Heel Pain

Heel pain is the commonest foot problem that occurs under the heel (plantar Fascitis) or behind it (Achilles tendinitis).

Causes
  • Strain by walking or running with bare feet or with non-supportive footwear
  • Heel bursitis
  • Heel bumps
  • Tendinitis
  • High arch foot
  • Obesity
Symptoms
  • Pain under or behind the feet
  • Pain getting worse early morning and after prolonged rest
  • Swelling
Investigations
  • X-rays to rule out bony spurs
  • MRI to rule out tendinitis
Treatment
Non-Surgical
  • Rest
  • Medications – Analgesics, tendon supplements
  • Physiotherapy
  • Avoiding walking on bare-feet
  • Using supportive shoes
  • Cortisone injections
  • PRP injections
  • Extra corporeal shock wave therapy
Surgical
  • Excision of Calcaneal spurs
  • Plantar fascia release
  • Bumpectomy

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