Heel pain is an intense pain, felt in one or both heels, that tends to build up gradually and get worse over time. It is usually caused by plantar fasciitis, where the tissue that runs from the heel to the ball of the foot (the plantar fascia) becomes thickened and inflamed.
Heel pain is often severe and occurs when placing weight on the heel. It is usually worse first thing in the morning, or when you first take a step after a period of being inactive. Walking can improve the pain, but it often gets worse again after walking or standing for a long time.
Plantar fasciitis is the most common cause of heel pain, accounting for around four out of five cases.
Plantar fasciitis usually affects people who run and jog regularly, or overweight people, aged between 40 and 60, who spend a lot of time on their feet.
The plantar fascia is a piece of tissue that starts at the Achilles tendon. It attaches to the ball of the foot and runs forward through the arch to just below the base of the toes. It pulls the heel bone forwards, while the Achilles tendon pulls it back, to maintain your foot arch.
As we mobilise, our feet support the equivalent of 20 times our body weight, assisted by the plantar fascia which acts as a soft cushioning pad or shock-absorber.
Sudden damage, or damage that occurs over many months or years, can cause tiny tears inside the tissue of the plantar fascia. This can cause the it to thicken, resulting in heel pain. The surrounding tissue and heel bone can also sometimes become inflamed.
If the pain persists longer than three weeks, see your GP or another suitably qualified healthcare professional, such as a podiatrist.
This is necessary as there are many types of heel pain, each with their own different cause and form of treatment. While plantar fasciitis is the most common cause of heel pain, others might include:
There are many simple ways to prevent plantar fasciitis. You could:
Heel pain is a common condition and in most cases will diminish following some routine self-care measures.
Here are some simple steps you can take to reduce the heel pain caused by plantar fasciitis:
In rare cases, these treatments for plantar fasciitis won’t work. If this happens, you could undertake the following:
You may feel a sense of numbness or some tingling around the heel after the operation. This is known as paraesthesia and should not last long. After the procedure, you will need to wear specialised heel cushions or moulded insoles, both of which support healing. It can take up to six weeks or longer for the wound to heal and for the foot to bear weight bear comfortably.
Evidence suggests that the most effective long term solution is correction of foot posture through the use of insole supports and appropriate foot stretching and strengthening regimes.
Answered by our team of Health at Hand nurses.
Heel Pain – NHS Factsheet
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