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Gillian asked...

Sharp stabbing pain

Hi, I am experiencing a sharp stabbing pain in my left inside heel when I stretch my left leg (mainly my calf muscle). Can you advise me what this is and what I can do to stop this?

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The answer

Heel pain can have several causes and usually requires a full history and examination to pin point the exact nature of the problem which is causing the pain. However, heel pain associated with calf stretching such as you describe could be indicating a problem with the Achilles tendon as stretching of the calf muscle pulls on the tendon when the calf muscle extends into the stretch.

Other causes of heel pain and the usually the most common is a condition known as plantar fasciitis where the pain is found to be worse in the morning but eases during walking and movement. This condition is due to thickening of the plantar fascia which is a thick band of tissue in the foot and can happen in response to injury or small tears that sometimes occur in the tissue. Equally, tight calf muscles can also contribute to thickening of the plantar fascia.

Under the circumstances and given the nature of your problem it would seem sensible to seek a full assessment with your Gp, they will be able to examine your foot and leg, arrange any investigations required to help diagnose the problem and then suggest the best course of treatment for you.

Answered by the Health at Hand nurses

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