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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.

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