Heel pain is a common ailment stemming from various causes, most frequently plantar fasciitis and Achilles tendinitis. Let's explore these and other potential culprits.
Common Causes of Heel Pain
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Plantar Fasciitis: This is the leading cause, resulting in stabbing pain at the bottom of your heel, often worst first thing in the morning or after rest. The Mayo Clinic describes it as pain near the heel, worsened by activity. https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846 It's often linked to overstretching of the plantar fascia ligament, as seen in flat feet. http://www.betterhealth.vic.gov.au/health/conditionsandtreatments/foot-problems-heel-pain
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Achilles Tendinitis: This involves inflammation of the Achilles tendon at the back of your heel, causing pain and stiffness. It's another frequent cause of heel pain, as noted by Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/heel-pain
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Other Potential Causes: A range of less common factors can also trigger heel pain. These include:
- Achilles tendon rupture (a more severe condition).
- Ankylosing spondylitis (a type of arthritis).
- Bone tumors.
- Bursitis (inflammation of fluid-filled sacs cushioning bones). https://www.mayoclinic.org/symptoms/heel-pain/basics/definition/sym-20050788
- Stress fractures.
- Heel spurs (bony growths).
- Problems with the foot's biomechanics, such as an abnormal gait. https://www.apma.org/patients-and-the-public/conditions-affecting-the-foot-and-ankle/heel-pain/
- Injuries from a fall or twist. https://www.medicalnewstoday.com/articles/181453
Diagnosing Heel Pain
Diagnosing the specific cause often requires a visit to a doctor or podiatrist. They’ll assess your symptoms, examine your foot, and potentially order imaging tests (like X-rays) to rule out fractures or other issues. A mechanical etiology is frequently identified. https://pubmed.ncbi.nlm.nih.gov/22010770/
Treatment Options (General Information, Not Medical Advice)
Treatment varies based on the underlying cause but often includes:
- Rest
- Ice
- Elevation of the heel
- Over-the-counter pain relievers
- Orthotics or supportive footwear. https://www.nhs.uk/conditions/foot-pain/heel-pain/
