Definition

What is heel pain?

Your foot and ankle are made up of 26 bones, 33 joints, and more than 100 tendons. The heel is the largest bone in your foot. If you overuse or injure your heel, you may experience heel pain.

Pain usually occurs under the heel or just behind it, where the Achilles tendon connects to the heel bone. Sometimes it can affect the side of the heel.

  • Pain that occurs under the heel is known as plantar fasciitis. This is the most common cause of heel pain.
  • Pain behind the heel is Achilles tendinitis. Pain can also affect the inner or outer side of the heel and foot.

In most cases, pain is not caused by an injury. At first, it is usually mild, but it can become severe and sometimes disabling. It usually disappears without treatment, but sometimes it can persist and become chronic.

How common is heel pain?

Heel pain is a common foot problem. It can be managed by reducing your risk factors. Please discuss with your doctor for further information.

Symptoms

What are the symptoms of heel pain?

Heel pain is usually felt either under the heel or just behind it.

Pain typically starts gradually, with no injury to the affected area. It is often triggered by wearing a flat shoe.

In most cases the pain is under the foot, towards the front of the heel.

There may be some symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.

When should I see my doctor?

You should contact your doctor if you have any of the following:

  • Your pain is severe.
  • The pain starts suddenly.
  • You have redness in your heel.
  • You have swelling in your heel.
  • You can’t walk because of the pain in your heel.

If you or your loved one has any signs or symptoms listed above or you have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.

Causes

What causes heel pain?

Heel pain is not only caused by a single injury, such as a twist or fall, but also from repetitive stress and pounding of the heel.

Common causes of heel pain include:

Plantar fasciitis. Plantar fasciitis occurs when too much pressure on your feet damages the plantar fascia ligament, causing pain and stiffness. Find out what causes this condition and possible treatment options.

Sprains and strains. Sprains and strains are injuries to the body, often resulting from physical activity. These injuries are common and can range from minor to severe, depending on the incident. Learn more about sprains and strains.

Fracture. A fracture is a broken bone. This condition is considered a medical emergency. Urgent care may be required. Know what symptoms to look for and who’s at risk.

Achilles tendonitis. Achilles tendonitis occurs when the tendon that attaches the calf muscles to the heel becomes painful or inflamed due to overuse injuries. Find out how this condition is diagnosed and treated.

Bursitis. Bursae are fluid-filled sacs found about your joints. They surround the areas where tendons, skin, and muscle tissues meet bones.

Ankylosing spondylitis. This form of arthritis primarily affects your spine. It causes severe inflammation of the vertebrae that might eventually lead to chronic pain and disability. Read more about ankylosing spondylitis.

Osteochondroses. These disorders directly affect the growth of bones in children and adolescents. Learn more about the different types of osteochondroses.

Reactive arthritis. An infection in the body triggers this is a type of arthritis. Find out more about its causes, symptoms, and possible treatments.

Risk factors

What increases my risk for heel pain?

Please consult with your doctor for further information.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is heel pain diagnosed?

If you develop heel pain, you can try these methods at home to ease your discomfort:

  • Rest as much as possible.
  • Apply ice to the heel for 10 to 15 minutes twice a day.
  • Take over-the-counter pain medications.
  • Wear shoes that fit properly.
  • Wear a night splint, a special device that stretches the foot while you sleep.
  • Use heel lifts or shoe inserts to reduce pain.

If these home care strategies don’t ease your pain, you need to see your doctor. They’ll perform a physical exam and ask you about your symptoms and when they began. Your doctor may also take an X-ray to determine the cause of your heel pain. Once your doctor knows what’s causing your pain, they’ll be able to provide you with the appropriate treatment.

How is heel pain treated?

In many cases, your doctor may prescribe physical therapy. This can help to strengthen the muscles and tendons in your foot, which helps to prevent further injury. If your pain is severe, your doctor may provide you with anti-inflammatory medications. These medications can be injected into the foot or taken by mouth.

Your doctor may also recommend that you support your foot as much as possible — either by taping the foot or by using special footwear devices.

In very rare cases, your doctor may recommend surgery to correct the problem, but heel surgery often requires a long recovery time and may not always relieve your foot pain.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage heel pain?

It may not be possible to prevent all cases of heel pain, yet there are some easy steps that you can take to avoid injury to the heel and prevent pain:

  • Wear shoes that fit properly and support the foot.
  • Wear the right shoes for physical activity.
  • Stretch your muscles before exercising.
  • Pace yourself during physical activity.
  • Maintain a healthy diet.
  • Rest when you feel tired or when your muscles ache.
  • Maintain a healthy weight.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: March 7, 2018 | Last Modified: March 7, 2018

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