Heel Pain: Diagnosis And Therapy

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Heel Pain: Diagnosis And Therapy
Heel Pain: Diagnosis And Therapy
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Heel pain: diagnosis & therapy

If the heel pain is severe or persistent, a medical diagnosis is important. The doctor assesses whether the pain is caused by overloading the foot or whether there is another cause.

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diagnosis

First, the doctor asks for the medical history (anamnesis) and carries out an examination. This can in many cases clarify the cause of the heel pain. During the examination, the doctor will determine whether there is pressure pain and whether there is any swelling.

The doctor can ask the following questions:

  • How long does the heel pain last, and where does it occur exactly?
  • Have the complaints occurred before?
  • Is the pain dull or sharp?
  • Does the heel hurt in the morning or after rest?
  • Does the pain get worse after exercise or exercise?
  • Do you play any sport, if so, what kind of sport?
  • Do you have any other complaints?

If there are signs that do not indicate inflammation, the doctor can prescribe further examinations (e.g. X-ray, MRI, blood test, ultrasound). The signs include:

  • Numbness or tingling in the foot (signs of nerve irritation)
  • Fever (signs of bone infection) or
  • a stiff, swollen ankle (signs of arthritis).

treatment

The choice of therapy for heel pain depends on the diagnosed cause or underlying disease. Possible therapeutic measures are:

  • Protection
  • Pain reliever drugs
  • Prescription of shoe insoles or a heel wedge
  • Taping with zinc oxide tape according to the doctor's instructions
  • Night splint for stretching the foot
  • Physiotherapy to increase or maintain the stability and mobility of the foot. The patient can learn exercises that can also be performed at home.
  • Physical therapies
  • Shock wave therapy
  • Surgery is only indicated in rare cases when other therapeutic measures are unsuccessful.
  • Injections to relieve inflammation, only if other therapies are unsuccessful in treating pain.

For heel pain relief, you can do simple exercises.

Whom can I ask?

Patients can contact their family doctor to clarify heel pain. Sometimes further examinations are necessary, e.g. with a specialist in orthopedics or a specialist in physical medicine and general rehabilitation. Shoe insoles are available from bandagists, orthopedic technicians and orthopedic shoemakers.

How are the costs going to be covered?

All necessary and appropriate diagnostic and therapeutic measures are taken over by the health insurance carriers. Your doctor will generally settle accounts directly with your health insurance provider. With certain health insurance providers, however, you may have to pay a deductible (BVAEB, SVS, SVS). However, you can also use a doctor of your choice (ie doctor without a health insurance contract). For more information, see Costs and Deductibles.

For certain examinations (e.g. MRI), a doctor's approval may be required. For certain non-drug treatments (e.g. physical therapy), approval from the health insurance provider may be required. For certain services (e.g. inpatient stays, aids and medical aids) - depending on the health insurance provider - patient co-payments are provided. Medically prescribed shoe insoles are among the healing aids. The prescription fee has to be paid for medication on a “cash prescription”. For information on the respective provisions, please contact your health insurance provider, which you can find on the social security website.

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