Heel & Arch Pain

Heel pain can generally be traced to faulty biomechanics, which places too much stress on the heel bone, ligaments or nerves in the area. Stress could result while walking or jumping on hard surfaces, or from poorly made footwear. Being overweight is also a major contributing factor. Some general health conditions  arthritis, gout, and circulatory problems, for example  also cause heel pain.

plantar_fascititisPlantar fasciitis is the term commonly used to refer to heel and arch pain traced to an inflammation on the bottom of the foot. More specifically, plantar fasciitis is an inflammation of the connective tissue, called plantar fascia, that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts into the heel bone. Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.

Also known as heel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications. In persistent cases, laser or Extracorporeal Shock Wave Treatment (ESWT) may be used to treat the heel pain.
Heel spurs are growths of bone on the bottom of the heel bone. They are able to happen without suffering; pain may result when inflammation develops at the stage where the spur forms.

Pump bump (Haglund’s deformity) is a bone enhancement at the back of the heel bone in the area where the Achilles tendon connects to the bone. The deformity generally is the result of faulty biomechanics creating increased action of the heel bone contrary to the boot counter.

Achilles tendinitis is inflammation and an irritation of the tendon that connects to the back of the heel bone. The achilles tendon, which is biggest and the strongest tendon in the body and joins the leg to the foot as it extends from the lower leg to the heel bone. This tendon is crucial to normal walking habits because it enables the foot to increase up on the toes.

This condition generally grows gradually as the tendon inflammation and may include one or more of these three levels:

Peritenonitis – this period is characterized by local pain during or after activity

Tendinosis ­– typically an asymptomatic level that may cause a nodule, or to swelling at the back of the lower leg

Peritenonitis with tendinosis – this level can result in a rupture of the tendon and it’s also characterized by pain and swelling during and after activity.

As with all health problems, Achilles tendonitis is best treated early in the development of the condition. If you’re experiencing discomfort and/or swelling in this region, a consultation with our skilled podiatry specialists will provide you with the very best chance for a complete recovery. It can be treated with ice, relaxation, anti-inflammatory medications, specific workouts and laser when persistent.



Author: tammy gracen

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