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Heel Pain | NHS

Heel Pain

Introduction to Heel Pain

Heel pain is a common problem that affects many people across the United Kingdom. It's often felt either behind or beneath the heel. Heel pain can be caused by a variety of factors ranging from simple wear and tear to more serious underlying conditions.

Common Causes of Heel Pain

One of the most common causes of heel pain is plantar fasciitis, an inflammation of the thick band of tissue that runs across the bottom of your foot. Other frequent causes include Achilles tendinitis, heel spurs, and bursitis. Conditions like arthritis, obesity, and ill-fitting shoes can also contribute to heel pain.

Symptoms to Look Out For

If you are experiencing heel pain, you may notice symptoms such as sharp pain under the heel, pain that worsens after rest but improves with activity, swelling, or even bruising. Pay attention to whether the pain is constant or comes and goes, as this can be helpful information for medical professionals.

Treatment Options

Treatment for heel pain typically begins with non-invasive approaches. Rest, ice application, and over-the-counter pain medications like ibuprofen can help manage pain. Special exercises to stretch the plantar fascia and Achilles tendon are often recommended. In some cases, orthotics or heel cups may provide relief. For persistent pain, physical therapy or even surgical options might be considered.

When to Seek Medical Advice

If your heel pain doesn't improve with simple home remedies or is severe enough to interfere with your daily activities, it's important to seek medical advice. A healthcare provider can offer a proper diagnosis and more targeted treatment options. Contact your GP or NHS 111 for guidance.

Preventing Heel Pain

Preventative measures to avoid heel pain include wearing supportive footwear, maintaining a healthy weight, and doing regular stretching exercises for your feet and legs. It's also advisable to avoid walking barefoot on hard surfaces for prolonged periods.

Frequently Asked Questions

What are common causes of heel pain?

Common causes of heel pain include plantar fasciitis, Achilles tendinitis, bursitis, and heel spurs.

How can I relieve heel pain at home?

You can relieve heel pain at home by resting your foot, applying ice, using over-the-counter pain relief, wearing supportive shoes, and performing stretching exercises.

When should I see a doctor for heel pain?

You should see a doctor if your heel pain is severe, persistent, or if you have redness, swelling, or difficulty walking.

What is plantar fasciitis?

Plantar fasciitis is inflammation of the plantar fascia, the thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes.

What are some effective treatments for plantar fasciitis?

Effective treatments for plantar fasciitis include rest, ice, stretching exercises, orthotics, and in some cases, physical therapy.

Can heel pain be prevented?

Heel pain can be prevented by wearing properly fitting shoes, avoiding walking barefoot on hard surfaces, maintaining a healthy weight, and doing regular stretching exercises.

What are heel spurs?

Heel spurs are bony growths that develop on the bottom of the heel bone and can cause heel pain.

How are heel spurs treated?

Heel spurs are treated with rest, ice, pain relief, orthotics, and sometimes physical therapy or surgery if other treatments fail.

What is Achilles tendinitis?

Achilles tendinitis is inflammation of the Achilles tendon, which connects the calf muscles to the heel bone.

What are common symptoms of Achilles tendinitis?

Common symptoms of Achilles tendinitis include pain and stiffness in the back of the heel, especially in the morning or after activity.

How can you treat Achilles tendinitis?

Treatment for Achilles tendinitis includes rest, ice, stretching exercises, and sometimes physical therapy or orthotics.

What is bursitis in the heel?

Bursitis in the heel is inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in the foot.

How is heel bursitis treated?

Heel bursitis can be treated with rest, ice, pain relief, and sometimes physical therapy or corticosteroid injections.

Can exercise cause heel pain?

Yes, exercise, especially high-impact activities like running and jumping, can cause heel pain if done excessively or without proper footwear.

What kind of shoes are best for preventing heel pain?

Shoes with good arch support, cushioning, and a proper fit are best for preventing heel pain.

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