Heel Pain: Treatment and Prevention
Heel pain is a common condition in which weight bearing on the heel causes extreme discomfort. In this article we explore the causes, treatment and prevention of heal pain.
Heel pain is a common condition in which weight bearing on the heel causes extreme discomfort. Diagnosis generally begins with a physical examination of the lower extremity to pinpoint the anatomic origin of the heel pain. The most common cause of heel pain in adults is plantar fasciitis, which results from a biomechancial problem, such as over-pronation (flat feet).
The other type of heel pain is caused by overuse or repetitive stress, which results in soreness caused by too much impact on a specific area of the foot. This is also known as heel pain syndrome. In this article we explore the causes, treatment and prevention of heal pain.
*Data Courtesy: Chaitanya Shah, Founder, Orthofit and a practicing podiatrist, Mumbai.
*Image courtesy: © Thinkstock Photos/Getty Images
Causes of Heel Pain - There are two types of heel pain. The first is caused by overuse or repetitive stress, which refers to a soreness resulting from too much impact on a specific area of the foot. This condition often referred to as "heel pain syndrome," can be caused by shoes with low heels, shoes where the insole has thinned out at the heel area, or from a sudden increase in activity.
The second cause of pain is Plantar fasciitis, usually caused from a biomechancial problem, such as over-pronation (flat feet). The plantar fascia is a broad band of fibrous tissue that runs along the bottom surface of the foot, from the heel through the midfoot and into the forefoot.
Over-pronation (inward rolling of the foot) can cause the plantar fascia to be excessively stretched and inflamed, resulting in pain in the heel and arch areas of the foot. Often the pain will be most intense first thing in the morning or after a prolonged period of rest. However, the pain gradually subsides as the day progresses.
Treatment and Prevention - To treat heel pain properly, you should be able to absorb the shock, provide cushioning and elevate the heel to transfer pressure. This can be accomplished with a heel cup, visco heel cradle, or an orthotic designed with materials that will absorb shock and prevent the heel from getting impacted.