Common Causes Of Heel Pain

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The most common cause of heel pain is plantar fasciitis, according to the American Academy of Orthopedic Surgeons. Plantar fasciitis is an inflammation of the plantar fascia, a ligament on the bottom of the foot that connects the ball of the foot to the heel. Other common causes of heel pain include bone spurs, bruised fat pad, calcaneal stress fracture, heel bursitis and Achilles tendonitis. You Might Also Like At-Home Treatment Heel spurs can be a reason for great soreness in the heels and can occur in all forms of physical movement involving feet and legs. Even walking and standing will be tricky due to the tremendous pain. read more

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There are many structures attached to the heel bone. The primary structures are the plantar fascia and plantar muscles. As we walk or run the arch flattens to absorb the body’s weight, causing stress on the fascia and pulling away of the heel bone, causing a bone spur. It normally takes years to develop spurs. Pain in the heel can be caused by the bone, fascia or heel nerve. Other factors that may contribute to the development of plantar fasciitis include obesity, trauma, weak plantar flexor muscles, excessive foot pronation (flat foot) or other alignment problems in the foot and/or ankle, and poor footwear. Symptoms

The first step for an evaluation or diagnosis of bones spurs is to have a clinical examination. Visit your health care provider so they may conduct a neurological and spine evaluation in order to assess any spinal nerve and cord compression. In order for a physician to determine the destructive changes to the spine, radiographs may be performed. Physical examination should include palpation of the course of the posterior tibial nerve from the proximal aspect of the medial malleolus distally toward the anterior aspect of the calcaneus. Patients may experience an uncomfortable burning pain that radiates proximally toward the calf (Valleix sign) or distally toward the toes (Tinel’s sign).

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