Heel pain at the back can be caused by several issues, most commonly Achilles tendinitis. This condition involves inflammation of the Achilles tendon, the thick cord connecting your calf muscles to your heel bone.
Understanding Achilles Tendinitis
Achilles tendinitis is characterized by pain and stiffness in the back of the heel, often worsening with activity and improving with rest. The pain may be gradual onset or sudden, depending on the severity.
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Causes: Overuse, improper footwear, sudden increases in activity, tight calf muscles, and certain medical conditions can all contribute to Achilles tendinitis.
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Symptoms: Pain, stiffness, swelling, and sometimes thickening of the tendon are common symptoms. Pain is typically felt at the point where the tendon attaches to the heel bone.
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Treatment: Treatment often involves rest, ice, over-the-counter pain relievers (like ibuprofen), stretching exercises, and supportive footwear. In more severe cases, physical therapy or other medical interventions may be necessary.
Other Potential Causes of Back Heel Pain
While Achilles tendinitis is the most frequent cause of back heel pain, other possibilities include:
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Achilles tendon rupture: This is a more serious condition involving a tear in the Achilles tendon, usually causing sudden, severe pain and inability to put weight on the heel. This requires immediate medical attention.
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Bursitis: Inflammation of the bursae (fluid-filled sacs) around the heel can also cause pain.
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Bone spurs: These bony growths on the heel bone can irritate surrounding tissues and cause pain.
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Other injuries: Less common causes include fractures or strains in the surrounding muscles or ligaments.
It's crucial to consult a doctor or physical therapist for a proper diagnosis and treatment plan if you experience persistent back heel pain. They can help determine the underlying cause and recommend the appropriate course of action.
