Heel pain: what to do?

Heel pain: what to do?

#Heel #pain

At heel pain, also called plantar fasciitis, can manifest at all ages. They are usually caused by minor trauma. On a few occasions, the reason for the pain is chronic inflammatory diseases.

  • Heel pain

    • Post-traumatic heel pain

    • Encephalopathy

    • Ankylosing spondyloarthritis

  • Treatment of heel pain

  • Risk factors for heel pain

Heel pain

Heel pain is a type of discomfort linked to inflammation in a tissue called plantar fascia, which connects the heel bone to the phalanx of the feet. Depending on the existing trauma or illness, the pain may be posterior (located behind the heel) or lower (below the region). Inflammation of the Achilles tendons can also cause pain in the heel, since the rupture of this tendon, according to studies, affects 6 to 8 people every 100,000 annually.

Post-traumatic heel pain

This problem corresponds to micro traumas of the heel bone, usually resulting from intense or repetitive sports activities, such as running.

=== Sever’s disease ==

THE Sever’s disease or apophysitis of the calcaneus is an inflammation that manifests itself in adolescents between 10 and 16 years old. It corresponds to an anomaly in the growth of bone and its cartilage.


Entesopathy is a inflammatory tendinopathy that affects the connection of the tendons (enesis). It can be caused by trauma and result in joint and evolutionary diseases such as rheumatoid polyarthritis or ankylosing spondyloarthritis.

Ankylosing spondyloarthritis

Heel pain is one of the symptoms of ankylosing spondyloarthritis, an inflammation in the spine. This disease is suspected in case of painful and specific symptoms of the heel, especially pains that arise in the morning, upon waking, activated by the first step. In this case, the pain alternates between one foot and the other and decreases throughout the day.

Treatment of heel pain

The treatment of this problem aims to reduce inflammation as much as possible and decrease symptoms. First, the patient must rest, avoid physical activities and perform stretching and physiotherapy sessions and use plantar supports. Medication intake is restricted to local anti-inflammatory drugs and, eventually, corticosteroid infiltrations. It is common for shock-based treatment to be indicated. The improvement comes after a few months of treatment.

Risk factors for heel pain

Among the factors that raise the risks of this problem are intense physical activity (running, long jump, triple jump), overweight (including pregnant women) and obesity, as well as flat feet or inadequate shoes (heels too low or too high).

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