Heel Pain (Plantar Fasciitis)

Heel pain is a common foot problem. Pain usually occurs under the heel or just behind it, where the Achilles tendon connects to the heel bone. Sometimes it can affect the side of the heel. Pain that occurs under the heel is known as plantar fasciitis. This is the most common cause of heel pain. Pain behind the heel is Achilles tendinitis. Pain can also affect the inner or outer side of the heel and foot. In most cases, pain is not caused by an injury. At first, it is usually mild, but it can become severe and sometimes disabling. It usually disappears without treatment, but sometimes it can persist and become chronic.

Causes

Heel pain is not usually caused by a single injury, such as a twist or fall, but from repetitive stress and pounding of the heel. Causes include arthritis, infection, an autoimmune problem, trauma, or a neurological problem.

Treatment

• Non-steroidal anti-inflammatory drugs (NSAIDs) can reduce pain and swelling.
• Corticosteroid injections may work if NSAIDs are not effective.
• Physical therapy - Exercises that stretch the plantar fascia and Achilles tendon and strengthen the lower leg muscles, resulting in better stabilization of the ankle and heel.
• Athletic taping gives the bottom of the foot better support.
• Orthotics, or assistive devices, and insoles can help correct foot faults and cushion and support the arch during the healing process.