How Doctors Treat Heel Pain

 

 

 

Heel pain is a common symptom that can be caused by many conditions. The most common are plantar fasciitis and Achilles tendonitis, but it can also be due to arthritis, infection, trauma, neurological problems, warts, and autoimmune disorders.
 

 

Heel and arch pain are often treated with rest, ice, NSAIDs, and orthotics to relieve inflammation and discomfort. These treatments may be prescribed by a podiatrist or doctor. They are also commonly recommended by physical therapists and trainers for athletes, as well as people who are overweight or have high-impact activities.

 

The most common cause of heel pain is plantar fasciitis, which involves the tissue that connects the foot to the base of the toes. This can become inflamed from repeated pounding on the ground or from overuse of the foot, as with sports like soccer or dancing.

 

Another common cause of heel pain is Achilles tendonitis, which involves the thick band of tissue that connects the heel to the calf muscle. This tendon is most often damaged in athletes, as it can be affected by repetitive stress from training and competition.

 

It can be very painful to walk, stand or sit down when it's inflamed. If the pain is constant and nagging, it's important to see a doctor.

 

Heel pain can be quite dull or sharp and accompanied by swelling or redness. It can also be accompanied by a burning sensation that spreads across the bottom of the foot. 

 

Most cases of heel pain respond to rest and ice therapy, but it can be more serious if symptoms don't get better or worsen. If you can't find relief from these treatments, a podiatrist may recommend a cortisone injection or surgery to correct the problem.

How doctors diagnose heel pain

 

The doctor's first step is to perform a thorough physical exam and review your medical history. This will include your past and current health, medications you take, and any other medical conditions you have. They will then talk with you to determine what the source of your heel pain is and recommend treatment.

 

If the doctor finds that your heel pain is caused by plantar fasciitis, they will prescribe rest, ice and anti-inflammatory drugs. They will also prescribe stretches to help strengthen the calf muscles and foot tissues, as well as shoes that fit properly. They will also recommend a custom orthotic to support the arch of the foot.

 

In some cases, an X-ray can be taken to evaluate the condition and check for arthritis or bone fractures. Occasionally, an MRI or ultrasound may be necessary. This type of imaging is particularly helpful for soft tissue problems that X-rays don't show.

 

When heel pain is caused by an underlying illness or disease, it can be more difficult to diagnose and treat. Patients with rheumatoid arthritis or gout often present with heel pain, along with joint pain and swelling in other parts of the body.

 

Other causes of heel pain include tarsal tunnel syndrome, stress fractures from repeated impact on the heel bone, and fat pad atrophy. Sometimes, people have bone spurs and bursitis that cause pain, although this is a rare problem. Here are more details in relation to this topic: https://www.britannica.com/facts/athletes-foot.