Heel Pain
Definition
Heel pain is a common condition in which weight bearing on the heel causes extreme discomfort.
Cause
There are two different categories of heel pain. The first is caused by overuse repetitive stress which refers to a soreness resulting from too much impact on a specific area of the foot. This condition, often referred to as “heel pain syndrome,” can be caused by shoes with heels that are too low, a thinned out fat pad in the heel area, or from a sudden increase in activity. Plantar Fasciitis, the other very common diagnosis of heel pain, is usually caused from a biomechanical problem, such as over-pronation (flat feet). The plantar fascia is a broad band of fibrous tissue that runs along the bottom surface of the foot, from the calcaneus (heel bone) through the midfoot and into the forefoot. Over-pronation can cause the plantar fascia to be excessively stretched and inflamed, resulting in pain in the heel and arch areas of the foot. Often the pain will be most intense first thing in the morning or after a prolonged period of rest. The pain often gradually subsides as the day progresses.
Treatment and Prevention
To properly treat heel pain, you must absorb shock, provide cushioning and elevate the heel to transfer pressure. This can be accomplished with an orthotic designed with materials that will absorb shock and provide cushioning. When the condition is pronation related (usually plantar fasciitis), an orthotic with medial posting and good arch support will help control the pronation and prevent the inflammation of the plantar fascia. Footwear selection is also an important criteria when treating heel pain. Shoes with a firm heel counter, good arch support, and appropriate heel height are often recommended.
If the problem persists, consult your foot doctor.
