Heel Pain

Heel Pain

Heel pain is the most common diagnosis seen in our office. Although there are severeal different problems that can cause heel pain, the one we see most often is plantar fasciitis. This is often seen along with heel spurs, flat or high arches and in patients who wear flat shoes.

Plantar Fasciitis

Plantar fasciits is a thickening and tearing of a ligament at the bottom of the foot. The tearing leads to scaring in the ligament which causes pain and inflammation. The plantar fascia helps to hold up the arch of the foot and is tensed while walking and running when the big toe is pushed upward.

Causes of Plantar Fasciitis

Plantar fasciitis can be seen in patients of any age and activity level. It is common in athletes who are in impact sports like running, football, soccer, tennis, etc. Shoe gear can also cause fascial pain.If athletic shoes are worn out or you are wearing shoes that have little support, the fascia may become irritated. Injury can cause a bout of fasciitis as well.

Treatment

Initial treatment begins with stretching the fascia and calf muscles, massage, non-steroidal anti-inflammatory drugs (ie motrin) and suportive shoe gear.

More advanced treatment can include steroid injections, stem cell injections, orthotics, physical therapy, stretching devices and even surgery.

When Should I Be Seen For Heel Pain?

If you are having pain in the heel, first try icing , stretching and shoe gear. If symptoms are not relieved after a few days, you should be seen for evaluation. X-rays may be required to rule out other pathologies such as fracture. If the pain is increasing or staying steady, you should make an appointment to be evaluated.

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