Heel Pain | Plantar Fasciitis | OC Feet

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Heel Pain | Plantar Fasciitis | OC Feet

Heel pain is a common foot problem. Pain usually occurs under the heel or just behind it, where the Achilles tendon connects to the heel bone. Sometimes it can affect the side of the heel. Pain that occurs under the heel is known as plantar fasciitis. This is the most common cause of heel pain. Pain behind the heel is Achilles tendinitis. Pain can also affect the inner or outer side of the heel and foot. In most cases, pain is not caused by an injury. At first, it is usually mild, but it can become severe and sometimes disabling. It usually disappears without treatment, but sometimes it can persist and become chronic. Causes include arthritis, infection, an autoimmune problem, trauma, or a neurological problem. Heel pain is not usually caused by a single injury, such as a twist or fall, but from repetitive stress and pounding of the heel. Common causes include: Plantar fasciitis or inflammation of the plantar fascia: The plantar fascia is a strong bowstring-like ligament that runs from the calcaneum (heel bone) to the tip of the foot. This type of pain often happens because of the way the foot is made, for example, if the arches are especially high or low. When the plantar fascia is stretched too far, its soft tissue fibers become inflamed. This usually happens where it attaches to the heel bone, but sometimes it affects the middle of the foot. Pain is felt under the foot, especially after long periods of rest. Calf-muscle cramps may occur if the Achilles tendon tightens too.


Heel bursitis: Inflammation can occur at the back of the heel, in the bursa, a fibrous sac full of fluid. It can result from landing awkwardly or hard on the heels or from pressure from footwear. Pain may be felt deep inside the heel or at the back of the heel. Sometimes, the Achilles tendon may swell. As the day progresses, the pain usually gets worse.


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