Treating Heel Pain in Coburg
Brunswick Foot Clinic offers quality orthotics & podiatric care to residents of and visitors to Coburg and beyond.
Heel pain is painful. Heel pain is complex. Heel pain can be debilitating.
The condition that causes more people to cry in the knowledge that they will get better is heel pain.
Various sites around the heel can experience pain, and the causes are numerous. Mechanical causes, including those involving the attachment of the tendo Achilles to the heel, are often to blame. This can result in a bone spur that, despite looking painful on x-ray, might not lead to any issues.
Having a bone spur can heighten the likelihood of irritation caused by the stiff heel support of a shoe. This irritation can sometimes result in a blister at the heel’s back. Less intense rubbing from the shoe’s heel counter may cause a soft bump under the skin (bursa), potentially leading to inflammation (bursitis) if it persists. In certain cases, such bursitis is a result of an inflammatory condition like psoriatic arthritis.
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Inflammation in the heel bone (osteitis) can cause pain within the heel, and a more profound ache may be a sign of a stress fracture in the calcaneum. Such heel pain can result from ordinary activities, such as gardening or caring for young children. If you don’t properly condition your body when starting or intensifying your walking or running regimen, you may experience pain or even injury in your legs and feet, heels included.
Pain at the bottom of the heel might result from insufficient natural fatty padding beneath the feet’s weight-bearing areas. This lack of padding can cause bruising in the area called the plantar medial calcaneal tubercle, particularly if you wear hard-soled shoes.
Heel Spur and Plantar Fasciitis
Just ahead in the foot, heel pain might occur due to another heel spur caused by ongoing strain on the plantar fascia, leading to excessive bone formation (Heel Spur Syndrome). This type of strain commonly results in Plantar Fasciitis, an injury to the ligament-like structure along the foot’s sole.
Whilst the bone spur looks painful but the pain itself may not be where the spur is located. The development of the spur but generally is due to the mechanical load from the strain along the plantar fascia rather than the heel spur digging into the foot.
An x-ray might often display a pronounced heel spur in a foot that feels fine, while the foot experiencing pain doesn’t have a visible spur.
Causes of Heel Pain
At times, pain in the heel could be due to a small nerve on the heel’s underside getting irritated by the muscle above it. It’s important to accurately diagnose these conditions to create the best plan for effective relief.
In some cases, treatment may involve straightforward techniques such as cushioning, targeted exercises, and massages. Applying heat and ice judiciously, coupled with dry needling, can aid in relief. There might also be situations where anti-inflammatory drugs, corticosteroid injections, or using an ankle walker (moon boot) become essential for quick relief.
The purpose of orthotic therapy is to shift weight-bearing pressures from the painful area and guide foot movement to decrease strain on the plantar fascia and spur. Surgical intervention for releasing the fascia is needed in a minority of cases. Additionally, extra corporeal shockwave therapy has shown effectiveness in reducing heel spur and plantar fasciitis pain.
Children can develop heel pain as a consequence of being active and causing damage at the back of the heel (Severs Disease). The growth plate of the heel can be disrupted by the recurrent pull of a strong and powerful calf muscle and tendo Achilles. It is important for a accurate diagnosis to be made of these conditions so the most effective treatment can be applied for relief and recovery.
Our podiatrists are highly skilled in diagnosis and the management of heel pain.