Not Just Heel Pain

April 12, 2024

Not Just Plantar Heel Pain


The long Perth summer goes hand in hand with wearing thongs and being down at the beach. It’s important to be mindful that this extended period in unsupportive shoes can exacerbate underlying or existing issues in the plantar fascia (band beneath the arch of the foot), or trigger new symptoms in the arch and heel.

You might have heard about plantar fasciitis, which is quite common and can be a real pain in the heel (literally), but did you know that there's more to heel pain than just that?

Let's talk about it.


Plantar Heel Pain 101

Plantar heel pain is any kind of discomfort or ache you feel in your heel area. While plantar fasciitis is a common cause, there are other culprits too. One of them is something called tarsal tunnel syndrome.


Tarsal Tunnel Syndrome: A Sneaky Troublemaker

Tarsal tunnel syndrome is similar to carpal tunnel syndrome, which occurs in the wrist. Imagine a tunnel in your foot where important nerves and blood vessels pass through. If that tunnel gets squeezed or compressed, you've got yourself tarsal tunnel syndrome. It can feel a lot like plantar fasciitis, but it's a whole different ball game.

With tarsal tunnel syndrome, you might experience tingling, burning, or shooting pains that travel from your heel down to your toes or in the other direction too. Sometimes it can feel like electric shocks zapping your foot.


What’s Going on Inside?

So, why does this happen? There are a few common possibilities. It could be due to an unusual foot structure or an injury or past trauma, like a sprained ankle. Other times it’s caused by pressure from blood vessels or other soft tissue structures in the area. And sometimes it's just bad luck and your nerves get irritated for no apparent reason.


Treatment Options: Finding Relief

Okay, enough with the doom and gloom. Let's talk about what we can do to ease the pain. For starters, there are some simple tricks you can try at home:


·        Rest: Give your feet a break. Avoid activities that make the pain worse.

·        Ice: Apply an ice pack to your heel for about 15 minutes a few times a day to reduce inflammation, or roll your foot on a frozen water bottle             to give the effect of ice massage.

·        Stretching: Gentle stretches of the calf and foot can help loosen up tight muscles and ease tension.


If these DIY remedies aren't cutting it, it might be time to see a healthcare professional. Our podiatrists can assess you and may recommend:


·        Medical Imaging: Diagnosis is key in achieving optimal results.

·        Orthotics: Custom-made shoe inserts can provide extra support and cushioning for your feet.

·        Physiotherapy: Working with a physio can help strengthen your muscles and improve your range of motion.

·        Medication: Pain relievers or anti-inflammatories might offer some relief.

·        Shockwave Therapy: High-energy acoustic waves are delivered into the tissue to stimulate healing.

·        Injection Therapy: such as guided corticosteroids or PRP (platelet-rich plasma)


Surgical Option: Last Resort


Surgery to decompress (relieve tension in the tarsal tunnel) is usually the last resort when all other treatment options have been unsuccessful. If your symptoms are severe and impacting your daily life, our Podiatric Surgeons Julie Taranto or Michael Taranto may recommend surgical decompression of the tarsal tunnel. It sounds scary, but it's often very effective in relieving pain and restoring function.

Walking on Eggshells: Jane's Story

By Asha Curry • May 6, 2025
When Jane turned 58, she started noticing a bump forming on the side of her big toe. At first, it didn’t bother her much — just a little rubbing in her shoes. But over time, her bunion got bigger, and her second toe started curling upwards. It wasn’t long before even short walks became painful. She thought the pain was “just part of getting older,” but her knees and hips had started aching too. Why? Because her body was compensating for her sore feet. Jane's gait (the way she walked) had changed, putting extra pressure on other joints. She also started feeling less steady on her feet, especially when barefoot or in slippers. Finding shoes was another challenge — nothing seemed to fit comfortably anymore. Fashion took a back seat to function, and even then, her shoes still hurt by the end of the day. Eventually, Jane reached out for help. What Are Bunions and Hammer Toes? Bunions are bony bumps at the base of the big toe that cause the toe to shift out of alignment. Hammer toes are bent, curled toes that can develop from the pressure caused by bunions or from muscle imbalances. Both conditions can cause pain, difficulty walking, and trouble finding shoes that fit. What Can Be Done? Thankfully, Jane had options. Non-surgical treatment included: - Custom orthoses (prescription shoe inserts) to support her feet and reduce pressure. - Footwear advice to help find supportive, comfortable shoes. - Stretching and strengthening exercises to help improve balance and foot function. In some cases these options are not enough to provide symptom relief, and in Jane’s case, she explored surgical correction as her activities of daily living were being affected. Our Podiatric Surgeons explained the procedure clearly, and helped Jane understand how surgery could relieve pain, correct the deformity, and help her walk comfortably again. Ready to Take the First Step? If your feet are holding you back like Jane’s were, let’s talk. ✅ Book an appointment with one of our non-surgical podiatrists for a full assessment and personalised treatment plan. ✅ Or, if you’d like to explore surgical options, you can book a consultation with one of our Podiatric Surgeons, Julie Taranto or Michael Taranto.

What to Expect During Your Post-Operative Recovery

By Asha Curry • February 4, 2025
At MJ Taranto, we understand undergoing surgery can feel overwhelming, and we want you to know that at our clinic, your recovery and well-being are our top priorities. Our team is passionate about providing the best experience for every patient, and we go above and beyond to ensure you feel supported every step of the way. What Makes Our Care Unique? Personalised Attention: After your surgery, you won’t just see a nurse—you will see your surgeon for all your post-operative care. This means that every redress, check-up, and follow-up is handled by the person who knows your case best: your surgeon. Direct Access: We believe in open communication. If you have concerns or questions during your recovery, you can contact us personally, even outside of clinic hours. We’re here for you when you need us most. Dedicated Administrative Support: Our clinic has staff members who specialise in supporting our surgical patients. From the moment you decide to proceed with surgery, our dedicated administrative team will guide you through the entire process. They will help you prepare for surgery, answer any questions you may have, and ensure you feel confident and informed every step of the way. Full Investment in Your Recovery: Your recovery is a journey, and we are fully committed to helping you every step of the way. From pre-operative education to detailed recovery plans, we ensure you’re well-informed and confident in your progress. What to Expect During Recovery While every patient’s recovery timeline is unique, here are some general guidelines to help you plan: Initial Healing: The first few weeks are focused on wound healing and managing swelling. We will guide you on how to care for your surgical site and keep you comfortable. Gradual Return to Activities: Over the next few months, we’ll work together to help you safely return to your normal activities. This timeline will be tailored to your specific surgery and progress. Long-Term Recovery: Full recovery from most surgeries can take 12 to 18 months. During this time, we will monitor your progress and address any concerns that arise. Patience is key, but rest assured, we’re with you for the long haul. Pre-Operative and Post-Operative Communication Communication is at the heart of what we do. Before your surgery, we will provide you with detailed information about what to expect, including a recovery timeline. Knowing what lies ahead can make a big difference in how you approach your recovery. After your surgery, our lines of communication remain open. Whether it’s a question about your recovery, guidance on wound care, or simply reassurance, you can count on us to be available and responsive. Our Commitment to Excellence At our clinic, you’re not just another patient—you’re part of our care family. From the moment you walk through our doors to the final stages of your recovery, we are dedicated to providing one-on-one care that’s second to none. Your health, comfort, and satisfaction are our top priorities.