Heel Pain

About

Heel pain is a common foot problem that can result from a variety of causes, such as plantar fasciitis, Achilles tendinitis, or heel spurs. Pain is typically felt at the bottom or back of the heel and can be worse when taking the first steps in the morning or after long periods of standing or walking. The condition can be acute or chronic, depending on the underlying cause.

Causes

Common causes of heel pain include:

• Plantar Fasciitis – Inflammation of the plantar fascia, the ligament running along the bottom of the foot, is a leading cause of heel pain.
• Heel Spurs – Bony growths that form on the heel bone, often due to stress and strain on the foot.
• Achilles Tendinitis – Inflammation of the Achilles tendon at the back of the heel can cause pain and stiffness.
• Overuse – Repeated stress from activities such as running, jumping, or prolonged standing can strain the heel.
• Improper Footwear – Shoes that lack proper arch support or cushioning can contribute to heel pain.

Symptoms

Symptoms typically include:

• Sharp or aching pain in the heel, especially with the first steps in the morning.
• Pain that worsens with activity or prolonged standing.
• Swelling or redness in the heel area.
• Stiffness in the foot, especially after periods of rest.

Diagnosis

Diagnosis is usually based on physical examination and a review of symptoms. X-rays, ultrasound, or MRI may be used to identify conditions such as heel spurs, plantar fasciitis, or tendon damage.

Treatment

Treatment options for heel pain include:

• Rest and Ice – Resting the foot and applying ice can help reduce inflammation and pain.
• NSAIDs – Nonsteroidal anti-inflammatory drugs can help manage pain and swelling.
• Stretching Exercises – Stretching the calf and plantar fascia muscles can alleviate tension and improve flexibility.
• Orthotics – Custom insoles can help support the arch, reducing strain on the heel.
• Footwear Adjustments – Wearing shoes with proper cushioning and support can reduce heel pain.
• Physical Therapy – Strengthening exercises for the foot and ankle may help reduce stress on the heel.
• Injection Therapy – Corticosteroid injections may be used to reduce inflammation in chronic cases.
• Surgery – In rare cases, surgery may be necessary to remove heel spurs or repair damaged tendons.