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All about heel pain

Mr Efstathios Drampalos
Written in association with: Mr Efstathios Drampalos Consultant Orthopaedic Surgeon in Stirling
5.0 |

8 reviews

Sources: Top Doctors GB
Published: 27/03/2025 Edited by: Conor Lynch on 05/05/2025

Heel pain is a common complaint that can significantly impact daily activities and overall quality of life. It often manifests as a sharp or dull ache at the back or bottom of the heel, making walking, running, or even standing uncomfortable. Understanding the underlying causes and available treatments is essential for effective management.

One of the most prevalent causes of heel pain is plantar fasciitis, an inflammation of the thick band of tissue (the plantar fascia) that runs across the bottom of the foot. This condition typically results from overuse, improper footwear, or excessive weight.

 

Symptoms often worsen in the morning or after prolonged periods of inactivity. Another common cause is Achilles tendinitis, which affects the tendon connecting the calf muscles to the heel bone. This condition is frequently seen in athletes who engage in repetitive activities such as running or jumping.

 

Symptoms include stiffness and swelling along the tendon, particularly after exercise. Other potential causes of heel pain include bursitis, heel spurs, and stress fractures. Bursitis occurs when small fluid-filled sacs (bursae) become inflamed, while heel spurs are bony growths on the underside of the heel bone that can develop due to chronic strain.

 

Treatment options vary depending on the cause but often include rest, ice application, and anti-inflammatory medications to reduce pain and swelling. Physical therapy may also be beneficial in strengthening surrounding muscles and improving flexibility. In some cases, custom orthotics or supportive footwear can alleviate pressure on the heel.

 

For persistent heel pain that does not respond to conservative measures, more advanced interventions such as corticosteroid injections or surgery may be considered. In conclusion, while heel pain can be debilitating, understanding its causes and seeking appropriate treatment can lead to effective relief and a return to normal activities. If you experience ongoing discomfort, consulting a healthcare professional is crucial for proper diagnosis and management.

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