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Heel pain

What causes heel pain?
When walking, your heels repeatedly hit the ground with considerable force. They have to be able to absorb the impact and provide a firm support for the weight of the body.

When pain develops in the heel, it can be very disabling, making every step a problem, affecting your posture.

There are various types of heel pain. Some of the most common are: plantar fasciitis, heel bursitis and heel bumps.

Plantar fasciitis

Plantar fasciitis means inflammation of your plantar fascia. Your plantar fascia is a strong band of tissue (like a ligament) that stretches from your heel to your middle foot bones. It supports the arch of your foot and also acts as a shock-absorber in your foot.

Symptoms: You will feel pain in the heel (in one spot under the heel) usually in the morning mostly.

Treatments: Rest. The plantar fascia is similar to a ligament and needs time to heal.
Ice therapy will help to reduce the inflammation of the plantar fasica.

Heel cushioning and heel raises to prevent too much trauma through the plantar fascia. Pain relief such as ibuprofen tablets or gel. Make sure you get advice from a pharmacist before administering painkillers.

Gentle stretches of the foot and calves can be prescribed by a registered podiatrist that will tailored to your ability and needs.

Outcome:So long as the cause is identified and treated, then there is no reason why the pain should not be eradicated totally.

Heel bursitis and Heel bumps
A bursa is a fluid filled sac that lies between your achilles tendon and heel bone. It acts to reduce friction between the tendon and the bone.

Heel bursitis is common in runners and is caused by overuse and excessive pressure put through the heel. Bursitis may also be caused by a bony lump that has grown out from the back of the heel (known as a Haglund’s deformity). This bony lump can irritate the bursa and cause inflammation.

Symptoms:Often, you will feel pain at the back of the heel where the achilles tendon meets the heel and you will see redness and swelling.

Treatments: Rest is required to allow the inflammation to subside.

Painkillers and anti-inflammatory drugs. Seek advice from a pharmacist before taking these.

Ice therapy will help to reduce the inflammation of the heel and bursa.

Cushioning and orthotics may be required to alter the running and walking style to reduce pressure through a specific area.

Outcome:A bursitis should resolve itself after some rest. If the underlying cause is identified and treated, then there is no reason why the condition should not totally resolve.