Materiały źródłowe

• #1 Diagnosis of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/1015/p909.html

  Heel pain is a common presenting symptom in ambulatory clinics. There are many causes, but a mechanical etiology is most common. […] The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain, especially with the first weight-bearing steps in the morning and after long periods of rest. Other causes of plantar heel pain include calcaneal stress fracture (progressively worsening pain following an increase in activity level or change to a harder walking surface), nerve entrapment (pain accompanied by burning, tingling, or numbness), heel pad syndrome (deep, bruise-like pain in the middle of the heel), neuromas, and plantar warts. […] The differential diagnosis of heel pain is extensive, but a mechanical etiology is most common. […] Plantar fasciitis is the most common cause of plantar heel pain.

• #1 Heel Pain Causes, Treatments, and Home Remedies | Heel That Pain

  https://heelthatpain.com/heel-pain/

  Heel pain can be attributed to numerous reasons, from injury to inflammation to neurological or autoimmune, hence, it is very important to get an accurate diagnosis to ensure an effective treatment that addresses the symptoms in addition to any underlying conditions if present. […] Some of the common conditions causing heel pain are categorized into the following: […] Plantar Fasciitis: This condition is considered to be the most commonly reported cause of heel pain, accounting for 11% to 15% of all foot symptoms requiring professional medical care, it is more commonly diagnosed among athletes, particularly runners with incidence reported as high as 22%. […] Multiple factors contribute to this outcome, however, overuse and repetitive strain on the feet lead to chronic micro-tearing of the plantar fascia, which is thought to be the most common cause.

• #1 Heel Pain: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/symptoms/heel-pain

  Many conditions, including plantar fasciitis and Achilles tendinitis, cause heel pain. […] There are many different health conditions that can cause heel pain, including plantar fasciitis and Achilles tendinitis. […] Heel pain causes range from mild to severe, depending on the location of the pain. […] Several problems are located at the back of the heel: Achilles tendinitis, bursitis, Haglunds deformity, and Severs disease (calcaneal apophysitis) are all conditions that can cause heel pain. […] Problems that cause bottom-of-heel pain include bone bruise, stress fracture, plantar fasciitis, and heel spurs. […] Plantar fasciitis is the most common cause of heel pain. […] Anything that puts a lot of pressure and strain on your foot can cause heel pain. […] You may be more likely to develop heel pain if you have overweight or obesity, have foot and ankle arthritis, flat feet or high arches, run or jump a lot in sports or for exercise, spend a lot of time standing, especially on concrete floors, or wear improperly fitted shoes without arch support and/or cushion.

• #1 Plantar fasciitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846

  Plantar fasciitis is one of the most common causes of heel pain. […] The cause of plantar fasciitis is poorly understood. It is more common in runners and in people who are overweight. […] Tension and stress on the fascia can cause small tears. Repeated stretching and tearing of the facia can irritate or inflame it, although the cause remains unclear in many cases of plantar fasciitis.

• #1 Plantar Fasciitis and Bone Spurs – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/plantar-fasciitis-and-bone-spurs

  Plantar fasciitis (fashee-EYE-tiss) is one of the most common causes of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year. […] Plantar fasciitis occurs when the plantar fascia, a strong band of tissue that supports the arch of your foot, becomes irritated and inflamed. […] The plantar fascia is designed to absorb the high stresses and strains we place on our feet when walking, running, and doing other activities like playing sports. But, sometimes, too much pressure damages or tears the tissues. The body’s natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis. […] In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition: New or increased activity, Repetitive high impact activity (running/dancing/sports), Prolonged standing on hard surfaces (especially among nurses, factory workers, and teachers), Anatomy (flat feet or a high arch), Tight calf muscles, Obesity, Age (plantar fasciitis is most common among people aged 40 to 60).

• #1 Plantar Fasciitis and Other Causes of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/1999/0415/p2200.html

  The most common cause of heel pain is plantar fasciitis. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. […] Most cases of plantar fasciitis are the result of a biomechanical fault that causes abnormal pronation. […] Other conditions, such as tibia vara, ankle equinus, rearfoot varus, forefoot varus, compensated forefoot valgus and limb length inequality, can cause an abnormal pronatory force. Increased pronation with a collapse produces additional stress on the anatomic central band of the plantar fascia and may ultimately lead to plantar fasciitis. […] Heel pain may also have a neurologic, traumatic or systemic origin. […] Less common causes of heel pain should be considered before a treatment regimen for plantar fasciitis is undertaken. These include sciatica, tarsal tunnel syndrome, entrapment of the lateral plantar nerve, rupture of the plantar fascia, calcaneal stress fracture and calcaneal apophysitis (Sever’s disease). Rarely, systemic disorders can cause heel pain.

• #1 Plantar Fasciitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431073/

  Plantar fasciitis is often an overuse injury primarily due to a repetitive strain causing micro-tears of the plantar fascia. Still, this condition can occur due to trauma or other multifactorial causes. Some predisposing factors are pes planus, pes cavus, limited ankle dorsiflexion, prolonged standing or jumping, and excessive pronation or supination. Pes planus can cause increased strain at the origin of the plantar fascia. Pes cavus can cause excessive strain on the heel because the foot does not effectively evert or absorb shock. Tightness in the gastrocnemius, soleus, and other muscles situated in the posterior leg is common for patients with this condition. Tight muscles can alter the normal biomechanics of ambulation. […] The cause of plantar fasciitis is multifactorial, but most cases result from overuse stress. The classic presentation is of sharp localized pain at the heel.

• #1 Plantar Fasciitis: Symptoms, Causes & Treatment Options

  https://my.clevelandclinic.org/health/diseases/14709-plantar-fasciitis

  Plantar fasciitis is inflammation in the plantar fascia in your foot. Its the most common cause of heel pain. […] Anything that irritates or damages your plantar fascia can cause plantar fasciitis, including: Being on your feet all day for work. Playing sports. Exercising or working on a hard surface (like a warehouse floor or the sidewalk). Exercising without stretching or warming up. Wearing shoes that dont support your feet well enough (like flip flops or flat, flexible sneakers). Walking or standing barefoot while youre at home. […] Some health conditions can cause plantar fasciitis, including: High arch feet. Flat feet. Obesity (or gaining more than 15 pounds in a few months). […] Plantar fasciitis is the most common cause of heel pain.

• #1 Heel Pain – APMA MAIN

  https://www.apma.org/heelpain/

  Heel pain has many causes. Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. […] Heel spurs result from strain on the muscles and ligaments of the foot, by stretching of the long band of tissue that connects the heel and the ball of the foot, and by repeated tearing away of the lining or membrane that covers the heel bone. These conditions may result from biomechanical imbalance, running or jogging, improperly fitted or excessively worn shoes, or obesity. […] Both heel pain and heel spurs are frequently associated with plantar fasciitis, an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot.

• #1 Plantar Fasciitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431073/

  Approximately 50% of patients with this condition will also have heel spurs, but the spurs are not the cause. Plantar fasciitis is often associated with runners and older adults, but other risk factors include obesity, heel pad atrophy, aging, occupations requiring prolonged standing, and weight-bearing. Plantar fasciitis is associated with various seronegative spondyloarthropathies, but there are no known systemic factors in approximately 85% of cases.

• #1 Heel Spur Causes, Symptoms, Treatments, and Surgery

  https://www.webmd.com/pain-management/heel-spurs-pain-causes-symptoms-treatments

  Heel spurs occur when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among athletes whose activities include large amounts of running and jumping. […] Risk factors for heel spurs include: […] Other risk factors associated with plantar fasciitis include: […] Heel spurs can be associated with intermittent or chronic pain — especially while walking, jogging, or running — if inflammation develops at the point of the spur formation. In general, the cause of the pain is not the heel spur itself but the soft-tissue injury associated with it.

• #1 Heel Pain: 5 Common Causes: Vittori Foot & Ankle Specialist : Podiatry

  https://www.vittorifootclinic.com/blog/heel-pain-5-common-causes

  These small calcium deposits develop underneath your heel bone. In some cases, heel spurs dont cause any pain. But if they grow too long, they can press into your plantar fascia, contributing to plantar fasciitis. […] This can cause inflammation, resulting in plantar fasciitis. […] With this condition, people generally feel a stabbing pain in the bottom of their heel. It can be at its worst when you first get out of bed. […] Your heel pain could be the result of a small fracture in one of the bones in your heel. Stress fractures develop because of strain on the affected bone, usually as a result of repeated activity (e.g., an intense sport, strenuous manual labor).

• #1 Heel pain

  https://www.mayoclinic.org/symptoms/heel-pain/basics/causes/sym-20050788

  The most common causes of heel pain are plantar fasciitis, which affects the bottom of the heel, and Achilles tendinitis, which affects the back of the heel. […] Heel pain also may be caused by other chronic conditions, injuries or some medical conditions that affect the bones and joints. Causes of heel pain include: […] Chronic conditions that can cause heel pain include Achilles tendinitis, Bursitis, Haglund’s deformity, Heel spur, Peripheral neuropathy, Plantar fasciitis, Plantar warts, Retrocalcaneal bursitis, and Tarsal tunnel syndrome. […] Injuries that can cause heel pain include Achilles tendon rupture, Calcaneal fracture, Heel bruise, also called contusion, and Stress fractures. […] Medical conditions that can cause heel pain include Ankylosing spondylitis, Bone tumor, Osteomyelitis, Paget’s disease of bone, Pinched nerve, Psoriatic arthritis, Reactive arthritis, Rheumatoid arthritis, and Sarcoidosis.

• #1 Heel pain – NHS

  https://www.nhs.uk/conditions/foot-pain/heel-pain/

  There are lots of causes of heel pain. […] Heel pain is often caused by exercising too much or wearing shoes that are too tight. […] Your symptoms might also give you an idea of what’s causing your heel pain. […] Possible causes of heel pain. Symptoms Possible cause Sharp pain between your arch and heel, feels worse when you start walking and better when resting, difficulty raising toes off floor Plantar fasciitis Pain in the back of the heel, and in the ankle and calf Achilles tendonitis Redness and swelling, dull aching pain in heel Bursitis Sudden sharp pain in heel, swelling, a popping or snapping sound during the injury, difficulty walking Heel fracture or ruptured Achilles tendon.

• #1 Heel Pain – APMA MAIN

  https://www.apma.org/heelpain/

  The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where the plantar fascia attaches to the heel bone. […] Excessive pronation may also contribute to injury to the hip, knee, and lower back. […] Pain at the back of the heel is associated with Achilles tendinitis, which is inflammation of the Achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. […] Other possible causes of heel pain include rheumatoid arthritis and other forms of arthritis, including gout, which usually manifests itself in the big toe joint; an inflamed bursa (bursitis), a small, irritated sac of fluid; a neuroma (a nerve growth); or other soft-tissue growth. […] This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe and can be aggravated by the height or stitching of a heel counter of a particular shoe; a bone bruise or contusion, which is an inflammation of the tissues that cover the heel bone.

• #1 Heel pain Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/heel-pain

  Heel pain is most often the result of overuse. However, it may be caused by an injury. […] Your heel may become tender or swollen from: Shoes with poor support or shock absorption, Running on hard surfaces, such as concrete, Running too often, Tightness in your calf muscle or the Achilles tendon, Sudden inward or outward turning of your heel, Landing hard or awkwardly on your heel. […] Conditions that may cause heel pain include: Swelling and pain in the Achilles tendon, Swelling of the fluid-filled sac (bursa) at the back of the heel bone under the Achilles tendon (bursitis), Bone spurs in the heel, Swelling of the thick band of tissue on the bottom of your foot (plantar fasciitis), Fracture of the heel bone that is related to landing very hard on your heel from a fall (calcaneus fracture).

• #1 Diagnosis of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/1015/p909.html

  Plantar fasciitis causes throbbing medial plantar heel pain that is worse with the first few steps in the morning or after long periods of rest. […] Calcaneal stress fracture is usually caused by repetitive overload to the heel, and most commonly occurs immediately inferior and posterior to the posterior facet of the subtalar joint. […] Heel pain that is accompanied by burning, tingling, or numbness may suggest a neuropathic etiology. […] Pain from heel pad syndrome is often erroneously attributed to plantar fasciitis. […] Neuromas may develop on the branches of the tibial nerve, causing plantar heel pain. […] Achilles tendinopathy is usually caused by running, wearing high heels, and other activities associated with overuse of the calf muscles. […] A Haglund deformity is a prominence of the superior aspect of the posterior calcaneus.

• #1 Common Conditions Causing Heel Pain

  https://www.mountelizabeth.com.sg/health-plus/article/common-conditions-heel-pain

  Heel pain is a common problem affecting the foot and ankle. While a sore heel may recover with adequate rest, people often ignore the early signs of heel pain and continue with activities that may worsen the injury. […] The heel is the largest bone in the foot, and is often prone to injury due to overuse. Heel pain may range from mild to disabling, depending on the severity of the condition. The pain may be caused by inflammation, trauma, or a systemic disease such as rheumatoid arthritis. […] Although the exact cause of plantar fasciitis is not clear, wearing inappropriate shoes, heavy work demands, obesity, running, and abnormal foot mechanics are some of the probable causes. […] Achilles tendonitis refers to the inflammation of the Achilles tendon. It can be caused by any activity which causes repetitive stress to the tendon, such as playing basketball or running. A sudden increase in the amount or intensity of exercise activity may also lead to Achilles tendonitis. Another condition which may cause Achilles tendonitis is a bone spur, which are bone projections caused by conditions such as inflammation and degeneration. […] Other risk factors for Achilles tendonitis include old age, a naturally flat arch in the foot, obesity, and tight calf muscles.

• #1 Heel Pain: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/symptoms/heel-pain

  Most problems that cause heel pain get better over time with nonsurgical treatments. […] It’s rare to need surgery to treat most causes of heel pain. […] Untreated Achilles tendonitis can cause the tendon to break down (tendinosis). […] To prevent heel pain or keep pain from returning, it’s important to keep your foot and heel tendons flexible.

• #1 Pain in the Back of the Heel | Causes and Treatment

  https://sydneyheelpain.com.au/pain-in-the-back-of-the-heel/

  Haglunds deformity is a very common clinical condition that causes pain in the back of the heel of the patient. It occurs when an abnormal bony heel spur forms at the back of the heel bone, at the insertion point of the Achilles tendon. The soft tissues in the area then become irritated and inflamed when the bone spur rubs against tight fitting or rigid shoes. […] When the bursae in the posterior area of the calcaneus become inflamed or irritated, this is known as bursitis, and causes pain in the back of the heel. Retrocalcaneal bursitis is the inflammation of the bursa between the Achilles tendon and the heel bone. Retro Achilles bursitis is the inflammation of the bursa between the Achilles tendon and the skin.

• #1 The Royal College of Podiatry

  https://rcpod.org.uk/common-foot-problems/heel-pain

  This is an inflammation of a bursa (a fluid-filled fibrous sac) under the heel bone where the pain is typically more in the centre of the heel than that experienced with plantar fasciitis and significantly worsens during the day. This condition can be caused by a fall from a height on to the heel. […] These are firm bumps on the back of the heel, usually caused by excessive shoe rubbing in the heel area, or the thickening of the tissues associated with a tight Achilles tendon. […] This can feel like a burning or tingling sensation under the heel within the arch of the foot with occasional loss of sensation on the bottom of the foot. This is caused by compression of the tibial nerve as it passes the inside of the ankle. […] This is caused by a heavy heel strike or sometimes a reduction in the thickness of the heel pad which can give rise to a dull ache in the heel which increases during the day.

• #1 The Many Causes of Heel Pain

  https://puresportsmed.com/blog/posts/the-many-causes-of-heel-pain

  Heel pain is a common complaint and can occur due to a number of reasons. In this blog I will discuss 8 known conditions that cause heel pain. […] Plantar fasciitis is a musculoskeletal disorder primarily affecting the fascial enthesis (the fascia band, similar to a ligament, which connects the heel bone to the base of the toes). It is poorly understood, although it is thought to have a mechanical origin. The condition is commonly associated with flat feet (pes planus) and other lower limb biomechanical anomalies, with the presumption being that tensile strain on the fascia causes microtears and changes to the tissue structure. […] This is an inflammation of a bursa (a fluid-filled sac) under the heel bone where the pain is typically more in the centre of the heel than that experienced with plantar fasciitis and significantly worsens during the day. This condition can be caused following direct trauma to the area or repetitive stress.

• #1 Main Causes of Back of Heel Pain in North Seattle | Foot and Ankle Center of Lake City

  https://www.bergdpm.com/blog/9-most-common-causes-of-back-of-heel-pain.cfm

  Bursitis occurs when the bursa located at the back of the heel becomes irritated and inflamed from excessive walking or running. […] Insertional pain of the Achilles Tendon occurs at the site where the Achilles tendon inserts on the back of the heel bone. […] Stress fractures can also develop by changing the exercise surface (going from running on a soft track to concrete), poor running technique (i.e. compensating for a blister or bunion), and/or poor bone health (women who have low bone density due to menopause or low weight due to dieting or eating disorders). […] Sever’s disease is a condition that affects children between the ages of 8-14. Pain can be felt at the back or the bottom of the heel as a result of inflammation of the growth plate.

• #1 Heel Pain: 5 Common Causes: Arizona Foot & Ankle Specialists: Podiatric Medicine and Surgery

  https://www.azpodiatrists.com/blog/heel-pain-5-common-causes

  Achilles tendinitis may also be caused by wearing high heels, having flat feet, or taking certain medications. It can also occur if your leg muscles or tendons are too tight. […] Causing pain in the underside or back of the heel, bursitis is a condition in which the bursa, a sac that lines several joints, becomes inflamed. This issue may be due to structural problems in the foot or the frequent use of shoes with little cushion in the heel. […] Perhaps the most common cause of heel pain, plantar fasciitis occurs when the plantar fascia, the fibrous tissue band that supports the arch of your foot, becomes inflamed and develops tears due to overuse or overstretching. […] Most everyone is susceptible to developing this issue, but those who participate in various sports and other athletic activities are at higher risk, as are pregnant women, people with flat feet, and those who are obese.

• #1 Heel Pain – Causes, Symptoms and Treatment | Sanders Podiatry Adelaide

  https://sanderspodiatry.com.au/blog/2020/04/21/heel-pain-causes-symptoms-and-treatment/

  Bursitis is the inflammation of these bursa, caused by an abnormal gait or shoes that dont have enough heel cushioning. […] Heel pain can also be caused by a simple heel bruise, from trauma or injury to the pad that protects the heel. […] Severs disease is a common problem in children between 7-14 years of age and it is not actually a disease, just a painful condition of the heels associated with growing pains. […] Achilles tendonitis is the inflammation of the Achilles tendon, the tendon that attaches your heel to your calf muscle. […] A small plantar nerve in the heel can become trapped and cause significant pain. […] There may be other causes of heel pain that may start from your ankles, knees, hips and back alignment.

• #1 Diagnosis of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/1015/p909.html

  Sever disease (calcaneal apophysitis) is the most common etiology of heel pain in children and adolescents. […] Although less common, other tendinopathies can cause heel pain localized to the insertion site of the affected tendon. […] Compression of the posterior tibial nerve most commonly occurs as it courses through this tunnel, causing neuropathic pain and numbness in the posteromedial ankle and heel. […] Pain from this location is usually felt in the lateral calcaneus and ankle, and is worse immediately following exercise and when walking on an uneven surface.

• #1 Pain in the Back of the Heel | Causes and Treatment

  https://sydneyheelpain.com.au/pain-in-the-back-of-the-heel/

  Pain in the back of the heel, or posterior heel pain, as it is medically referred to, is most commonly caused by either calcaneal apophysitis (Severs disease), Achilles tendonitis, Achilles tendon bursitis (retrocalcaneal or retroachilles bursitis), or a heel spur at the back of the heel (Haglunds deformity, pump bump, retrocalcaneal exostosis). […] Severs disease is a common cause of heel pain in the back of the heel in children and adolescents aged between 8 and 14 years old. This condition occurs when excessive tension and stress are placed on the calcaneal apophysis (the growth plate area of the heel bone), causing inflammation and irritation in this area. […] In adults, pain in the back of the heel is most commonly associated with Achilles tendonitis. Achilles tendonitis occurs when the Achilles tendon at the back of the lower leg becomes irritated and inflamed. This happens most commonly due to intense or repetitive strain on the tendon.

• #1 Foot problems – heel pain | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/foot-problems-heel-pain

  Common causes of heel pain include obesity, ill-fitting shoes, running and jumping on hard surfaces, abnormal walking style, injuries and certain diseases. […] Plantar fasciitis is inflammation of the ligament that runs the length of the foot, commonly caused by overstretching. It results in pain under the heel, particularly after rest. […] A heel spur is a bony growth that is not usually painful to the touch. […] Severs disease is caused by stress on the growth plate in the heel bone. […] Some of the many causes of heel pain can include: Abnormal walking style (gait), such as rolling the feet inwards, Obesity, Ill-fitting shoes, Standing, running or jumping on hard surfaces, Injury to the heel, such as stress fractures, Bursitis (inflammation of a bursa bursae are small sacs that contain fluid to lubricate moving parts, such as joints and muscles), Neuroma (nerve enlargement), Certain disorders, including diabetes and arthritis. […] Severs disease results from stress placed on the growth plate of the heel bone. An excessive amount of running or jumping causes inflammation to the growth plate, which results in pain.

• #1 The Many Causes of Heel Pain

  https://puresportsmed.com/blog/posts/the-many-causes-of-heel-pain

  Calcaneal stress fracture is the second most common stress fracture in the foot, following metatarsal stress fracture. A calcaneal stress fracture is usually caused by repetitive overload to the heel. Patients often report onset of pain after an increase in weight-bearing activity or change to a harder walking surface. The pain initially occurs only with activity, but often progresses to include pain when resting. […] Severs disease (calcaneal apophysitis) is the most common cause of heel pain in children and adolescents, usually occurring between 10 and 15 years of age. Bones grow quicker than the muscles and tendons in these patients. The tight Achilles tendon begins to pull on its insertion site with repetitive running or jumping activities, causing microtrauma to the area. […] This condition occurs when the Achilles tendon is placed under more pressure than it can cope with and small tears develop along with inflammation and in some cases can lead to tendon rupture. These tears become a source of further injury, which can lead to swelling within the tendon, hence the name tendonosis (sometimes referred to in error as tendonitis).

• #1 4 Common Causes Of Heel Pain

  https://essexunionpodiatry.com/4-common-causes-of-heel-pain/

  Plantar fasciitis is one of the top causes of heel pain. […] Achilles tendinitis is inflammation of the Achilles tendon, which connects the calf muscles to the heel bone (calcaneus). Like plantar fasciitis, Achilles tendinitis is usually caused by overuse. […] Bursitis of the heel is usually caused by overuse linked to an increase in activity. […] Causes of compression in the tarsal tunnel can include: Flat feet—the altered biomechanics caused by fallen arches can subject the posterior tibial nerve to compression. […] Treating the root cause of tarsal tunnel syndrome usually eliminates the inflammation that’s causing nerve compression.

• #1 What’s Causing Your Heel Pain?: Eric Blanson, DPM: Sports Medicine

  https://www.pmcfootandankleclinic.com/blog/whats-causing-your-heel-pain

  When people think of foot pain, it’s common to picture the toes or ankle. Discomfort in the heel, however, shouldn’t be forgotten as it strikes about 2 million people each year and is responsible for approximately 15% of all foot issues. A number of conditions can contribute to this pain. […] In most cases, heel pain is caused by plantar fasciitis. This occurs when a thick band of elastic tissue called the plantar fascia, the ligament that connects from the heel to the toes, gets inflamed from overstretching. […] Jumping and other types of overuse of the Achilles tendon can cause it to flare up and result in symptoms like heel pain and swelling, a limited range of motion, and tight calf muscles. […] Tarsal tunnel syndrome occurs when the foot’s posterior tibial nerve is compressed because of an injury, bone spur, or inflammation of the tendon. Symptoms can include general foot pain, heel pain that cycles between constant or shooting, a burning sensation near the heel, and/or a feeling of numbness at the base of the foot.

• #1 Outer Heel Pain | Causes, Symptoms, Treatment | Sydney Heel Pain

  https://sydneyheelpain.com.au/outer-heel-pain/

  Outer heel pain can be caused by a few different conditions. The more common conditions causing outer heel pain are peroneal tendonitis and sinus tarsi syndrome. […] Peroneal tendonitis is now more commonly and accurately referred to peroneal tendinopathy, as it is not in fact, an inflammatory condition, but one that is characterized by structural changes to the affected peroneal tendon. These changes occur in response to load, such as a sudden increase in weight-bearing exercise such as weightlifting, running or jumping, inadequate footwear, or lower limb issues such as imbalances or foot biomechanics. […] Sinus tarsi syndrome is generally caused by traumatic injury (such as an ankle sprain, for example) or simple overuse (such as repetitive walking or standing), but it can also occur if a patient has an over-pronated foot (where the foot rolls inwards or downwards). Over-pronation causes compression of the structures in the sinus tarsi, and therefore outer heel pain. […] The development of the conditions that cause outer heel pain, such as peroneal tendinopathy and sinus tarsi syndrome is often due to weaknesses and imbalances of the structures in the lower limb, or due to overuse.

• #1 Heel pain: Causes, prevention, and treatments

  https://www.medicalnewstoday.com/articles/181453

  Inflammation can occur at the back of the heel in the bursa, a fibrous sac full of fluid. This condition can result from landing awkwardly or hard on the heels or from pressure from footwear. […] Haglunds deformity is a bony enlargement on the back of the heel. It occurs when footwear rubs against the back of the heel, irritating the bony enlargement and surrounding tissue. […] In tarsal tunnel syndrome (TTS), tissue compresses the large nerve in the back of the foot, resulting in pain. […] Repetitive stress, strenuous exercise, sports, or heavy manual work can cause injury. For instance, runners are at a higher risk of a stress fracture in the metatarsal bones of the foot. […] Severs disease is the most common cause of heel pain in children and young adults. It results from overuse and repetitive microtrauma of the growth plates of the heel bone.

• #1 The Many Causes of Heel Pain

  https://puresportsmed.com/blog/posts/the-many-causes-of-heel-pain

  These are firm bumps on the back of the heel, usually caused by excessive shoe rubbing in the heel area, or the thickening of the tissues associated with a tight Achilles tendon attaching to the heel bone. […] This can feel like a burning or tingling sensation under the heel and arch of the foot with occasional loss of sensation on the bottom of the foot. This is caused by compression of the tibial nerve as it passes the inside of the ankle. […] Patients with heel pad syndrome present with deep, bruise-like pain, usually in the middle of the heel, that can be reproduced with firm palpation (when a healthcare professional will use their hands to examine an injured body site). Walking barefoot or on hard surfaces exacerbates the pain. The syndrome is usually caused by inflammation, but damage to or atrophy of the heel pad can also elicit pain. Decreased heel pad elasticity with aging and increasing body weight can also contribute to the condition.

• #1 Chronic Heel Pain Causes and Treatment | The Foot Institute

  https://www.thefootinstitute.com/blog/chronic-heel-pain-causes-and-treatment.cfm

  Thinning or degeneration of the heels natural fat cushion, common in aging or high-impact athletes. […] Compression of the tibial nerve in the foot, causing burning, tingling, or shooting pain in the heel or arch. […] Tiny cracks in the heel bone from repetitive force, often seen in runners or those with osteoporosis. […] Recognizing these conditions early is key to preventing long-term damage.

• #1 Plantar Heel Pain: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/1233178-overview

  Plantar heel pain is a commonly encountered orthopedic problem that can cause significant discomfort and a limp because of the difficulty in bearing weight. The etiologies of this condition are multiple; therefore, a careful clinical evaluation is necessary for its appropriate management. The most common cause of plantar heel pain in both athletic and nonathletic populations is proximal plantar fasciitis. […] Local causes include the following: Proximal plantar fasciitis, Fat pad atrophy, Plantar fascia rupture, Tarsal tunnel syndrome, Compression of the first branch of the lateral plantar nerve, Plantar fasciitis coexisting with compression of the first branch of the lateral plantar nerve, Stress fracture of the calcaneus, Bone tumor or bone cyst, Osteomyelitis. […] Regional causes include the following: Spinal stenosis, Prolapsed intervertebral disk. […] Systemic causes include the following: Inflammatory bowel disease associated arthritis, Seronegative spondyloarthropathies, Inflammatory arthritis (ie, rheumatoid arthritis).

• #1 Plantar Fasciitis and Other Causes of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/1999/0415/p2200.html

  Heel pain may occur in patients with various systemic inflammatory conditions, including rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, Reiter’s syndrome, gout, Behet’s syndrome and systemic lupus erythematosus. […] The number of patients whose heel pain is caused by systemic arthritic diseases is small in comparison to those with pain from other causes, but these arthritic diseases must be ruled out through appropriate physical examination and laboratory studies before the heel pain is treated.

• #1 Hindfoot pain in adults: Evaluation and diagnosis of common causes – UpToDate

  https://www.uptodate.com/contents/hindfoot-pain-in-adults-evaluation-and-diagnosis-of-common-causes

  Hindfoot pain in adults: Evaluation and diagnosis of common causes […] This topic reviews the common causes of hindfoot pain in adults, including descriptions of important conditions and a discussion of how to reach a diagnosis. […] COMMON CAUSES OF HINDFOOT PAIN […] Chronic conditions of the hindfoot […] – Plantar fasciitis […] – Achilles tendon insertion and Haglund deformity […] – Tarsal tunnel syndrome […] – Sinus tarsi syndrome […] – Piezogenic papules […] – Subtalar arthritis […] Overuse tendon conditions […] – Peroneal (fibularis) tendon injury […] – Posterior tibial tendinopathy […] – Flexor hallucis tendinopathy […] – Acute Achilles tendinopathy […] Traumatic conditions […] – Anterior and posterior ankle impingement […] – Heel contusion and heel fat pad syndrome […] – Calcaneal and talar stress fractures […] Medical conditions that can cause hindfoot pain […] – Rheumatologic diseases […] – Paget disease […] – Osteomyelitis of calcaneus […] – Sickle cell disease […] – Gout […] – Metastatic disease.

• #1 Heel Pain (including Plantar Fasciitis)

  https://patient.info/doctor/heel-pain

  Most cases of heel pain have a mechanical cause. Other causes include trauma; neurological, arthritic, infectious, neoplastic and autoimmune conditions, and other systemic conditions. The risk of developing heel pain is higher with increasing body mass index and age. […] Plantar fasciitis – the most common cause of heel pain in adults – tenderness at the origin of the plantar fascia (the medial tubercle of the os calcis). […] Achilles tendonitis is associated with posterior heel pain. […] Heel pad atrophy may present with diffuse plantar heel pain, especially in patients who are older and obese. […] Systemic arthritic diseases may present with heel pain. These include the seronegative arthritides, psoriatic arthritis, reactive arthritis, diffuse idiopathic skeletal hyperostosis (DISH), rheumatoid arthritis, fibromyalgia and gout. […] Acute trauma to the calcaneus is the most common bone cause of heel pain. This usually occurs following a fall from a height on to the heel. […] In adolescents, calcaneal apophysitis is probably the most frequent aetiology of heel pain.

• #1 Heel pain: Causes, prevention, and treatments

  https://www.medicalnewstoday.com/articles/181453

  Heel pain can result from factors like inflammation, bone changes, and nerve compression. It occurs under the heel or just behind it, where the Achilles tendon connects to the heel bone. Sometimes, it can affect the side of the heel. […] Pain that occurs under the heel is likely due to plantar fasciitis. This is the most common cause of heel pain. Pain behind the heel is most likely Achilles tendinitis. Pain can also affect the inner or outer side of the heel and foot. […] Heel pain may occur due to a single injury, such as a twist or fall, or from repetitive stress and pounding of the heel. […] Common causes of heel pain include: […] This type of pain often results from a persons foot anatomy. For example, if the arches are particularly high or low, this can lead to plantar fasciitis.

• #1 4 Common Causes of Heel Pain and How to Treat Them: Legacy Foot & Ankle: Podiatric Medicine

  https://www.footandanklespecialistsmi.com/blog/4-common-causes-of-heel-pain-and-how-to-treat-them

  Heel pain is a common complaint among adults of all ages. Often the result of overuse injuries, the pain can keep you from your favorite activities but treatment can help you get back on your feet. […] Plantar fasciitis is one of the most common causes of heel pain, and it develops when your plantar fascia gets irritated. […] It isnt clear what exactly causes plantar fasciitis. Your risk might be higher if you participate in strenuous exercise like running or dancing, you spend long hours on your feet, or youre overweight. […] Achilles tendonitis is an injury that develops when the tendon gets inflamed. […] Most of the time, Achilles tendonitis is because of overuse. Suddenly increasing your activity level or only participating in sports on the weekends can stress the tendon and increase your risk of injury.

• #1 Heel Pain: 5 Common Causes | Monroe Foot & Ankle Care

  https://foot-ankle.com/heel-pain-5-common-causes/

  Heel pain mostly results from repetitive stress on the heel, such as with long-distance running, or structural issues with the bones and soft tissues. Five of the most common causes of heel pain include: […] This is by far the most common cause of heel pain. The plantar fascia is a strong ligament running from the heel bone to the foots tip. When the fascia is stretched too far, its fibers become inflamed, resulting in pain. […] Active adults aged 40-70 are at the highest risk of developing the condition, especially if theyre runners or have jobs where theyre on their feet for long periods. […] Women who are pregnant often develop plantar fasciitis because the additional weight puts stress on the ligament. The same is true for those who are overweight or obese. […] In addition, structural foot problems such as high arches or flat feet can lead to plantar fasciitis, as can wearing shoes without adequate arch support.

• #2 Plantar Fasciitis and Other Causes of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/1999/0415/p2200.html

  The most common cause of heel pain is plantar fasciitis. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. […] Most cases of plantar fasciitis are the result of a biomechanical fault that causes abnormal pronation. […] Other conditions, such as tibia vara, ankle equinus, rearfoot varus, forefoot varus, compensated forefoot valgus and limb length inequality, can cause an abnormal pronatory force. Increased pronation with a collapse produces additional stress on the anatomic central band of the plantar fascia and may ultimately lead to plantar fasciitis. […] Heel pain may also have a neurologic, traumatic or systemic origin. […] Less common causes of heel pain should be considered before a treatment regimen for plantar fasciitis is undertaken. These include sciatica, tarsal tunnel syndrome, entrapment of the lateral plantar nerve, rupture of the plantar fascia, calcaneal stress fracture and calcaneal apophysitis (Sever’s disease). Rarely, systemic disorders can cause heel pain.

• #2 Plantar Fasciitis: Symptoms, Causes & Treatment Options

  https://my.clevelandclinic.org/health/diseases/14709-plantar-fasciitis

  Plantar fasciitis is inflammation in the plantar fascia in your foot. Its the most common cause of heel pain. […] Anything that irritates or damages your plantar fascia can cause plantar fasciitis, including: Being on your feet all day for work. Playing sports. Exercising or working on a hard surface (like a warehouse floor or the sidewalk). Exercising without stretching or warming up. Wearing shoes that dont support your feet well enough (like flip flops or flat, flexible sneakers). Walking or standing barefoot while youre at home. […] Some health conditions can cause plantar fasciitis, including: High arch feet. Flat feet. Obesity (or gaining more than 15 pounds in a few months). […] Plantar fasciitis is the most common cause of heel pain.

• #2 Heel Pain – APMA MAIN

  https://www.apma.org/heelpain/

  Heel pain has many causes. Heel pain is generally the result of faulty biomechanics (walking gait abnormalities) that place too much stress on the heel bone and the soft tissues that attach to it. […] Heel spurs result from strain on the muscles and ligaments of the foot, by stretching of the long band of tissue that connects the heel and the ball of the foot, and by repeated tearing away of the lining or membrane that covers the heel bone. These conditions may result from biomechanical imbalance, running or jogging, improperly fitted or excessively worn shoes, or obesity. […] Both heel pain and heel spurs are frequently associated with plantar fasciitis, an inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar surface) of the foot, from the heel to the ball of the foot.

• #2 Heel Pain – APMA MAIN

  https://www.apma.org/heelpain/

  The condition occurs when the plantar fascia is strained over time beyond its normal extension, causing the soft tissue fibers of the fascia to tear or stretch at points along its length; this leads to inflammation, pain, and possibly the growth of a bone spur where the plantar fascia attaches to the heel bone. […] Excessive pronation may also contribute to injury to the hip, knee, and lower back. […] Pain at the back of the heel is associated with Achilles tendinitis, which is inflammation of the Achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone. […] Other possible causes of heel pain include rheumatoid arthritis and other forms of arthritis, including gout, which usually manifests itself in the big toe joint; an inflamed bursa (bursitis), a small, irritated sac of fluid; a neuroma (a nerve growth); or other soft-tissue growth. […] This sometimes painful deformity generally is the result of bursitis caused by pressure against the shoe and can be aggravated by the height or stitching of a heel counter of a particular shoe; a bone bruise or contusion, which is an inflammation of the tissues that cover the heel bone.

• #2 Heel pain or plantar fasciitis: Treatment, exercises, and causes

  https://www.medicalnewstoday.com/articles/312381

  A few different factors can lead to heel pain, but one of the most common causes is plantar fasciitis. […] The fascia normally serves as a shock absorber, but repeated stress to the heel can lead to small tears in the tissue. This tissue damage causes inflammation in the fascia known as plantar fasciitis. […] There are a few different causes of plantar fasciitis. The ligament can become inflamed due to repeated force from high-impact activities and sports that involve a lot of jumping. Wearing high heels may also place stress on the fascia. […] Having a job that requires a lot of standing or walking increases the chances of developing the condition. People with flat feet may also be more likely to develop plantar fasciitis. Flat feet can cause an uneven distribution of weight when someone walks, which puts added stress and pressure on the fascia.

• #2 Plantar Fasciitis – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK431073/

  Plantar fasciitis is often an overuse injury primarily due to a repetitive strain causing micro-tears of the plantar fascia. Still, this condition can occur due to trauma or other multifactorial causes. Some predisposing factors are pes planus, pes cavus, limited ankle dorsiflexion, prolonged standing or jumping, and excessive pronation or supination. Pes planus can cause increased strain at the origin of the plantar fascia. Pes cavus can cause excessive strain on the heel because the foot does not effectively evert or absorb shock. Tightness in the gastrocnemius, soleus, and other muscles situated in the posterior leg is common for patients with this condition. Tight muscles can alter the normal biomechanics of ambulation. […] The cause of plantar fasciitis is multifactorial, but most cases result from overuse stress. The classic presentation is of sharp localized pain at the heel.

• #2 Heel Pain: Causes, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/symptoms/heel-pain

  Many conditions, including plantar fasciitis and Achilles tendinitis, cause heel pain. […] There are many different health conditions that can cause heel pain, including plantar fasciitis and Achilles tendinitis. […] Heel pain causes range from mild to severe, depending on the location of the pain. […] Several problems are located at the back of the heel: Achilles tendinitis, bursitis, Haglunds deformity, and Severs disease (calcaneal apophysitis) are all conditions that can cause heel pain. […] Problems that cause bottom-of-heel pain include bone bruise, stress fracture, plantar fasciitis, and heel spurs. […] Plantar fasciitis is the most common cause of heel pain. […] Anything that puts a lot of pressure and strain on your foot can cause heel pain. […] You may be more likely to develop heel pain if you have overweight or obesity, have foot and ankle arthritis, flat feet or high arches, run or jump a lot in sports or for exercise, spend a lot of time standing, especially on concrete floors, or wear improperly fitted shoes without arch support and/or cushion.

• #2 Heel pain: Causes, prevention, and treatments

  https://www.medicalnewstoday.com/articles/181453

  Achilles tendinitis occurs when the large tendon in the back of the heel becomes inflamed. […] Other causes of heel pain include: […] Heel pain most commonly occurs under the foot, behind the heel, and on the inner or outer side of the heel. […] It may result from excessive pressure on the heel caused by running, standing for long periods, or carrying extra weight. Tight calf muscles or high arches may also contribute to heel pain.

• #2 Foot problems – heel pain | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/foot-problems-heel-pain

  Common causes of heel pain include obesity, ill-fitting shoes, running and jumping on hard surfaces, abnormal walking style, injuries and certain diseases. […] Plantar fasciitis is inflammation of the ligament that runs the length of the foot, commonly caused by overstretching. It results in pain under the heel, particularly after rest. […] A heel spur is a bony growth that is not usually painful to the touch. […] Severs disease is caused by stress on the growth plate in the heel bone. […] Some of the many causes of heel pain can include: Abnormal walking style (gait), such as rolling the feet inwards, Obesity, Ill-fitting shoes, Standing, running or jumping on hard surfaces, Injury to the heel, such as stress fractures, Bursitis (inflammation of a bursa bursae are small sacs that contain fluid to lubricate moving parts, such as joints and muscles), Neuroma (nerve enlargement), Certain disorders, including diabetes and arthritis. […] Severs disease results from stress placed on the growth plate of the heel bone. An excessive amount of running or jumping causes inflammation to the growth plate, which results in pain.

• #2 Plantar Fasciitis and Bone Spurs – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/plantar-fasciitis-and-bone-spurs

  Plantar fasciitis (fashee-EYE-tiss) is one of the most common causes of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year. […] Plantar fasciitis occurs when the plantar fascia, a strong band of tissue that supports the arch of your foot, becomes irritated and inflamed. […] The plantar fascia is designed to absorb the high stresses and strains we place on our feet when walking, running, and doing other activities like playing sports. But, sometimes, too much pressure damages or tears the tissues. The body’s natural response to injury is inflammation, which results in the heel pain and stiffness of plantar fasciitis. […] In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition: New or increased activity, Repetitive high impact activity (running/dancing/sports), Prolonged standing on hard surfaces (especially among nurses, factory workers, and teachers), Anatomy (flat feet or a high arch), Tight calf muscles, Obesity, Age (plantar fasciitis is most common among people aged 40 to 60).

• #2 Heel Spur Causes, Symptoms, Treatments, and Surgery

  https://www.webmd.com/pain-management/heel-spurs-pain-causes-symptoms-treatments

  Heel spurs occur when calcium deposits build up on the underside of the heel bone, a process that usually occurs over a period of many months. Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the plantar fascia, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among athletes whose activities include large amounts of running and jumping. […] Risk factors for heel spurs include: […] Other risk factors associated with plantar fasciitis include: […] Heel spurs can be associated with intermittent or chronic pain — especially while walking, jogging, or running — if inflammation develops at the point of the spur formation. In general, the cause of the pain is not the heel spur itself but the soft-tissue injury associated with it.

• #2 Plantar Fasciitis and Bone Spurs – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/plantar-fasciitis-and-bone-spurs

  Your doctor may order imaging tests to help make sure your heel pain is caused by plantar fasciitis and not another problem. […] Heel spurs can be seen on an X-ray. A heel spur can be the result of longstanding (occurring for a long time) tension on the plantar fascia insertion (the spot on the heel bone where the plantar fascia attaches). However, most people who have bone spurs on their heels do not have heel pain. Since heel bone spurs are not the cause of plantar fasciitis, plantar fasciitis pain can be treated without removing the spur. […] More than 90% of patients with plantar fasciitis will improve within 10 months of starting simple treatment methods. […] Your doctor may suggest that you work with a physical therapist on an exercise program that focuses on stretching your calf muscles and plantar fascia.

• #2 Pain in the Back of the Heel | Causes and Treatment

  https://sydneyheelpain.com.au/pain-in-the-back-of-the-heel/

  Pain in the back of the heel, or posterior heel pain, as it is medically referred to, is most commonly caused by either calcaneal apophysitis (Severs disease), Achilles tendonitis, Achilles tendon bursitis (retrocalcaneal or retroachilles bursitis), or a heel spur at the back of the heel (Haglunds deformity, pump bump, retrocalcaneal exostosis). […] Severs disease is a common cause of heel pain in the back of the heel in children and adolescents aged between 8 and 14 years old. This condition occurs when excessive tension and stress are placed on the calcaneal apophysis (the growth plate area of the heel bone), causing inflammation and irritation in this area. […] In adults, pain in the back of the heel is most commonly associated with Achilles tendonitis. Achilles tendonitis occurs when the Achilles tendon at the back of the lower leg becomes irritated and inflamed. This happens most commonly due to intense or repetitive strain on the tendon.

• #2 Common Conditions Causing Heel Pain

  https://www.mountelizabeth.com.sg/health-plus/article/common-conditions-heel-pain

  Heel pain is a common problem affecting the foot and ankle. While a sore heel may recover with adequate rest, people often ignore the early signs of heel pain and continue with activities that may worsen the injury. […] The heel is the largest bone in the foot, and is often prone to injury due to overuse. Heel pain may range from mild to disabling, depending on the severity of the condition. The pain may be caused by inflammation, trauma, or a systemic disease such as rheumatoid arthritis. […] Although the exact cause of plantar fasciitis is not clear, wearing inappropriate shoes, heavy work demands, obesity, running, and abnormal foot mechanics are some of the probable causes. […] Achilles tendonitis refers to the inflammation of the Achilles tendon. It can be caused by any activity which causes repetitive stress to the tendon, such as playing basketball or running. A sudden increase in the amount or intensity of exercise activity may also lead to Achilles tendonitis. Another condition which may cause Achilles tendonitis is a bone spur, which are bone projections caused by conditions such as inflammation and degeneration. […] Other risk factors for Achilles tendonitis include old age, a naturally flat arch in the foot, obesity, and tight calf muscles.

• #2 4 Common Causes of Heel Pain and How to Treat Them: Legacy Foot & Ankle: Podiatric Medicine

  https://www.footandanklespecialistsmi.com/blog/4-common-causes-of-heel-pain-and-how-to-treat-them

  Heel pain is a common complaint among adults of all ages. Often the result of overuse injuries, the pain can keep you from your favorite activities but treatment can help you get back on your feet. […] Plantar fasciitis is one of the most common causes of heel pain, and it develops when your plantar fascia gets irritated. […] It isnt clear what exactly causes plantar fasciitis. Your risk might be higher if you participate in strenuous exercise like running or dancing, you spend long hours on your feet, or youre overweight. […] Achilles tendonitis is an injury that develops when the tendon gets inflamed. […] Most of the time, Achilles tendonitis is because of overuse. Suddenly increasing your activity level or only participating in sports on the weekends can stress the tendon and increase your risk of injury.

• #2 Heel Pain: 5 Common Causes: Arizona Foot & Ankle Specialists: Podiatric Medicine and Surgery

  https://www.azpodiatrists.com/blog/heel-pain-5-common-causes

  Achilles tendinitis may also be caused by wearing high heels, having flat feet, or taking certain medications. It can also occur if your leg muscles or tendons are too tight. […] Causing pain in the underside or back of the heel, bursitis is a condition in which the bursa, a sac that lines several joints, becomes inflamed. This issue may be due to structural problems in the foot or the frequent use of shoes with little cushion in the heel. […] Perhaps the most common cause of heel pain, plantar fasciitis occurs when the plantar fascia, the fibrous tissue band that supports the arch of your foot, becomes inflamed and develops tears due to overuse or overstretching. […] Most everyone is susceptible to developing this issue, but those who participate in various sports and other athletic activities are at higher risk, as are pregnant women, people with flat feet, and those who are obese.

• #2 The Royal College of Podiatry

  https://rcpod.org.uk/common-foot-problems/heel-pain

  A fracture can be caused by falling from a height or landing on an uneven surface. […] This painful condition affects young children, usually between the ages of 8 and 12, especially those who are physically active or undergoing a growth spurt. It results from inflammation of the Achilles tendon where it attaches to the heel. […] This condition occurs when the Achilles tendon is placed under more pressure than it can cope with and small tears develop, along with inflammation, which in some cases leads to tendon rupture. These tears become a source of further injury, which can lead to swelling within the tendon, hence the name tendonosis (sometimes referred to in error as tendonitis).

• #2 Heel Pain – Harvard Health

  https://www.health.harvard.edu/a_to_z/heel-pain-a-to-z

  Bursitis means inflammation of a bursa, a sac that lines many joints and allows tendons and muscles to move easily when the joint is moving. […] This condition, medically known as posterior calcaneal exostosis, is an abnormal bony growth at the back of the heel. […] Compression of a small nerve (a branch of the lateral plantar nerve) can cause pain, numbness or tingling in the heel area.

• #2 Pain in the Back of the Heel | Causes and Treatment

  https://sydneyheelpain.com.au/pain-in-the-back-of-the-heel/

  Haglunds deformity is a very common clinical condition that causes pain in the back of the heel of the patient. It occurs when an abnormal bony heel spur forms at the back of the heel bone, at the insertion point of the Achilles tendon. The soft tissues in the area then become irritated and inflamed when the bone spur rubs against tight fitting or rigid shoes. […] When the bursae in the posterior area of the calcaneus become inflamed or irritated, this is known as bursitis, and causes pain in the back of the heel. Retrocalcaneal bursitis is the inflammation of the bursa between the Achilles tendon and the heel bone. Retro Achilles bursitis is the inflammation of the bursa between the Achilles tendon and the skin.

• #2 The Many Causes of Heel Pain

  https://puresportsmed.com/blog/posts/the-many-causes-of-heel-pain

  Heel pain is a common complaint and can occur due to a number of reasons. In this blog I will discuss 8 known conditions that cause heel pain. […] Plantar fasciitis is a musculoskeletal disorder primarily affecting the fascial enthesis (the fascia band, similar to a ligament, which connects the heel bone to the base of the toes). It is poorly understood, although it is thought to have a mechanical origin. The condition is commonly associated with flat feet (pes planus) and other lower limb biomechanical anomalies, with the presumption being that tensile strain on the fascia causes microtears and changes to the tissue structure. […] This is an inflammation of a bursa (a fluid-filled sac) under the heel bone where the pain is typically more in the centre of the heel than that experienced with plantar fasciitis and significantly worsens during the day. This condition can be caused following direct trauma to the area or repetitive stress.

• #2 The Many Causes of Heel Pain

  https://puresportsmed.com/blog/posts/the-many-causes-of-heel-pain

  Calcaneal stress fracture is the second most common stress fracture in the foot, following metatarsal stress fracture. A calcaneal stress fracture is usually caused by repetitive overload to the heel. Patients often report onset of pain after an increase in weight-bearing activity or change to a harder walking surface. The pain initially occurs only with activity, but often progresses to include pain when resting. […] Severs disease (calcaneal apophysitis) is the most common cause of heel pain in children and adolescents, usually occurring between 10 and 15 years of age. Bones grow quicker than the muscles and tendons in these patients. The tight Achilles tendon begins to pull on its insertion site with repetitive running or jumping activities, causing microtrauma to the area. […] This condition occurs when the Achilles tendon is placed under more pressure than it can cope with and small tears develop along with inflammation and in some cases can lead to tendon rupture. These tears become a source of further injury, which can lead to swelling within the tendon, hence the name tendonosis (sometimes referred to in error as tendonitis).

• #2 Heel pain: Causes, prevention, and treatments

  https://www.medicalnewstoday.com/articles/181453

  Inflammation can occur at the back of the heel in the bursa, a fibrous sac full of fluid. This condition can result from landing awkwardly or hard on the heels or from pressure from footwear. […] Haglunds deformity is a bony enlargement on the back of the heel. It occurs when footwear rubs against the back of the heel, irritating the bony enlargement and surrounding tissue. […] In tarsal tunnel syndrome (TTS), tissue compresses the large nerve in the back of the foot, resulting in pain. […] Repetitive stress, strenuous exercise, sports, or heavy manual work can cause injury. For instance, runners are at a higher risk of a stress fracture in the metatarsal bones of the foot. […] Severs disease is the most common cause of heel pain in children and young adults. It results from overuse and repetitive microtrauma of the growth plates of the heel bone.

• #2 Main Causes of Back of Heel Pain in North Seattle | Foot and Ankle Center of Lake City

  https://www.bergdpm.com/blog/9-most-common-causes-of-back-of-heel-pain.cfm

  Bursitis occurs when the bursa located at the back of the heel becomes irritated and inflamed from excessive walking or running. […] Insertional pain of the Achilles Tendon occurs at the site where the Achilles tendon inserts on the back of the heel bone. […] Stress fractures can also develop by changing the exercise surface (going from running on a soft track to concrete), poor running technique (i.e. compensating for a blister or bunion), and/or poor bone health (women who have low bone density due to menopause or low weight due to dieting or eating disorders). […] Sever’s disease is a condition that affects children between the ages of 8-14. Pain can be felt at the back or the bottom of the heel as a result of inflammation of the growth plate.

• #2 What’s Causing Your Heel Pain?: Eric Blanson, DPM: Sports Medicine

  https://www.pmcfootandankleclinic.com/blog/whats-causing-your-heel-pain

  When people think of foot pain, it’s common to picture the toes or ankle. Discomfort in the heel, however, shouldn’t be forgotten as it strikes about 2 million people each year and is responsible for approximately 15% of all foot issues. A number of conditions can contribute to this pain. […] In most cases, heel pain is caused by plantar fasciitis. This occurs when a thick band of elastic tissue called the plantar fascia, the ligament that connects from the heel to the toes, gets inflamed from overstretching. […] Jumping and other types of overuse of the Achilles tendon can cause it to flare up and result in symptoms like heel pain and swelling, a limited range of motion, and tight calf muscles. […] Tarsal tunnel syndrome occurs when the foot’s posterior tibial nerve is compressed because of an injury, bone spur, or inflammation of the tendon. Symptoms can include general foot pain, heel pain that cycles between constant or shooting, a burning sensation near the heel, and/or a feeling of numbness at the base of the foot.

• #2 Heel Pain: Diagnosis and Management – PubMed

  https://pubmed.ncbi.nlm.nih.gov/29365222/

  Medial midfoot heel pain, particularly with prolonged weight bearing, may be due to tarsal tunnel syndrome, which is caused by compression of the posterior tibial nerve. […] Sinus tarsi syndrome manifests as lateral midfoot heel pain and a feeling of instability, particularly with increased activity or walking on uneven surfaces.

• #2 13 Heel Pain Causes and How They’re Treated

  https://www.verywellhealth.com/heel-pain-information-and-causes-2549378

  Sever disease is the most common cause of heel pain in children and adolescents. […] Conditions affecting the peroneal tendon are a common cause of pain on the outside of the heel, where the tendons connect the calf muscles to the foot. […] Stress fractures of the heel commonly occur in athletes (such as long-distance runners) who overtrain or intensify their workouts over a short period of time. […] In older adults, the cushioning fat of the heel can break down and thin over time. […] Rare causes of heel pain include heel bone infection, which is a form of osteomyelitis (bone inflammation) that causes constant heel pain.

• #2 The Many Causes of Heel Pain

  https://puresportsmed.com/blog/posts/the-many-causes-of-heel-pain

  These are firm bumps on the back of the heel, usually caused by excessive shoe rubbing in the heel area, or the thickening of the tissues associated with a tight Achilles tendon attaching to the heel bone. […] This can feel like a burning or tingling sensation under the heel and arch of the foot with occasional loss of sensation on the bottom of the foot. This is caused by compression of the tibial nerve as it passes the inside of the ankle. […] Patients with heel pad syndrome present with deep, bruise-like pain, usually in the middle of the heel, that can be reproduced with firm palpation (when a healthcare professional will use their hands to examine an injured body site). Walking barefoot or on hard surfaces exacerbates the pain. The syndrome is usually caused by inflammation, but damage to or atrophy of the heel pad can also elicit pain. Decreased heel pad elasticity with aging and increasing body weight can also contribute to the condition.

• #2

  https://www.hingehealth.com/resources/articles/what-is-heel-pain/

  Heel bursitis occurs when the bursa, located in the back of the ankle in the space between the heel bone and the Achilles tendon, becomes inflamed. […] Achilles tendinitis. This is inflammation of the Achilles tendon, the fibrous tissue that connects the calf muscle to the heel bone. […] Posterior tibial tendinitis. The posterior tibial tendon (PTT) runs from the backside of the lower part of the calf right into the arch of the foot. […] Stone bruise. If you step on a sharp, hard object like a stone, it can temporarily bruise the fat padding under your heel. […] Heel spurs. If you have chronic plantar fasciitis or Achilles tendinitis, a calcium deposit can form where your fascia tissue band connects to your heel bone.

• #2

  https://www.orthobullets.com/video/view?id=106061

  The Baxters nerve contributes to 20% of all heel pain cases in this nerve provides motor innervation to the abductor digiti minimi muscle. […] Fat pad atrophy. The fat pad cushions the calcaneus and in the condition of fat pad atrophy, the fact that cushions the calcaneus is thinned so the calcaneus loses its cushion. This condition is common in elderly people and can cause significant pain while walking. […] The stress fractures of the calcaneus can occur due to overuse injuries. The patient will complain of heel pain, severe weightbearing pain in the patient increases with walking and running. The pain associated with the calcaneal stress fracture does not improve throughout the day and each step is painful. […] Tarsal tunnel syndrome Paresthesia and numbness in the plantar foot. Symptoms are worse with activity and the paresthesia may wake the patient up at night. […] Lumbosacral spine radiculopathy Pain on the lateral side of the foot can result from L5-S1 herniated disc (will cause radiculopathy). The S1 nerve root supplies the lateral aspect of the foot. Pain on the lateral side of the foot can result from L5-S1 herniated disc.

• #2 Heel pain Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/heel-pain.html

  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. The most common local causes of heel pain include: […] Plantar fasciitis occurs when the plantar fascia is overloaded or overstretched. This causes small tears in the fibers of the fascia, especially where the fascia meets the heel bone. […] A heel spur is an abnormal growth of bone at the area where the plantar fascia attaches to the heel bone. It is caused by long-term strain on the plantar fascia and muscles of the foot, especially in obese people, runners or joggers. […] Calcaneal apophysitis is a fairly common cause of heel pain in active, growing children between the ages of 8 and 14.

• #2 Plantar Fasciitis and Other Causes of Heel Pain | AAFP

  https://www.aafp.org/pubs/afp/issues/1999/0415/p2200.html

  Heel pain may occur in patients with various systemic inflammatory conditions, including rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, Reiter’s syndrome, gout, Behet’s syndrome and systemic lupus erythematosus. […] The number of patients whose heel pain is caused by systemic arthritic diseases is small in comparison to those with pain from other causes, but these arthritic diseases must be ruled out through appropriate physical examination and laboratory studies before the heel pain is treated.

• #2 Heel Pain: Causes, Treatments, and Prevention

  https://www.healthline.com/health/heel-pain

  Heel pain can result from injuries like sprains and fractures. Some medical conditions, including bursitis and reactive arthritis, may also cause it. Treatment can depend on the cause. […] There are several common causes of heel pain. […] Plantar fasciitis occurs when too much pressure on your feet damages the plantar fascia ligament, causing pain and stiffness. […] Sprains and strains are injuries to the body, often resulting from physical activity. […] A fracture is a broken bone. This condition is considered a medical emergency. Urgent care may be required. […] Achilles tendonitis occurs when the tendon that attaches the calf muscles to the heel becomes painful or inflamed due to overuse injuries. […] Bursae are fluid-filled sacs found in your joints. They surround the areas where tendons, skin, and muscle tissues meet bones. […] This form of arthritis primarily affects your spine. It causes severe inflammation of the vertebrae that might eventually lead to chronic pain and disability. […] An infection in the body triggers this type of arthritis.

• #2 Little Known Causes of Heel Pain: Leonard Greenwald, DPM: Podiatrist

  https://www.footdoctorinsanjose.com/blog/little-known-causes-of-heel-pain

  Heel pain can be caused by a number of common conditions that affect the bones, ligaments, and tendons of your foot. […] Heel spurs, plantar fasciitis, and bruises are some of the most common causes of heel pain. […] Some of the little known causes of heel pain are: […] Bursitis is a condition that causes the bursae to become inflamed, causing swelling, pain, and difficulty moving. […] Rheumatoid arthritis is an autoimmune disorder that causes your body to attack its own tissues. […] Tarsal tunnel syndrome is a condition caused by damage to the posterior tibial nerve, which is located near your ankle. […] A rare bone infection, osteomyelitis is typically caused by an infection spreading from another part of your body, or one that starts in your bone due to an injury. […] Padgets disease of bone is a chronic condition in which your bones dont grow and regrow normally, causing them to be softer and bigger than normal.

• #2 7 Possible Causes of Heel Pain Explained by DOCS Health | Los Angeles, CA

  https://www.docshealth.com/blog/7-possible-causes-of-heel-pain-explained-by-docs-health/

  Peripheral neuropathy involves damage to the peripheral nerves, often resulting from conditions like diabetes, chronic alcoholism, or exposure to toxins. This nerve damage can cause pain, numbness, and weakness in the affected areas, including the heels. […] Understanding the possible causes of heel pain is the first step toward effective treatment and prevention. From plantar fasciitis and Achilles tendinitis to more complex conditions like peripheral neuropathy, heel pain can arise from various sources. Identifying the cause is crucial for receiving the appropriate care and getting back to your daily activities without discomfort.

• #2 Heel pain – NHS

  https://www.nhs.uk/conditions/foot-pain/heel-pain/

  There are lots of causes of heel pain. […] Heel pain is often caused by exercising too much or wearing shoes that are too tight. […] Your symptoms might also give you an idea of what’s causing your heel pain. […] Possible causes of heel pain. Symptoms Possible cause Sharp pain between your arch and heel, feels worse when you start walking and better when resting, difficulty raising toes off floor Plantar fasciitis Pain in the back of the heel, and in the ankle and calf Achilles tendonitis Redness and swelling, dull aching pain in heel Bursitis Sudden sharp pain in heel, swelling, a popping or snapping sound during the injury, difficulty walking Heel fracture or ruptured Achilles tendon.

• #2 Understanding the Most Common Causes of Heel Pain – DOC Orthopaedics & Sports Medicine

  https://docorthopaedic.com/understanding-the-most-common-causes-of-heel-pain/

  Heel pain is one of the most common problems that affect the foot and ankle. […] There are a few things that can cause heel pain, short of injury. […] Pounding your feet on hard surfaces, especially during athletic activity but also work that requires indoor walking, can cause heel pain. […] Also, wearing shoes that irritate the sensitive tissues of your heel both bottom and back can create issues. […] Most significantly, continuing with behaviors that cause stress on the heel after you’ve noticed pain can cause long-term damage. […] Pain beneath the heel (on the bottom of your foot) or behind your heel (below your ankle) that builds slowly over time. […] Increased activity, repetitive motion, or even inappropriate shoes can cause pain behind your heel, on the back of your leg where your foot meets your ankle.

• #2 Heel Pain (including Plantar Fasciitis)

  https://patient.info/doctor/heel-pain

  Most cases of heel pain have a mechanical cause. Other causes include trauma; neurological, arthritic, infectious, neoplastic and autoimmune conditions, and other systemic conditions. The risk of developing heel pain is higher with increasing body mass index and age. […] Plantar fasciitis – the most common cause of heel pain in adults – tenderness at the origin of the plantar fascia (the medial tubercle of the os calcis). […] Achilles tendonitis is associated with posterior heel pain. […] Heel pad atrophy may present with diffuse plantar heel pain, especially in patients who are older and obese. […] Systemic arthritic diseases may present with heel pain. These include the seronegative arthritides, psoriatic arthritis, reactive arthritis, diffuse idiopathic skeletal hyperostosis (DISH), rheumatoid arthritis, fibromyalgia and gout. […] Acute trauma to the calcaneus is the most common bone cause of heel pain. This usually occurs following a fall from a height on to the heel. […] In adolescents, calcaneal apophysitis is probably the most frequent aetiology of heel pain.

• #3 Plantar fasciitis – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/plantar-fasciitis/symptoms-causes/syc-20354846

  Plantar fasciitis is one of the most common causes of heel pain. […] The cause of plantar fasciitis is poorly understood. It is more common in runners and in people who are overweight. […] Tension and stress on the fascia can cause small tears. Repeated stretching and tearing of the facia can irritate or inflame it, although the cause remains unclear in many cases of plantar fasciitis.

• #3 Heel pain: Causes, prevention, and treatments

  https://www.medicalnewstoday.com/articles/181453

  Inflammation can occur at the back of the heel in the bursa, a fibrous sac full of fluid. This condition can result from landing awkwardly or hard on the heels or from pressure from footwear. […] Haglunds deformity is a bony enlargement on the back of the heel. It occurs when footwear rubs against the back of the heel, irritating the bony enlargement and surrounding tissue. […] In tarsal tunnel syndrome (TTS), tissue compresses the large nerve in the back of the foot, resulting in pain. […] Repetitive stress, strenuous exercise, sports, or heavy manual work can cause injury. For instance, runners are at a higher risk of a stress fracture in the metatarsal bones of the foot. […] Severs disease is the most common cause of heel pain in children and young adults. It results from overuse and repetitive microtrauma of the growth plates of the heel bone.

Zobacz więcej