Here is a presentation about how to treat common foot injuries like heel pain,

1. Preventing and Treating
Common Athletic Injuries
Donald Pelto, DPM
Central Massachusetts Podiatry, PC
Worcester, MA

2. Patient dilemma
• Get injured while working out
• Don’t want to stop working out
• Get sad, depressed, no motivation

3. This is for you if…
• You have gotten injured while working out
• You want to avoid an injury
• You think that foot pain is just part of your
life

4. Today we will cover
• How to diagnose and treat common
athletic injuries

5. Don’t Worry!

6. Key Points
• Progress Not Perfection
• Positive Focus

7. Heel Conditions
• Plantar Fasciitis
• Achilles Tendonitis
• Haglund’s Deformity

8. Don’t Worry!

9. Causes of heel pain
• Too much activity too fast
• Too hard of a surface
• Old shoes without support or cushion
Common Questions
• Heel spur?
• Weight?

11. Flex arm muscles

12. Diagnosis

13. Heel Pain Treatments
• Topical Treatment
• Shoes and inserts
• Stretching - Trigger Point, Physical
Therapy
• Medications
• Surgery

14. Stretching - Passive

15. Stretching - Active
• Physical Therapy

16. Injections
• Steroid Injection
– 25G Needle
– 3cc Syringe
– 1cc 1%
Lidocaine
– 1cc 0.5%
Marcaine
– 0.5cc Kenalog
– 0.5cc
Dexamethasone

17. Front of Foot Conditions
• Neuroma
• Metatarsalgia
• Ingrown Nail

18. Don’t Worry!

19. Neuroma
• Clicking Sound
• Feels better without
shoes
• Pain on hard surfaces
Solution
• Wider shoes
• Injection
• Removal

20. Metatarsalgia (Painful front foot)
• Pain to front of foot
• Could be stress
fracture
Solution
• Padding
• Calf stretching
• Orthotics
• Injection

21. Ingrown Toenail
• Pain in shoes
• Rubbing, irritation
Solution
• Wider shoes
• Trim out nail
• Kill nail root

22. Middle of Foot Conditions
• Flat feet
• Tendonitis

24. Flat Feet
• Pain in arch
• Fatigue
• Collapsing Foot
Solution
• Orthotics
• Bracing

25. Tendonitis
• Pain to bottom of the
foot on inside or
outside of foot
• Fatigue when active
Solution
• Orthotics
• Therapy/TP Tools

26. To Learn More Visit
www.DrPelto.com
Donald Pelto, DPM
don@worcesterfootcare.com
(508) 757-4003