Arthritis in the heel (subtalar joint)
Fracture of the heel Bone (calcanium)
Irritation of the nerves on the inside of the
Why does this occur?
There are many factors that can contribute to the
formation of Plantar Fasciitis. It is common in people who spend all day
on their feet or who are overweight. Stiffness of the ankle or tightness
of the Achilles tendon can increase the stresses on the heel, people who
have high arched feet, or flat feet are less able to absorb the stress
of walking or sometimes it can start after an injury to the heel.
Other rare causes include systemic diseases such
as rheumatoid arthritis or rheumatoid type conditions.
Well-localised pain in the heel, worse on weight
Full clinical examination would be required.
X-rays would be required to identify any associated conditions.
Non-operative treatment consists of appropriate
footwear, a soft heel pad is useful to wear as a shock absorber,
physiotherapy, anti-inflammatory medication, possibly the use of a night
splint, possibly the use of a steroid (anti-inflammatory) injections,
possibly other pain control treatments such as Transcutaneous Nerve
Stimulation (TENS) or acupuncture.
It is exceedingly rare to need an operation for heel pain. This would
be discussed with your clinicians.