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Why Does My Heel Hurt After Exercise?

Published in Heel Pain 3 mins read

The most likely reason your heel hurts after exercise is plantar fasciitis, an inflammation of the plantar fascia, a thick band of tissue on the bottom of your foot.

Here's a breakdown of why this happens and other potential causes:

What is Plantar Fasciitis?

The plantar fascia runs along the bottom of your foot, connecting your heel to your toes. It supports the arch of your foot and acts as a shock absorber. When this tissue is strained or overused, it can become inflamed, leading to heel pain.

Why Exercise Makes it Worse:

  • Increased Stress: Exercise, especially high-impact activities like running or jumping, puts extra stress on the plantar fascia.
  • Tight Calf Muscles: Tight calf muscles can pull on the plantar fascia, exacerbating the inflammation.
  • Inadequate Support: Wearing shoes that don't provide enough arch support can also contribute to plantar fasciitis.
  • Sudden Increase in Activity: Rapidly increasing your exercise intensity or duration can overload the plantar fascia.

Other Possible Causes of Heel Pain After Exercise:

While plantar fasciitis is the most common culprit, other conditions could be responsible:

  • Achilles Tendinitis: Inflammation of the Achilles tendon, which connects your calf muscles to your heel bone. This can cause pain at the back of your heel.
  • Heel Spurs: Bony growths on the heel bone that can develop over time due to chronic plantar fasciitis. While not always painful, they can contribute to heel pain.
  • Stress Fracture: A small crack in the heel bone (calcaneus), often caused by repetitive impact.
  • Bursitis: Inflammation of a bursa (a fluid-filled sac that cushions bones and tendons). Retrocalcaneal bursitis affects the bursa at the back of the heel.
  • Nerve Entrapment: A pinched nerve in the foot can cause pain radiating to the heel.

What You Can Do:

  • Rest: Avoid activities that aggravate your heel pain.
  • Ice: Apply ice packs to your heel for 15-20 minutes several times a day.
  • Stretch: Regularly stretch your calf muscles and plantar fascia.
  • Supportive Shoes: Wear shoes with good arch support and cushioning. Consider orthotics.
  • Over-the-counter Pain Relievers: Ibuprofen or naproxen can help reduce pain and inflammation.
  • See a Doctor: If your pain is severe or doesn't improve with home treatment, see a doctor or podiatrist. They can diagnose the cause of your pain and recommend appropriate treatment, such as physical therapy, injections, or, in rare cases, surgery.

Summary:

Heel pain after exercise is frequently caused by plantar fasciitis, resulting from inflammation of the plantar fascia. Understanding the potential causes and taking appropriate measures can help alleviate the pain and get you back to your activities. However, persistent or severe pain warrants a visit to a medical professional for proper diagnosis and treatment.

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