Heel pain may be attributable to multiple causes. A well known cause is Plantar Fasciitis (which will be discussed more in the next section). Other causes may include:
The heel attaches to the ball of the foot via several tough elastic ligaments which run distally and form the arch of your foot. The Plantar Fascia, attaches the heel bone to the digits, assists in balancing the various parts of the foot as you walk. In this way it helps your foot maintain arch function in walking over uneven terrain and helps the foot to absorb shock.
Frequently, the Plantar Fascia may become overburdened and this leads to heel pain or arch pain. Specifically, this often occurs at its attachment onto the heel bone, though it may occur in the arch of the foot. This condition is referred to as Plantar Fasciitis and characteristically the pain is may be worse in the morning.
Common causes of Plantar Fasciitis:
Heel pain is usually a repetitive or overuse injury of the foot and therefore the goals of treatment is to address this problem.
Heel spurs are common in patients with Plantar Fasciitis, though they are also present in patients who do not suffer with heel pain symptoms of the foot. Heel spurs alone are not often the cause of the pain alone and as such removal is not advocated as an effective treatment for heel pain.
If your heel pain is affecting your normal activities and not getting better you should consult a specialist Podiatrist.
Your podiatrist will listen to your complaints about your heel and examine you to see what is causing the foot pain, and whether anything else has triggered the problem. If the cause of your pain seems obvious, your podiatrist may be happy to start treatment straight away.
Plantar Fasciitis is usually diagnosed clinically, though may be evaluated via an ultrasound scan.
If you still have pain after using custom insoles or orthoses and an injection (rare), your podiatrist may want to investigate your problem a bit further. If no other medical problem or cause of stress in your heel is found, a number of other treatments can be tried:
The goal of an operation is to transect a section of the plantar fascia from the heel, reducing the stress within in it. This type of procedure is rare as it generally has a very poor outcome and the majority of patients will improve with orthotics and an injection for Plantar Fasciitis.
Our services cover the following locations (if your location is not listed please don’t hesistate to get in touch and ask us if we can help you):
Kensington – W8 – W14 – SW7 – Notting Hill – W11 – W2 – W10 – Chelsea – SW10 – Knightsbridge SW1 – SW3 – Fulham – SW6 – Hammersmith – W6 – W12 – Hyde Park and Holland Park
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