Chiropodists and Podiatrists based in Newton Abbot, Devon
By far the commonest cause of heel pain in those aged over 40 is Plantar Fasciitis.
This occurs on the underneath of the heel and is caused by inflammation of the plantar
fascia and plantar ligaments, where these insert under the heel bone.
Pain is often worse first thing in the morning, or after sitting down for a while
and then getting up! Plantar Fasciitis is best handled by the use of several treatments
– depending on how long the condition has been troubling the patient and the severity
of pain. They will include the following:
Non-steroidal anti-inflammatory medication
At the other end of the age range Children in the 6-12 age group can develop discomfort
at the back of the heel at the point where the Achilles tendon is attached to the
heel bone, causing pain and swelling. This condition can occur in episodes over a
number of months. The problem is self-limiting and resolves without treatment though
reassurance is important and a temporary heel raise helps.
Lumps and bumps on the back of the heel can cause concern. Raised fleshy pads on
the outside rear of the heel often appear during teenage years and are caused by
shoes with a low heel counter, or where the top of the heel counter is too tight.
Their owners may find them unsightly but they are generally painless. Good footwear
choices are the key.
By contrast, a painful area in the centre of the back of the heel could be an inflamed
bursa (a fluid filled sac under the tendon to cushion it against bone). When subject
to excessive wear and tear it can become enlarged and painful.
The part of the Achilles tendon above the heel can become subject to inflammation
(tendonitis) – showing a sausage like swelling above the back of the heel bone. This
short-term sudden onset condition would be treated with Rest/Ice/Padding and Ultrasound.
Follow the links below for more information on Treatments