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Foot, Ankle & Leg Specialists of South Florida (Sheinberg, Messina, Cohen)

Sports Medicine Associates (DeSimone, Moya, Bertot,  Shenassa)

 

Weston
954-389-5900

Pembroke Pines-Silver Lakes
954-430-9901

Plantation
954-720-1530

(Sports Medicine Associates Only)
 
 

 

 

 

 
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Plantar Fasciitis or Heel Pain

 

 


“HEEL SPUR SYNDROME” AND PLANTAR FASCIITIS
By:  Robert H. Sheinberg, D.P.M., D.A.B.P.S., F.A.C.F.A.S.

PROBLEM:

  • An inflammation of the main ligament in the arch where it attaches to the heel bone and supports the foot.

CAUSES:

  • Excessive activity over a short period of time. 
  • Flat or high arched feet.
  • Tight muscles, especially the calf and hamstrings.
  • Poor shoe gear or walking barefoot for prolonged periods of time.

SYMPTOMS:

  • Pain first thing in the morning when getting out of bed and putting the foot down to the ground.  With walking the pain usually diminishes.
  • Pain after sitting for a prolonged period of time or getting out of a car and starting to walk.
  • Occasionally burning, numbness, shooting or tingling into the heel.
  • Extreme tenderness to touch the heel or arch region.
  • Commonly associated with lower back pain.

TREATMENT:

  • Avoid going barefooted and good supportive shoe wear.
  • Anti-inflammatory medications to reduce the inflammation.
  • Taping the foot to support it and give immediate relief.
  • Custom molded orthotic (shoe insert) to permanently support the foot and prevent reinjury.
  • Frequent stretching of the calf and hamstring muscles to improve overall flexibility.
  • Splinting the foot at night to stretch the muscle in the back of the leg.
  • Occasionally immobilization in a cast or a boot to completely rest the foot.
  • Shockwave therapy if pain persists.
  •  Surgery is a last resort to release a small portion of the ligament from the heel.

**********

 

Pictures during an endoscopic plantar fasciotomy or release.  The medial band of the fascia is visualized on the left.  The two right pics are during the release of the band.

Intraop Pics of EPF

Intraop View of plantar fascia prior to fasciotomy

Probing the septum between the medial and central band of the plantar fascia

Fasciotomy being performed as the blade is cutting the medial band of the plantar fascia

The intrinsic muscle can be seen confirming fasciotomy

After the fasciotomy, the cut in the ligament is easily visualized

More Intraop Pics of Endoscopic Plantar Fascia Release. The thickened fascia is seen on the left. The Blade is cutting through the fascia in the center pic and confirmation of complete release of that portion of the ligament is noted as we can see the intrinsic muscles after release.

Lateral X-ray with plantar calcaneal Heel Spur

RI of Severe Plantar Fasciitis of the Medial and Central Band. The bands of the plantar fascia are thickened and there is swelling around the soft tissue of where the fascia inserts in the heel as well in the heel bone itself. On this MRI, the white is inflammation.The arrow points to the thickend and inflammed ligament.

“HEEL SPUR SYNDROME” AND PLANTAR FASCIITIS
By:  Robert H. Sheinberg, D.P.M., D.A.B.P.S., F.A.C.F.A.S.

PROBLEM:

  • An inflammation of the main ligament in the arch where it attaches to the heel bone and supports the foot.

CAUSES:

  • Excessive activity over a short period of time. 
  • Flat or high arched feet.
  • Tight muscles, especially the calf and hamstrings.
  • Poor shoe gear or walking barefoot for prolonged periods of time.

SYMPTOMS:

  • Pain first thing in the morning when getting out of bed and putting the foot down to the ground.  With walking the pain usually diminishes.
  • Pain after sitting for a prolonged period of time or getting out of a car and starting to walk.
  • Occasionally burning, numbness, shooting or tingling into the heel.
  • Extreme tenderness to touch the heel or arch region.
  • Commonly associated with lower back pain.

TREATMENT:

  • Avoid going barefooted and good supportive shoe wear.
  • Anti-inflammatory medications to reduce the inflammation.
  • Taping the foot to support it and give immediate relief.
  • Custom molded orthotic (shoe insert) to permanently support the foot and prevent reinjury.
  • Frequent stretching of the calf and hamstring muscles to improve overall flexibility.
  • Splinting the foot at night to stretch the muscle in the back of the leg.
  • Occasionally immobilization in a cast or a boot to completely rest the foot.
  • Shockwave therapy if pain persists.
  •  Surgery is a last resort to release a small portion of the ligament from the heel.

 

Click here for more information

Learn More

  • Adult Fractures
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  • Knee
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  • Muscle/Tendon Injury
  • Nerve Problems
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  • Viscosupplements and Joint Aids

Patient Education

Patient Education
  • Ankle & Foot
    • Tendon Injuries
      • Tendon Overview
      • Achilles
      • Peroneus Brevis
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      • Tibialis Posterior
      • Tibialis Anterior
      • Extensor Brevis
      • Extensor Longus
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      • Tendonitis
    • Arthritis
      • Arthritis Overview
      • Ankle
        • Total Ankle Replacement
      • Subtalar
      • Talonavicular
      • Calcaneocuboid
      • Tarsometatarsal Arthritis
      • Naviculocuneiform
      • MPJ
      • Interphalangeal
    • Ankle
      • Sprain
        • Lateral
        • Medial
        • Syndesmotic
      • Peroneal Subluxation
      • Os Trigonum
      • Osteochondral Fracture
      • Chronic Instability
      • Impingement
      • Achilles Tendonitis
      • Achilles Rupture
      • Avascular Necrosis
        • Tibia
        • Talus
      • Peroneal Tendon Tears
        • Peroneus Brevis
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      • Subtalar Joint Sprain
      • Sinus Tarsi Syndrome
      • Arthritis
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      • Hallux Limitus
      • Dislocations
      • Osteochondral Injuries
      • Synovitis
      • Injuries to the Big Toe Joint
    • Heel Disorders
      • Heel Spur
      • Achilles Spur
      • Plantar Fasciitis or Heel Pain
      • Heel Stress Fracture
      • Sever's
      • Heel Varus
      • Fat Pad Atrophy
      • Heel Pain
    • Midfoot Injuries
      • Navicular Fracture
      • Lisfranc's
      • PT Tendon Dysfunction
      • Lateral Foot Sprain
      • Talonavicular
      • Tarsometatarsal
      • Painful Os Peroneum
      • Bifurcate Ligament Sprain
      • Bone Marrow Edema Syndrome
      • Foot Compartment Syndrome
      • Iselin's
      • Kohler's
      • Os Tibiale Externum
      • Metadductus
    • Forefoot
      • Forefoot Synovitis
      • Osteochondral Fracture
      • Overlapping Toes
      • Predislocation
      • Metatarsalgia
      • Joint Contracture
      • Freiberg's
    • Charcot Neuroarthropathy
    • Cavus
    • Flat Feet
      • Flat Feet (Adult)
      • Flexible
      • Rigid
        • Calcaneonavicular Bar
        • Middle Facet Coalition
      • Posterior Tibial Tendon
    • Sesamoid Injuries
    • Toes
      • Hammertoe
      • Clawtoe
      • Mallet Toe
      • Fractures
      • Dislocations
      • Mucoid Cyst
      • Bone Spurs
      • Corns
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      • Gastroc Tear
      • Soleus Syndrome
      • Muscle Contusion
      • Muscle Strain
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      • Overview
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      • Ankle Sprains Children and Teenagers
      • Syndesmotic
      • Spring Ligament
      • LisFranc
      • MPJ
      • Sprain Toe
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    • Adult Foot & Ankle Fractures
      • Tibial Fracture
        • Diaphysis
        • Metaphysis
        • Stress
      • Ankle Fracture
        • Pilon
        • Lateral Malleolar
        • Medial Malleolar
        • Posterior Malleolar
        • Bimalleolar
        • Trimalleolar
        • Syndesmotic
      • Talus Fracture
        • Neck
        • Body
        • Osteochondral
        • Os Trigonum
        • Lateral Process
      • Calcaneus
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        • Stress
      • Navicular
        • Navicular Body
        • Navicular Tuberosity
        • Navicular Stress
      • Cuboid
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        • Base Fractures
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        • Metatarsal Stress Fractures
        • Jones Fracture
        • Neck Fractures
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        • Sesamoid Stress Fractures
        • Comminuted
        • Synchondrosis
        • Avascular Necrosis
        • Sesamoid Arthritis
      • Toes
    • Child Fractures Overview
      • Tibia Fracture
        • Toddlers
        • Proximal
        • Diaphyseal
        • Distal
      • Ankle
        • Triplane
        • Tillaux
        • Salter I
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        • Salter V
        • Physeal Arrest
      • Calcaneus
        • Calcaneus Stress
        • Calcaneus Extra-articular
        • Calcaneus Intra-articular
      • Talus
        • Osteochondral Fracture
        • Talus Stress Fractures
      • Metatarsal
        • Metatarsal Stress Fractures
        • Neck
      • Navicular
        • Navicular Stress Fractures
      • Toes
        • Intra-articular
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      • Sesamoid
        • Sesamoid Stress Fractures
        • Comminuted
  • Nerve
    • Tarsal Tunnel
      • Posterior Tarsal Tunnel
      • Anterior Tarsal Tunnel
    • Carpal Tunnel
    • Nerve Entrapment
      • Common Peroneal
      • Superficial Peroneal
      • Intermediate Dorsal
      • Medial Dorsal
      • Saphenous
      • Sural
    • Neuroma
      • Morton's
      • Bulb Neuroma
      • Neuroma Incontinuity
    • R.S.D.
  • Hands
  • Wrist
    • Carpal Tunnel
  • Elbow
    • Elbow Dislocation
  • Shoulder
    • Rotator Cuff Tears
  • Spine
    • Herniated Disc
    • Numbness
  • Hip
    • Femoral Anteversion
    • Femoral Retroversion
    • Causes of In-Toe
    • Causes of Out-Toe
  • Knee
    • Single Portal Knee Arthroscopy
    • Anterior Crucuate Ligament (ACL)
    • Osgood-Schlatter- Knee Pain
    • Angular Deformity of Lower Legs
    • Genu Varum
    • Genu Valgum
    • Genu Recurvatum
    • Malalignment Syndrome
  • Leg
    • Tibia Varum
    • Internal Tibial Torsion
    • External Tibial Torsion
    • Shin Splints
      • Anterior Shin Splints
      • Posterior Shin Splints
    • Leg Stress Fractures
    • Chronic Exertional Compartment Syndrome
    • Gastroc Tear
    • Muscle Soreness
    • Acute Compartment Syndrome
    • Acute Syndrome
    • Leg Pain-It's Not Always Shin Splints
  • Children
    • In-Toe
    • Out-Toe
    • Bowlegs
    • Knock-Knee
    • Tibial Torsion
    • Ankle Sprain
    • Ankle Fracture
    • Ankle Instability
    • Sever's (Heel Pain)
    • Flatfeet
    • Cavus Feet
    • Metadductus
    • Clubfoot
    • Juvenile Bunions
    • Toe Disorders in Children
    • Kohler's
    • Os Tibiale Externum
    • Freiberg's
    • Iselin's
    • Growing Pains
    • Toe Walker
    • Limping Child
    • Dance Injuries
    • Warts
    • Ingrown Toenails
    • Puncture Wounds
    • Tendonitis
    • Sesamoid Injuries
    • Shin Splints
    • Gait Disturbance
    • Heel Pain
    • Plantar Fasciitis
    • Ankle Pain
    • Sports Injurie
  • Articles
    • ANTERIOR CRUCIATE LIGAMENT RUPTURE IN THE YOUNG ATHLETE
    • Transplant of Knee Cartilage Through Small Incisions
    • Developmental Flatfoot
    • PEDIATRIC FOOT OR ANKLE SPRAIN
    • Diabetes and The Lower Extremity Why is Blood Sugar Control Important
    • Women & Strength Breast Cancer Awareness
    • Importance of a Dynamic Warm-Up for Soccer
    • Wrist Fractures In Children

Our Location

  • Ankle & Foot
    • Tendon Injuries
      • Tendon Overview
      • Achilles
      • Peroneus Brevis
      • Peroneus Longus
      • Tibialis Posterior
      • Tibialis Anterior
      • Extensor Brevis
      • Extensor Longus
      • Flexor Longus
      • Tendonitis
    • Arthritis
      • Arthritis Overview
      • Ankle
        • Total Ankle Replacement
      • Subtalar
      • Talonavicular
      • Calcaneocuboid
      • Tarsometatarsal Arthritis
      • Naviculocuneiform
      • MPJ
      • Interphalangeal
    • Ankle
      • Sprain
        • Lateral
        • Medial
        • Syndesmotic
      • Peroneal Subluxation
      • Os Trigonum
      • Osteochondral Fracture
      • Chronic Instability
      • Impingement
      • Achilles Tendonitis
      • Achilles Rupture
      • Avascular Necrosis
        • Tibia
        • Talus
      • Peroneal Tendon Tears
        • Peroneus Brevis
        • Peroneus Longus
      • Subtalar Joint Sprain
      • Sinus Tarsi Syndrome
      • Arthritis
      • Synovitis
    • Bunions
      • Bunion Overview
      • Juvenile Bunion
      • Adult Bunion
      • Hallux Varus
      • Overlapping Toes
      • Hallux Limitus
      • Dislocations
      • Osteochondral Injuries
      • Synovitis
      • Injuries to the Big Toe Joint
    • Heel Disorders
      • Heel Spur
      • Achilles Spur
      • Plantar Fasciitis or Heel Pain
      • Heel Stress Fracture
      • Sever's
      • Heel Varus
      • Fat Pad Atrophy
      • Heel Pain
    • Midfoot Injuries
      • Navicular Fracture
      • Lisfranc's
      • PT Tendon Dysfunction
      • Lateral Foot Sprain
      • Talonavicular
      • Tarsometatarsal
      • Painful Os Peroneum
      • Bifurcate Ligament Sprain
      • Bone Marrow Edema Syndrome
      • Foot Compartment Syndrome
      • Iselin's
      • Kohler's
      • Os Tibiale Externum
      • Metadductus
    • Forefoot
      • Forefoot Synovitis
      • Osteochondral Fracture
      • Overlapping Toes
      • Predislocation
      • Metatarsalgia
      • Joint Contracture
      • Freiberg's
    • Charcot Neuroarthropathy
    • Cavus
    • Flat Feet
      • Flat Feet (Adult)
      • Flexible
      • Rigid
        • Calcaneonavicular Bar
        • Middle Facet Coalition
      • Posterior Tibial Tendon
    • Sesamoid Injuries
    • Toes
      • Hammertoe
      • Clawtoe
      • Mallet Toe
      • Fractures
      • Dislocations
      • Mucoid Cyst
      • Bone Spurs
      • Corns
    • Arthroscopy
    • Muscle
      • Muscle Cramps
      • Gastroc Tear
      • Soleus Syndrome
      • Muscle Contusion
      • Muscle Strain
      • Myositis Ossificans
    • Dance Injuries
    • Sprains
      • Overview
      • Ankle Sprains Adults
      • Ankle Sprains Children and Teenagers
      • Syndesmotic
      • Spring Ligament
      • LisFranc
      • MPJ
      • Sprain Toe
  • Fractures
    • Adult Foot & Ankle Fractures
      • Tibial Fracture
        • Diaphysis
        • Metaphysis
        • Stress
      • Ankle Fracture
        • Pilon
        • Lateral Malleolar
        • Medial Malleolar
        • Posterior Malleolar
        • Bimalleolar
        • Trimalleolar
        • Syndesmotic
      • Talus Fracture
        • Neck
        • Body
        • Osteochondral
        • Os Trigonum
        • Lateral Process
      • Calcaneus
        • Intra-articular
        • Extra-articular
        • Stress
      • Navicular
        • Navicular Body
        • Navicular Tuberosity
        • Navicular Stress
      • Cuboid
      • Metatarsal
        • Base Fractures
        • LisFranc
        • Metatarsal Stress Fractures
        • Jones Fracture
        • Neck Fractures
      • Sesamoid
        • Sesamoid Stress Fractures
        • Comminuted
        • Synchondrosis
        • Avascular Necrosis
        • Sesamoid Arthritis
      • Toes
    • Child Fractures Overview
      • Tibia Fracture
        • Toddlers
        • Proximal
        • Diaphyseal
        • Distal
      • Ankle
        • Triplane
        • Tillaux
        • Salter I
        • Salter II
        • Salter III
        • Salter IV
        • Salter V
        • Physeal Arrest
      • Calcaneus
        • Calcaneus Stress
        • Calcaneus Extra-articular
        • Calcaneus Intra-articular
      • Talus
        • Osteochondral Fracture
        • Talus Stress Fractures
      • Metatarsal
        • Metatarsal Stress Fractures
        • Neck
      • Navicular
        • Navicular Stress Fractures
      • Toes
        • Intra-articular
        • Extra Articular
      • Sesamoid
        • Sesamoid Stress Fractures
        • Comminuted
  • Nerve
    • Tarsal Tunnel
      • Posterior Tarsal Tunnel
      • Anterior Tarsal Tunnel
    • Carpal Tunnel
    • Nerve Entrapment
      • Common Peroneal
      • Superficial Peroneal
      • Intermediate Dorsal
      • Medial Dorsal
      • Saphenous
      • Sural
    • Neuroma
      • Morton's
      • Bulb Neuroma
      • Neuroma Incontinuity
    • R.S.D.
  • Hands
  • Wrist
    • Carpal Tunnel
  • Elbow
    • Elbow Dislocation
  • Shoulder
    • Rotator Cuff Tears
  • Spine
    • Herniated Disc
    • Numbness
  • Hip
    • Femoral Anteversion
    • Femoral Retroversion
    • Causes of In-Toe
    • Causes of Out-Toe
  • Knee
    • Single Portal Knee Arthroscopy
    • Anterior Crucuate Ligament (ACL)
    • Osgood-Schlatter- Knee Pain
    • Angular Deformity of Lower Legs
    • Genu Varum
    • Genu Valgum
    • Genu Recurvatum
    • Malalignment Syndrome
  • Leg
    • Tibia Varum
    • Internal Tibial Torsion
    • External Tibial Torsion
    • Shin Splints
      • Anterior Shin Splints
      • Posterior Shin Splints
    • Leg Stress Fractures
    • Chronic Exertional Compartment Syndrome
    • Gastroc Tear
    • Muscle Soreness
    • Acute Compartment Syndrome
    • Acute Syndrome
    • Leg Pain-It's Not Always Shin Splints
  • Children
    • In-Toe
    • Out-Toe
    • Bowlegs
    • Knock-Knee
    • Tibial Torsion
    • Ankle Sprain
    • Ankle Fracture
    • Ankle Instability
    • Sever's (Heel Pain)
    • Flatfeet
    • Cavus Feet
    • Metadductus
    • Clubfoot
    • Juvenile Bunions
    • Toe Disorders in Children
    • Kohler's
    • Os Tibiale Externum
    • Freiberg's
    • Iselin's
    • Growing Pains
    • Toe Walker
    • Limping Child
    • Dance Injuries
    • Warts
    • Ingrown Toenails
    • Puncture Wounds
    • Tendonitis
    • Sesamoid Injuries
    • Shin Splints
    • Gait Disturbance
    • Heel Pain
    • Plantar Fasciitis
    • Ankle Pain
    • Sports Injurie
  • Articles 

Download Patient Information Brochures English

Descargar los Folletos de Información al Paciente Español

  • ANTERIOR CRUCIATE LIGAMENT RUPTURE IN THE YOUNG ATHLETE
  • Transplant of Knee Cartilage Through Small Incisions
  • Developmental Flatfoot
  • PEDIATRIC FOOT OR ANKLE SPRAIN
  • Diabetes and The Lower Extremity Why is Blood Sugar Control Important
  • Women & Strength Breast Cancer Awareness
  • Importance of a Dynamic Warm-Up for Soccer
  • Wrist Fractures In Children
  • Weston

    1600 Town Center Blvd , Suite C
    Weston, FL33326
    954-389-5900
    954-430-0608 fax

    Silver Lakes

    17842 N.W. Second Street
    Pembroke Pines , FL 33029
    954-430-9901
    954-430-0608 fax

    Plantation

    (Sports Medicine Associates Only)
    220 S.W. 84th Avenue, Suite 102
    Plantation, FL 33324
    (954) 720-1530
    (954) 720-6540 fax

Dr. Robert H. Sheinberg, D.P.M.
Dr. Carlo A. Messina, D.P.M.
Dr. Michael M. Cohen, D.P.M.
Dr. Alfred A. DeSimone, M.D.
Dr. Fernando A. Moya, M.D., Ph.D.
Dr. Alexander Bertot, M.D.
Dr. David Shenassa, M.D.
Dr. Franz Jones, M.D.

Map & directions

 

Our Doctors Treat:

  • ACUTE AND CHRONIC CARE OF MUSCULOSKELETAL INJURIES JOINT SURGERY
  • SOFT TISSUE INJURIES (TENDON, LIGAMENT, MUSCLE)
  • WORKER'S COMPENSATION
  • PERSONAL INJURY
  • MOTOR VEHICLE ACCIDENTS

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South Florida Institute of Sports Medicine
1600 Town Center Blvd, Weston FL, 33326 954-389-5900
17842 NW 2nd St., Pembroke Pines, FL 33029 954-430-9901
220 S.W. 84th Avenue, Suite 102, Plantation FL, 33324 954-720-1530

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