Heel Pain

Heel pain is a common symptom that has many possible causes. Although heel pain sometimes is caused by a systemic (body-wide) illness, such as rheumatoid arthritis or gout, it usually is a local condition that affects only the foot.

Symptoms

· Plantar fasciitis â€” Plantar fasciitis commonly causes intense heel pain along the bottom of the foot during the first few steps after getting out of bed in the morning. This heel pain often goes away once you start to walk around, but it may return in the late afternoon or evening.

· Heel spur â€” Although X-ray evidence suggests that about 10% of the general population has heels spurs, many of these people do not have any symptoms. In others, heel spurs cause pain and tenderness on the undersurface of the heel that worsens over several months.

· Calcaneal apophysitis â€” In a child, this condition causes pain and tenderness at the lower back portion of the heel. The affected heel is often sore to the touch but not obviously swollen.

· Bursitis â€” Bursitis involving the heel causes pain in the middle of the undersurface of the heel that worsens with prolonged standing and pain at the back of the heel that worsens if you bend your foot up or down.

· Pump bump â€” This condition causes a painful enlargement at the back of the heel, especially when wearing shoes that press against the back of the heel.

· Local bruises â€” Heel bruises, like bruises elsewhere in the body, may cause pain, mild swelling, soreness and a black-and-blue discoloration of the skin.

· Achilles tendonitis â€” This condition causes pain at the back of the heel where the Achilles tendon attaches to the heel. The pain typically becomes worse if you exercise or play sports, and it often is followed by soreness, stiffness and mild swelling.

· Trapped nerve â€” A trapped nerve can cause pain, numbness or tingling almost anywhere at the back, inside or undersurface of the heel. In addition, there are often other symptoms — such as swelling or discoloration — if the trapped nerve was caused by a sprain, fracture or other injuries.


Causes of heel pain include:

· Achilles tendon rupture, where the tendon is torn
· A plantar fascia tear
· Baxter's nerve entrapment
· Calcaneal stress fracture
· Calcaneal cysts
· Soft tissue mass
· Short flexor tendon tear
· Systemic arthritis (lupus, rheumatoid arthritis, psoriatic arthritis)
· Bone Bruise
· Problems with circulation
· Poor posture when walking or running

Bone cyst, a solitary fluid-filled cyst in a bone gout, when levels of uric acid in the blood rise until urate crystals start to build up around the joints, causing inflammation and severe pain neuroma, or Morton's neuroma, when a nerve becomes swollen in the ball of the foot, commonly between the base of the second and third toes osteomyelitis, an infection of the bone or bone marrow leads to inflammation of the bone.

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