November is Diabetes Awareness Month. Having diabetes along with heel pain can be challenging to treat. Heel pain, which can significantly impact an individual's quality of life. Heel pain in diabetics can stem from various causes, and understanding these factors is crucial for effective management and relief.
Why Do Diabetics Experience Heel Pain?
Diabetes can contribute to heel pain through different mechanisms:
Peripheral Neuropathy: Diabetic peripheral neuropathy is a common condition where nerve damage occurs, typically in the extremities such as the feet. Neuropathy can cause numbness, tingling, and pain in the heels due to compromised nerve function. Pain is typically worse at night or after standing for long periods.
Plantar Fasciitis: Plantar fasciitis is a condition characterized by inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of the foot. Typically patients have pain first thing in the morning when getting out of bed or after sitting for long periods. Individuals with diabetes are more prone to developing plantar fasciitis due to changes in foot structure, gait abnormalities, and reduced flexibility.
Achilles Tendonitis: Diabetes can cause changes in the Achilles tendon, leading to tendonitis, inflammation, and pain in the back of the heel. Achilles tendonitis can result from repetitive stress on the tendon, improper footwear, or biomechanical issues.
Infections: Diabetics have a higher susceptibility to infections, including those in the feet. Heel pain can result from cellulitis, an infection of the skin and tissues, or osteomyelitis, a bone infection.
Poor Circulation: Diabetes can lead to poor blood circulation, impairing the body's ability to heal and causing pain in various areas, including the heels.
Management and Treatment:
Proper Footwear: Wearing appropriate footwear with adequate arch support and cushioning is essential for managing heel pain. We advise purchasing new shoes if your shoes are over a year old and you have heel pain. Diabetics should avoid high heels and opt for shoes that provide stability and reduce pressure on the heels.
Custom Orthotics: Custom orthotic inserts can provide additional support and correct any biomechanical abnormalities that contribute to heel pain. The benefit of a custom orthotic is it is made directly from a mold of the patient’s foot.
Laser Therapy: Laser therapy accelerates healing, improves circulation and decreases pain. It is a great alternative to steroid injections that can raise blood sugar. The treatment is not painful and may provide immediate pain relief!
Pain Management: Over-the-counter or prescribed pain relievers and anti-inflammatory medications may help manage heel pain. Topical pain medication may be a better option as they do not interfere with prescription medication. It’s crucial to consult a healthcare professional before using any medication.
Foot Care Routine: Look at your feet daily. Establishing a regular foot care routine, including daily washing, drying, and moisturizing the feet, can prevent complications and minimize heel pain.
Blood Sugar Control: Maintaining optimal blood sugar levels through proper diabetes management is vital in reducing the risk of complications, including heel pain. People with better-controlled blood sugar heal more quickly from injury.
Consult a Podiatrist: If you are diabetic and have persistent heel pain, give us a call at 207-774-0028. We will provide a comprehensive evaluation, diagnose the root cause of the pain, and recommend appropriate treatments.
