Pain in the heel of your foot can be debilitating. It can stop you in your tracks and ruin your day. Many people suffering with heel pain will start to become so sore and inactive that they start to avoid every day activities like a trip to the shops or cafes, in fear of the pain.
Pain in the heel is most commonly caused by Plantar Fasciitis but can also be from Achilles tendonitis, Achilles Tendonopathy, or Bursitis. Some people have spurs on the heel of their foot too, but these are not usually the cause of heel pain. Unfortunately, due to the fact that some patients are able to see heel spurs on their x rays they become focused on these and pay less attention to the actual problem.
Patients with pain in heel of foot need to be educated and should focus on the soft tissue inflammation that actually causes the pain in the heel, and not the heel spurs.
If you have pain in the heel of your foot you will probably notice that your first few steps in the morning, as you get out of bed are noticeably sore. You will probably walk gingerly for a few minutes and then find that the pain drops off slightly, and you are able to move more easily.
Pain in the heel of your foot will almost certainly be associated with inflammation, such as that found with Plantar Fasciitis. The pain level at any one time will be consistent with the level of inflammation present at that time and that’s why the heel gets sore after rest. It’s during the resting periods that the inflammation develops and then the pain increases as your foot hits the ground. Most patients report that the pain in the heel of the foot reduces with movement, and that’s because the inflammation dissipates with movement of the body.
Children who develop pain in the heel of the foot usually have a condition known as Sever’s disease. Sever’s disease is a growth plate problem that develops with very active children and often in those who have a growth spurt. The child will feel pain in the heel during activity and as with other inflammatory heel conditions (Plantar Fasciitis, Achilles tendonitis, Achilles Tendonopathy, or Bursitis) they will feel sore after resting too.
You might also want to read about plantar fasciitis treatment as another treatment for pain in heel.