Heel pain is a very common foot problem. The sufferer usually feels pain either under the heel (planter fasciitis) or just behind it (Achilles tendinitis), where the Achilles tendon connects to the heel bone.
Treatment for heel pain usually involves using a combination of techniques, such as stretches and painkillers, to encourage a speedy recovery and relief from pain.
Heel pain is typically mild and usually disappears on its own; however, in some cases the pain may persist and become chronic.
Our podiatrist can help in relieving the pain.
Heel pain typically comes on gradually, not caused by any injury to the affected area. It is frequently triggered by wearing a flat shoe, such as flip-flop sandals. Flat footwear may stretch the plantar fascia to such an extent that the area becomes swollen.
If you have post-static dyskinesia (pain after rest), the symptoms tend to be worse just after getting out of bed in the morning, and after a period of rest during the day.
After a bit of activity, like walking, symptoms often improve a bit. But they are likely to worsen as the day goes on.
The most common causes of heel pain are:
Heel Bumps / Haglund’s Deformity
Tarsal Tunnel Syndrome
Chronic inflammation of the heel pad
Sever’s Disease (Calcaneal Apophysitis)
Our podiatrist will physically examine your feet and ask questions about your daily habits, such as how much walking and standing you do, what type of footwear is worn, and other pertinent details about your medical history.
Our doctor can usually diagnose plantar fasciitis just by talking to you and examining your feet. It may be necessary to perform additional tests if the diagnosis is uncertain, or to rule out other possible causes of heel pain. These can include X-rays of the heel or an ultrasound scan of the fascia. An ultrasound can quickly disclose any areas of the fascia that are thick or swollen, as in plantar fasciitis.
Treatment for plantar fasciitis:
Non-steroidal anti-inflammatory drugs
Extracorporeal shock wave therapy
Although most patients with plantar fasciitis respond to non-surgical treatment, a small percentage of patients may require surgery. If you continue to experience heel pain after several months of non-surgical treatment, surgery will be considered. Our foot and ankle surgeon will discuss the surgical options with you and determine which approach would be most beneficial for you.