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Established in 1984 to provide comprehensive foot care

Heel Pain

What Is Plantar Fasciitis or Heel Spur Syndrome?

Heel pain is usually present during the first few steps in the morning and tends to ease until the next time the patient rests, sits or drives and tries to stand on their feet. Many patients describe this pain as "a hot knife being pushed into the bottom of my heel." If left untreated, pain can become constant, even hurting when at rest. For some patients, the pain is so severe that they can no longer participate in certain normal activities such as work and leisure activities. Achilles tendonitis hurts in the back of the heel and can hurt first steps in the morning, more as the day progresses and after walking or playing sports. Quite often, Achilles tendonitis and plantar fasciitis occur together.

Heel Pain Treatment Toronto
Heel Pain Treatment Toronto

What Causes It?

Plantar fasciitis (heel pain) is caused by a mechanical imbalance in the foot called over pronation. Over pronation causes the foot to roll in towards the arch and big toe joint. There is a very strong, fibrous band on the bottom of the foot called the plantar fascia. The plantar fascia inserts in the heel bone and then spreads out and joins the toes. When the foot rolls in (over pronates) the band must try and stretch, but it cannot, therefore, the fascia pulls at it's insertion at the heel bone which causes a small tear and swelling, hence pain. Over time, as the fascia continually pulls, it pulls away at the bone causing a heel spur. The size or presence of a heel spur does not always correlate with the amount of pain. One can have a heel spur with the absence of pain and vice-versa!

If  you suffer from heel pain in Toronto, you'll want to try this. Radial Soundwave Therapy (RST) is a recent medical breakthrough for treatment of painful heels. Often called heel spur syndrome this painful condition can now be treated quickly and effectively in our clinic. The new Radial Soundwave Therapy was introduced to Podiatry in Toronto and throughout Canada in 2002 by Hartley Miltchin DPM. Previously, he introduced a surgical procedure to Canada in 1993 called Edoscopic Plantar Fasciotomy or EPF, using a micro camera to treat plantar fasciitis. This treatment has helped many patients from across Canada. The RST procedure is utilized to correct chronic heel pain that afflicts men and women equally. This new treatment is non-surgical, non-invasive, involves no time off your feet and best of all, no anaesthetic is required.


Will It Go Away?

This is possible in some patients, however, it will tend to return much worse than the first episode. In most cases, the longer it is left untreated, the more chronic the condition and the more difficult it is to treat. Prescription orthotics are the most important treatment for long-term relief of heel pain.  Painful cortisone injections, anti-inflamatory medications, accupunture, physiotherapy, stretching etc only provide temporary relief and not long term.

Bunion Treatment Toronto

Radial Soundwave Therapy combines air pressure and electronics to produce an accoustic (sound) energy with a computerized, controlled frequency. This newer treatment requires no anaesthetic and requires three 3 minute treatments over a 3 to 4 week period. Some patients feel relief after the very 1st treatment! This treatment is non-surgical and does not produce any shockwaves.

Local Effects of RST
Current theories suggest RST accomplishes the following:

  • creates an anaesthetic type condition in the painful area
  • increases local metabolism by creating new blood vessels to heal the affected area
  • releases the body's own natural pain relieving chemicals, called endorphins. 

The Fees?

Podiatric treatments are not covered under Ontario's Provincial Health Plan (OHIP). Certain third party insurance policies may cover all or a portion of Radial Soundwave Therapy. All fees will be discussed at the time of your consultation.

What Results Can I Expect?

Studies have indicated up to an 88% success rate in plantar fascitis cases. When plantar fascitis treatment is combined with prescription orthotics, the success rate nears 100%. Although some patients feel relief after the first treatment, others feel relief after 12 weeks or more. A series of 3 RST treatments are used.

Did You Know?

Hartley Miltchin DPM has been at the leading edge of foot care treatments since 1982. He prides himself in providing efficient, safe treatments for his patients that keep them mobile at all times. In-office correction is available for bunions, hammertoes, ingrown toenails and corns. We treat children, adults and seniors in our clean, modern, friendly and state of the art clinic. All instrumentation is sterilized for safety. We use the latest in ultrasound and laser technology. We also have on-site x-ray and doppler vascular testing.

Accent On Feet

4430 Bathurst Street, Suite 503,

Toronto, Ontario, M3H 3S3


(416) 635-8637