Heel Pain / Plantar Fasciitis
Plantar fasciitis is the most common foot condition treated in New York City. Typical symptoms include pain at the bottom and inside of the heel, most commonly experienced only on weight bearing. This can come on suddenly and there are many different predisposing factors: weight loss, weight gain, new activities, standing for prolonged periods on hard surfaces, high heels, and anything that can cause tightness and contracture of the calf muscles and/or the Achilles tendon.
One of the hallmarks of this condition is something known as “post-static dyskinesia”. This means that, after periods of rest (and non weight-bearing) there is extreme pain on weight-bearing. For instance, when getting up out of bed or standing up after a period of sitting, the pain can be most intense. It often takes a few steps, if not longer, before it begins to diminish in intensity.
There are many different ways to treat plantar fasciitis including, icing, stretching, nonsteroidal anti-inflammatory medications (NSAIDS), Cortisone injections, and physical therapy including ART, A.S.T.YM. and Graston Technique. Depending on the severity, location, and length of symptoms, our doctors recommend different approaches to treating this condition.
One thing about plantar fasciitis is for sure: it requires quick, consistent, and aggressive intervention as early as possible to have a full resolution of symptoms. Sadly, many patients put off addressing their heel pain for many months, and by the time they come to see us, they are already very far into the process of developing scar tissue and this prolongs their recovery time.
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An absolutely amazing experience. Dr. Ciment is an absolutely wonderful person – it is very evident that he truly cares about his patients.S T.
I really, really like Dr. Ciment. He is a skilled surgeon with a really wonderful bedside manner — something you rarely find. He treated me a few years ago when I had a broken foot, and then again in Sept 2014 for surgery on the other foot. While surgery is never fun, Dr. Ciment made it pretty easy.Krista B.