What an Ultrasound Can Tell You about Your Heel Pain

Your foot might not be expecting a little bundle of joy any time soon, but an ultrasound can actually help diagnose your foot pain, a new study found.

Plantar fasciitis is one of the most common culprits of heel pain, and so it is typically the first thought that comes to mind when a patient complains of an achy heel.

Plantar fasciitis is a painful condition in which the plantar fascia – the thick band of tissue in the sole of the foot stretching from the toes to the heel – becomes inflamed. At night and during long periods of rest, the plantar fascia over tightens. When you begin to move your muscles again, the pressure rips tiny tears in the connective tissue. The tearing causes inflammation and the characteristic pain in the heel first thing in the morning, and after standing or sitting for several hours.

Misdiagnosed Heel Pain

Ultrasound for diagnosing plantar fasciitisUnfortunately, because plantar fasciitis is so common, it is also easy for some doctors to carelessly misdiagnose heel pain if they don’t take the time to examine the internal structure of the foot. Only an ultrasound can detect the level of detail needed to properly diagnose the injury.

Thanks to research performed by the good Dr. Rock Positano at the Hospital for Special Surgery in NYC, we now know just how crucial the ultrasound is for diagnosing heel pain. Dr. Positano’s team reviewed the medical files of over 140 patients diagnosed with plantar fasciitis, then gave them each an ultrasound. They found that while 73% were correctly diagnosed, an astounding 34% showed undiagnosed ligament tears. In 15% of the feet, the ultrasounds also revealed at least one benign cyst called a plantar fibroma.

When Misdiagnosis Leads to Mistreatment

What’s even more troublesome is that the treatment plans for each of these three conditions can differ greatly, and what works well for one condition may worsen another. Usually, a doctor will advise stretching for a patient suffering from plantar fasciitis. This usually clears up the pain within 3-6 weeks. However, stretching a torn ligament will only exacerbate the injury, since more ligament tears require strict rest and sometimes even surgery. A plantar fibroma might require surgery, but usually the pain can be managed with an orthotic insert.

The best way to avoid a misdiagnosis is to request an ultrasound when visiting your foot and ankle specialist for heel pain.

How do I know if I have Plantar Fasciitis?

Diagnosing plantar fasciitisThe only way to know for sure if your heel pain is caused by plantar fasciitis is to visit your foot and ankle specialist for an ultrasound. You’ll want to see your specialist if you’re experiencing some of these tell-tale symptoms:

  • Either dull or sharp pain in the heel or arch, in one or both feet
  • Heel/arch pain during first morning steps
  • Heel/arch pain after a long period of rest, standing, or walking
  • Heel/arch pain while climbing stairs or standing on tip-toes
  • Pain subsides after 10-15 minutes, but worsens throughout the course of the day

The foot and ankle specialists at University Foot and Ankle Institute are nationally recognized experts in the care of plantar fasciitis and heel pain. They treat many patients that were previously misdiagnosed by other physicians. All of our 9 locations have the latest technologies, including ultrasound, for accurate diagnosis and the best treatment available. If you are experiencing heel pain, we encourage you to call (877) 989-9110 or visit us at www.footankleinstitute.com to schedule a consultation.

One comment

  1. You didn’t mention all the other conditions that can be erroneously diagnosed as plantar fasciitis. I have just been reading about plantar fasciosis, bartonella infection, just to mention two other possibilities.

Leave a Reply

Your email address will not be published.

13 − four =

  • Yelp
    I had an absolutely great experience with Dr. Morris at this office.  I had a bad ankle/foot injury and although initially they didn't have an appointment available for several days later, they heard my case and agree...
    Matthew D.
  • CustomerSure
    Everyone is nice & friendly, which helps a lot. Also they do great work!
    Hannah C.
  • Yelp
    Doctors are great. Easy to make an appointment. Highly recommend.
    Francheska A.
  • Yelp
    I am so grateful for Dr. Campbell!  He is very knowledgeable, skilled, thorough, and patient. His warm, friendly demeanor always keeps me calm (which is amazing for someone who gets as anxious as I do)!  During my f...
    Amanda S.
  • CustomerSure
    I always return to Dr. Briskin and UFAI because I know I will receive excellent treatment from Dr. B and the staff.
    Marilyn W.
  • ZocDoc
    Everyone was very nice, professional and caring.
    Sheila W.
  • CustomerSure
    Love Dr. Briskin! He was so reassuring and helpful. Had a fantastic experience!
    Shana F.
  • ZocDoc
    Dr. B gave me excellent advisement regarding several bruised toe nails on my right foot. His assistant Alex trimmed my toe nails. I was a little scared at first, but he had very good technique and it didn't hurt at all.
    Sarah A.
  • Yelp
    Dr. Bob is fantastic! He is such a caring, attentive, professional doctor who always walks into the room with a smile. I had 2 separate experiences that he treated me for. The first one was last summer when he diag...
    Patty G.
  • CustomerSure
    Excellent service. Dr. Bob is fantastic!
    Dana M.
Same day appointments now available!
or call 24/7:
  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
  • MPTF - Member Industry Health Network
  • Cirque du Soleil
  • ATP - Association of Tennis Professionals
  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center