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Heel pain: causes

by Alivia Nyhan
Published: Last Updated on

The heel pain is a common symptom that usually occurs by excessive voltage or overload, and continuous heel bone and tissues are attached. It can be the consequence of many factors, from misuse of habitual footwear, blows, and the impact of the foot against rigid surfaces to localized inflammatory processes or more generalized conditions. At FastlyHealwe show all the possible causes of heel pain. We emphasize paying attention to this symptom and going to the doctor if it is persistent and appears accompanied by other signs.

Wearing shoes with little cushioning

On many occasions, the use of footwear with poor support or little cushioning is responsible for the appearance of pain in the heel. The feet support, day by day, the weight of the whole body, and because when walking or running a tremendous pressure and force is exerted on them, if we do not have footwear that minimizes the impact against the ground, it is average for them to start to appear ailments in the heel area. The footwear that provides good support and adequate cushioning is essential to prevent suffering from this type of pain, but it is also key to avoiding future problems in the knees and back.

Thus, it is essential to choose the proper footwear in each circumstance, taking into account factors such as the shape of the foot, the type of tread, the time of year, the materials in which it has been manufactured, and if there are problems or conditions in the feet, such as bunions, calluses, spurs, etc.

I am frequently running on hard surfaces.

Many athletes go out for a run on hard surfaces, such as asphalt or concrete pavements, and this undoubtedly has detrimental effects on the health of the feet, but also on the knees, hips, and back. The ground does not absorb the shock when the feet repeatedly hit surfaces like these. The vibration is reflected through the feet at great intensity, thus significantly increasing the chances of future injuries.

It is recommended to choose softer surfaces, such as natural grass, to reduce loads at the plantar level and to use suitable sports shoes with good cushioning and adapted to the weight of each patient.


Bursitis is defined as inflammation of the bursa, a fluid-filled sac that lines the joints and allows movement of tendons and muscles when the joint in question moves. It can appear as a consequence of the two factors mentioned above or be related to structural problems of the foot, and the patient may experience pain in the heel with more incidence when walking, running, jumping, or touching the affected area, in addition to redness and warmth. In the back area of ​​the heel.

In this case, it will be necessary to avoid activities that cause pain and reduce inflammation by applying cold locally or taking an anti-inflammatory drug. Physical therapy may also be required to improve bursitis and prevent it from being a recurring condition. If the pain is persistent, it is essential to see a doctor.

Plantar fasciitis

Plantar fasciitis is the inflammation or swelling of the called plantar fascia, a band of fibrous tissue that runs from the heel to the front region of the foot (the toes). Usually, it occurs when this thick band is stretched or overloaded too much, which is why it is a prevalent condition in athletes or runners. It causes severe pain and stiffness in the lower part of the heel, which can spread throughout the plantar arch and be more pronounced in the morning when getting up, after being at rest, when climbing stairs or after carrying out physical activity. Other common symptoms are hypersensitivity, inflammation, a burning sensation, and redness.

Faced with your condition, you should go to the doctor to start the appropriate treatment. It may be necessary to use night splints, the administration of anti-inflammatory drugs, and the performance of stretching exercises for the heel and foot, among other measures.

Calcaneal spur

Another possible cause of heel pain is the calcaneal spur, which is a small bone formation that appears in the lower part of the heel, in the vast majority of cases, due to the swelling of the plantar fascia. The main factors that can trigger their training are:

  • High-impact physical activities.
  • Walking long distances or standing for a long time.
  • Wearing the wrong footwear.
  • Being overweight.
  • Having flat feet.

It manifests as a stabbing pain in the heel, which varies in intensity, and the area may become red and swollen due to the pressure exerted by shoes on bone formation.

It is essential to go to the podiatrist or doctor to receive the best treatment; Normally, the application of ointments with an analgesic, anesthetic, and anti-inflammatory effect to reduce pain, the use of orthopedic insoles and night splints, ultrasound therapy, exercise and the use of suitable footwear are usually prescribed.

Achilles tendinitis

The inflammation of the Achilles tendon, called Achilles tendonitis, occurs typically due to a continuous overload of the foot and is very common in athletes and sportspeople. However, it can also be due to shoes whose raised part is embedded in the heel or to certain inflammatory conditions such as gout, arthritis, etc. Its symptoms include pain in the heel and Achilles tendon when walking, running, or touching it, swelling and warmth.

The pain cannot disappear until after about 2 or 3 months, and it will be necessary to make changes in the usual physical activity and the use of footwear, in addition to taking an anti-inflammatory to reduce the pain. When treatments do not solve the problem, shock wave therapy or surgery may be required.

Trapped lateral plantar nerve

Among the causes of heel pain, there is also the entrapment of the lateral plantar nerve. This refers to the compression of a small nerve in the foot that can lead to pain under the heel, numbness, and a tingling sensation. Usually, the nerve is trapped due to suffering from a sprain in the area, a fracture, or an inflamed varicose vein near the heel.

Other possible causes of heel pain

  • Rheumatoid arthritis and other types of arthritis such as gout.
  • Haglund’s deformity – Enlargement of the bone at the back of the heel due to excessive use of high heels.
  • Bone contusions: inflammation of those tissues that line the heel bone mainly due to blows or trauma.
  • Calluses
  • Open wounds.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Heel pain: causes , we recommend that you enter our Bones, Joints and Muscles category .

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