Understanding and Managing Heel Pain

A Comprehensive Guide for Patients

Orthopedics

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Last updated: Mar 24, 2025

What Causes Heel Pain?

Heel pain is a common foot condition that can arise from various causes:

Common Causes

  • Plantar Fasciitis: Inflammation of the band of tissue connecting your heel to toes
  • Achilles Tendinitis: Inflammation of the Achilles tendon
  • Heel Spurs: Calcium deposits forming bony protrusions
  • Stress Fractures: Small cracks in heel bone from repetitive stress

Symptoms

  • Sharp pain in the bottom or back of the heel
  • Pain that's worse in the morning
  • Difficulty walking or standing for long periods
  • Swelling or redness around the heel

Risk Factors

  • Age: More common in middle-aged adults
  • Physical Activity: Running, dancing, or prolonged standing
  • Weight: Excess body weight increases pressure on heels
  • Foot Structure: Flat feet or high arches

Diagnosis

Your healthcare provider may use:

  • Physical examination
  • X-rays
  • MRI (in some cases)
  • Gait analysis

Treatment Options

Conservative Treatment

  1. Rest and ice application
  2. Stretching exercises
  3. Supportive footwear
  4. Over-the-counter pain medications

Medical Interventions

  • Physical therapy
  • Custom orthotics
  • Corticosteroid injections
  • Night splints

Surgical Options

Only considered when conservative treatments fail

Prevention

  • Maintain healthy weight
  • Wear properly fitting shoes
  • Stretch before exercise
  • Gradual increase in activity levels

When to See a Doctor

Seek medical attention if:

  • Pain persists beyond a few weeks
  • Pain is severe or sudden
  • Unable to bear weight
  • Signs of infection present

Self-Care Tips

  • Regular foot stretches
  • Ice massage
  • Comfortable footwear
  • Activity modification

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