Heel pain affects most adults at some point in their lives. The longer heel pain goes on for, the more difficult heel pain is to cure. If heel pain has been bothering you and it hasn't settled with some rest and a change in activity then you should seek treatment and advice.

HEEL PAIN //

WHY DO I HAVE HEEL PAIN?

 

Most heel pain is caused by "overuse" of the tissues around the heel. Simply the tissues are suffering repeated micro injury. The rate of injury is happening faster than the rate of repair.

Treating your heel pain must involve an analysis of your biomechanics to find out why you are straining your tissues and then you will need the right advice to help your heel pain to improve.

LIST OF CAUSES OF HEEL PAIN:

  • Plantar Fasciitis

  • Non-insertional Achilles Tendinopathy

  • Insertional Achilles Tendinopathy

  • Intrasubstance Split of Achilles Tendon

  • Calcaneus Stress Fracture

  • Achilles Tendon Rupture

  • FHL Tendinopathy

  • Posterior Ankle Impingement

  • Os Trigonum

  • Tarsal Tunnel Syndrome

  • Seronegative Arthritis

  • Plantar Fascia Rupture

QUICK HELP

Activity modification, over the counter heel cushion inserts, trainers and some basic stretching may be all you need. 

 

Please don't let anyone inject your plantar fascia with steroids because it won't actually help the problem to heal but while it is masking your symptoms you may rupture your plantar fascia or worse your Achilles Tendon

XRAYS & APPOINTMENT IF:

 

  • If you can't put your heel on the ground at all because it is so painful you may have a stress fracture

  • If you have seen your GP and tried your GP's advice and you aren't seeing any results

  • If you have been having physiotherapy without any success

WHAT WILL HAPPEN IN CLINIC?

 

  • You will have a detailed history and examination, specialist X-rays and most likely an Ultrasound scan but perhaps an MRI scan.

  • Many in fact most patients do not require surgery.

  • Whenever possible I will produce a list of the structures that have been injured, the biomechanical imbalances that need to be redressed and a plan for rehabilitation for you

  • Many patients require insoles

  • Virtually all patients require physiotherapy

  • Slant boards for stretching are de rigueur!

IF I NEED SURGERY WHAT DO I NEED TO KNOW?

Explanation of medical terminology:

  • Tendinopathy: condition, painful thickened dysfunctional tendon

 

  • Tendinosis: pathological structural change

  • Paratendinopathy: Inflammation of tissues surrounding tendon, paratenon

  • Tenosynovitis: Inflammation of a tendon sheath

  • Tendinitis: Inflammatory systemic arthropathy

More Information:

  • Articles Heel Pain and the importance of gastrocnemius release

nhs clinics:     

Royal Surrey Hospital

Egerton Road

Guildford

GU2 7RF

 

 

Mrs Claire Ellis

01483 571122 extension 6433​

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© 2016 by JK Foot&Ankle Surgery.                       Last Update August 2020