What causes Heel Pain?

Pain in one’s heel may be caused by tendonitis, arthritis, nerve impingement, or even a fracture. 

One of the most common causes of heel pain is Plantar Fasciitis.

Plantar fasciitis is inflammation of three bands of tissue on the bottom of the foot from the heel to the base of the toes.  The Plantar Fascia works with every step we take and is responsible for stabilizing our midfoot and propelling us over our big toe. Chronic tightness of the plantar fascia can lead to swelling around the tissue and bone causing pain first step in the morning, after sitting for long periods of time, and sometimes the entire day. Unsupportive shoegear, being overweight and hard work surfaces can all contribute to the development of this painful condition. A very high arched foot type or a very flat foot can also be factored in developing heel pain.

Diagnosis is usually based on clinical exams including gait analysis, x-rays, and ultrasound.  Sometimes an MRI is performed to rule out a plantar fascia tear or other foot pathology causing pain.

heel pain spur - advanced foot care

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