HEEL PAIN
HEEL PAIN
Heel Pain: Understanding and Treatment
If you are experiencing heel pain or other symptoms of plantar fasciitis, contact Ryan Foot and Ankle Clinic. With five convenient locations in Charlotte, Concord, and Harrisburg, our skilled podiatrists can provide a thorough evaluation and personalized treatment plan to help you find relief. Call us today for more information or to schedule an appointment.
What Is Heel Pain?
Heel pain can significantly impact your daily life and physical activities, ranging from mild discomfort to severe, disabling pain. The pain can occur in two main areas:
Back of the Heel
Often related to issues with the Achilles tendon, such as Achilles tendinitis or an Achilles tendon rupture.
Under the Heel
Commonly associated with plantar fasciitis, which is inflammation of the tissue on the bottom of the foot.
The heel (calcaneus) is the largest bone in the foot, providing support for body weight and absorbing impact during walking and running. This repetitive stress can lead to various heel pain conditions. Common Causes of Heel Pain:
Achilles Tendinitis
Inflammation of the Achilles tendon, often caused by overuse or repetitive stress.
Achilles Tendon Rupture
A tear in the Achilles tendon, which can cause severe pain and difficulty moving the foot.
Arthritis
Inflammation of the joints, which can affect the heel and cause pain.
Bone Tumor
Rare, but potential for pain and other symptoms.
Bursitis
Inflammation of the bursa (fluid-filled sacs) near the heel.
Diabetes
Can lead to nerve damage or infections affecting the heel.
Haglund’s Deformity
A bony enlargement on the back of the heel that can cause pain and irritation.
Heel Spurs
Abnormal growths of bone on the heel, often associated with plantar fasciitis.
Infections
Such as osteomyelitis, which is a bone infection.
Peripheral Neuropathy
Nerve damage that can cause pain, tingling, or numbness in the heel.
Plantar Fasciitis
Inflammation of the tissue on the bottom of the foot.
Rheumatoid Arthritis
An autoimmune condition that can affect multiple joints, including the heel.
Sarcoidosis
An inflammatory disease that can affect various organs, including bones.
Stress Fractures
Small cracks in the heel bone caused by overuse or repetitive stress.
Tarsal Tunnel Syndrome
Compression of the tibial nerve in the foot, causing pain and numbness.
Trauma
Injury to the heel from impact or accidents.
When to Seek Medical Attention
Severe Pain with Swelling
If you experience intense pain with swelling, numbness, tingling, or fever, seek immediate medical attention.
Persistent Pain
If heel pain continues despite self-care measures like icing and rest, it’s important to see a podiatrist.
How Is Heel Pain Treated?
Your podiatrist at Ryan Foot and Ankle Clinic will perform a comprehensive examination and review your medical history. Diagnostic tests such as blood tests, X-rays, or MRI scans may be used to determine the cause of your heel pain. Treatment Options:
Conservative Treatments
Rest and Ice
Reducing activity and applying ice to the affected area can help alleviate pain and inflammation.
Stretching Exercises
Targeted stretches can relieve tension and improve flexibility.
Supportive Shoes
Wearing shoes with proper support and cushioning can reduce stress on the heel.
Anti-Inflammatory Medications
Over-the-counter or prescription medications can help manage pain and inflammation.
Custom Orthotics
Inserts designed to support and align the foot properly.
Advanced Treatments
Corticosteroid Injections
To reduce inflammation and pain.
Physical Therapy
A physical therapist can develop a customized exercise program to address your specific condition.
Night Splints
To keep the foot in a position that promotes healing overnight.
Extracorporeal Shock Wave Therapy (ESWT)
Non-invasive treatment that can promote healing in chronic cases.
Surgery
Considered only when other treatments fail and may involve procedures to address the underlying cause of heel pain.
