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About Dr George Tsatsos
Expertise
All questions related to surgery, orthopedics and medicine of the foot and ankle. Second Opinion specialist in Foot and Ankle including fractures All questions relating to foot and ankle problems in children Sports medicine of the foot and ankle Runner's and walking problems

Experience
PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008

Organizations
Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

You are here: Experts > Recreation/Outdoors > Walking > Podiatry > stress reaction in heels

Podiatry - stress reaction in heels

Expert: Dr George Tsatsos - 11/2/2009

Question
Dr.,

I slowly developed pain and same symptoms at the back corner of both heels - pain increases w/ activity level and feels best in the morning. Never had any pain in the foot before.

Went to DPM who did xray + MRI, diagnosed as "stress reaction". Walking or standing for more than a few minutes becomes painful. Before this had only walked 1 mile uphill 3x / wk. for a year; now doing no exercise due to pain.

Will just normal walking from working in an office cause any more damage while this heals? Some days this is quite painful.
Any ideas on how to make sure this gets better or what to do to make it heal faster (i.e. should I use crutches or some type of cast)?
Thoughts on what could have caused this? I do no strenuous exercise and am 41 yr. old male and weigh only 130 pounds.

thanks in advance for your time,

Fred

Answer
This Podiatrist will answer this question
Never heard of stress reaction. I would be curious to the medical cause of "stress reaction"
Sounds like plantar fasciitis. See our website at Anklenfoot.com for more info.
Usually plantar fasciitis is more painful in the AM-but can hurt worse at the end of the day with increased physical activity and give no pain in the AM.
It was caused by the uphill walking.This overstretched the plantar fascia. Either your shoes wore out, you changed them, or something else changed in your physical routine.
Try stretching exercises ,Icing, and max over the counter dose oral anti-inflamatories. Perhaps some shoe inserts-check out our website-AnkleNFoot.com shopping store for examples.
Usually a well made orthotic will work better for a plantar fasciitis caused by something that is not going to change soon-
For example if it's weight and you lose it-then it may respond with an insert only but...
if it's a tight tendon(a tight Achilles tendon can cause plantar fasciitis)then an orthotic is recommended.
Hope this helps!
Good Luck!

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661
AnkleNFoot.com

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