disorders that may cause heel pain are:
1. Swelling and pain in the Achilles tendon (Achilles tendonitis)
2. Swelling of the fluid-filled sac (bursa) at the back of the heel bone under the Achilles tendon (bursitis)
4. Swelling of the thick band of tissue on the bottom of the foot (plantar fasciitis)
5. Fracture of the heel bone that is related to landing very hard on the heel from a fall (calcaneus fracture)
Most cases of heel pain have a mechanical cause.
Other causes are:
1. Trauma;
2. Neurological,
3. Arthritic,
4. Infectious,
5. Neoplastic
6. Autoimmune conditions, and
7. Other systemic conditions.

Main disorders causing plantar heel pain are:
1. Plantar fasciitis - the most frequent cause in adults - tenderness at the origin of the plantar fascia (the medial tubercle of the os calcis).
2. Achilles tendonitis - an acute disorder and painful because of acute minor tears and linked inflammatory change
3. Calcaneal apophysitis (Sever's disease), which happens most often in adolescents.
Diagnosis and Assessment

The doctor should always consider trauma in an acute manifestation:
1. Talar injuries often accompany falls on to the feet or after violent dorsiflexion of the ankle.
2. Calcaneal fractures normally accompany a fall from height on to the heel.
3. Fractures are often bilateral.
4. There is swelling, bruising and tenderness over the calcaneum.
5. There may be related injuries to the knees, hips, pelvis, lumbar spine or cervical spine.
6. Talar and calcaneal fractures should be referred for urgent orthopedic assessment.
7. Patients with plantar fasciitis often have higher amount of heel pain with their first steps in the morning or when they stand up after prolonged sitting.
8. There is normally painful palpation at the calcaneal tuberosity and pain is raised with passive dorsiflexion of the toes.
9. Achilles tendonitis is linked with posterior heel pain.
More pain happens with running, jumping, or making quick turns.
There is pain and tenderness over the insertion of the Achilles tendon.
There is often a rise in pain with dorsiflexion of the foot.
10. Calcaneal stress fractures are more likely to happen in athletes who partake in sports that need running and jumping.
11. Tarsal tunnel syndrome may manifest with plantar heel pain followed by tingling, burning or numbness.
12. Symptoms are often started by percussion of the tarsal tunnel or dorsiflexion and eversion of the foot.
Treatment
Home Care
Crutches are used to take weight off the feet.
Rest is important and should be done
Ice should be applied to the painful area.
Acetaminophen or ibuprofen is taken for the pain.
The patient can use a heel cup, felt pads in the heel area, or shoe insert.
Night splints can be worn
Initial treatment choices will be dependent on the diagnosis but are:
1. Rest,
2. Non-steroidal anti-inflammatory drugs (NSAIDs),
3. Local steroid injection,
4. Orthotics
Physiotherapy may be helpful.
If symptoms are not better then surgery may be required - e.g., removal of the prominent posterior superior aspect of the calcaneus and inflamed bursa, the plantar fascia is released from where it attaches to the bone, removal of spur

TABLE OF CONTENT
Introduction
Chap...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 5. September 2018
• Englisch
• ISBN-13: 9780463790540
• Artikelnr.: 53868884

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...