Why we get Heel Pain?
Why we get Heel Pain?
Heel Pain is now becoming one of the most common musculoskeletal problem next to back and knee pain, it would not be wrong to say that it is also a lead cause for ankle, knee and back pain in young and middle age population.
See if you suffer from pain cause by one of these common sources.
It usually present as pain or soreness on the bottom or back of the heel, felt on weight bearing mostly in the morning and after rest or long sitting.
Almost 80% of the population suffers from this at one or other point of life. The plantar fascia is a thick, fibrous band of connective tissue that connects from the heel to the ball of the foot. It helps maintain the medial arch of the foot.
Occasionally, this band may become strained and inflamed due to overuse or injury, which is commonly seen in athletes, people who have gained weight recently, pregnant women, and those who walk in unsupportive, ill-fitting, improper or wrong size & type of shoes leading to Plantar Fasciitis.
In certain cases where plantar fasciitis is not address properly or treated, a spur may develop. An X-ray of the heel or calcaneal area shows a pointed bony outgrowth of the bone. The heel spur itself may not be the direct cause of pain but the presence of spur perpetuate the pain by further irritating the inflamed fascia.
Over Pronation / Supination:
The relative alignment of foot and ankle along with the 3 major arches of foot can alter an individual’s walking patterns.
Most commonly over pronation is considered as Flat Feet, which is complete absence of medial longitudinal arch, whereas over pronation is when our feet “roll inward” while walking more than normal. If such individual stand still, you may still see the arch. Some amount of pronation while walking is normal, but when there’s too much, over stretching or strain of the muscles and ligaments attached to the heel bone occurs.
Supination is opposite of pronation and supinator walks with excessive loading on to the lateral longitudinal arch, they also have excessively high arches. Chance of ankle injury and sprain are slightly higher in them as they tend to twist their leg very often. Due to absence of natural pronation while walking, they sometime suffer from posterior heel pain and retrocalcaneal bursitis or spur.
The Achilles tendon is located in the back of the leg and attaches to the heel bone. As opposed to the above causes of pain, the heel pain of Achilles tendonitis occurs in the back of the heel instead of at the bottom. This is an overuse injury occurring commonly in athletes. It may also occur in people with tight calf muscles or those who overstress their muscles with sudden increases in activity. If left untreated, it may develop into a heel spur.
High impact on the heels or repetitive stress can result in soreness and pain. Standing in one place for too long especially over a hard surface may also cause pain because of the increased pressure on the heels. Obesity and pregnancy may contribute by increasing pressure on the heels. Additionally, the natural fat pad in our heels starts to atrophy as we age. Less padding means more pressure and potentially more pain. The pain also may be worse when wearing shoes without support or in those who suddenly increase their activity.
Arthritis, fractures or bursitis are additional but less common causes of heel pain. Fortunately, there are plenty of treatment options. If you suffer from chronic heel pain, talk to a podiatrist about your options for treatment and the best next step for resolving your pain.
Comfortable correction and reduction in calluses
Male, 32 Yrs, Businessman Pain in the feet specially metatarsal area occassional April 7, 2015
So far so good,pain levels are down overall good results
Male, 58 Yrs, Retired Left heel pain - 6 Months April 7, 2015
Thank you. Dr Pallavi and Janhvi you are the hope that I have. thanx for explaining so well
Female, 31 Yrs, Service B/L foot pain - 6 months April 7, 2015
Pallavi is a very good and well informed consultant .The vionic slippers suggested by her have really helped alleviate my heel pain
Female, 39 Yrs, Housewife Ankle swelling - left - 3 weeks April 6, 2015
Very much satisfied the way dr guided us. thanks to orthofit
Female, 12 Yrs, Student Ankle heel and plantar pain (midfoot) : 2-3 Yrs April 7, 2015