Heel pain is a common problem that can occur for many people, especially athletes. This pain is usually a local complication that affects the ankle. When standing or sitting, the heel bears the weight of a human. Ignoring this pain can lead to more severe pain. In this article, we want to acquaint you with the reasons that cause heel pain.
Causes and reasons Heel pain
Excessive pressure on the plantar fascia causes it to attach to the heel bone, causing microscopic stretching and rupture. The body’s response to this is inflammation and pain. Pain at the junction of this ligament to the heel.
The most common local causes of heel pain are:
1- Plantar fasciitis ( Inflammation of the soles of the feet )
Plantar fasciitis is an inflammation of the plantar fascia, which is a fibrous band of tissue located in the sole of the foot that helps support the arch of the foot. Plantar fasciitis occurs when the sole of the foot is under excessive pressure or load. This causes small tears in the sheath fibers, especially at the junction of the sheath with the heel bone.
Anyone can get plantar fasciitis, but it is more common in this group of people: people with diabetes, obese people, pregnant women, runners, volleyball players, tennis players, and those who do step aerobics and climb stairs. they give. Also, pushing and moving large items or furniture, or wearing worn or badly made shoes can cause plantar fasciitis.
Athletes may also become plantar fasciitis after a period of intense training, especially runners who push themselves to run longer distances. People with plantar fasciitis are more at risk for this complication.
2- Heel spurs
A heel spur is an abnormal growth of a bone in the area where the sole of the foot connects to the heel bone. Reason for occurrence Heel spur pain Prolonged stretching of the plantar fascia and ankle muscles occurs especially in obese people, runners, or joggers.
It is a very common belief among people and even doctors that heel pain is caused by heel spurs. Although many people with plantar fasciitis have small bumps under the heel bone called heel spurs, it is important to note that the cause of the pain is not the heel spur.
The presence of a bony protrusion under the heel bone is not the cause of pain in that area, just as removing this bony protrusion does not eliminate the pain. One in ten people has heel spurs, but not all of them have pain
Here, as in the case of plantar fasciitis, the use of worn, tight or loose or poorly made shoes exacerbates the problem. Sometimes a heel spur, which is also confirmed in radiographs Cause of heel pain is not. In fact, it occurs in response to plantar fasciitis.
3- Calyx apophysitis and heel pain
In this condition, the center of the heel bone becomes painful as a result of wearing new shoes or increasing exercise. This pain occurs in the back of the heel, not in the sole. This complication is one of the relatively common causes of pain in active and growing children between 8 and 14 years old. Although almost any child can develop calcaneous apophysitis, children who participate in sports that require a lot of jumping are most at risk.
Bursitis means inflammation of the bursa, which is a sac that surrounds many joints in the body and allows tendons and muscles to move easily as the joint moves. Bursitis can cause pain in the back and soles of the heels. In some cases, heel bursitis is associated with certain structural problems in the ankle that cause gait to become abnormal. In other cases, wearing shoes whose heels are not soft enough can cause bursitis.
5- Hitting high heels
This complication, medically known as heel spurs, is the abnormal growth of a bony appendage on the back of the heel. This complication is more common among young women who have had bursitis for a long time due to the pressure caused by high heels.
6- Local bruises
The heel of the foot, like other parts of the foot, is injured and bruised in accidents. Generally, this condition occurs in the form of a “bruising of the stone”, which is an impact injury caused by stepping on a sharp object while walking barefoot.
7- Achilles tendonitis
In most cases, Achilles tendonitis (inflammation of the Achilles tendon) occurs due to overuse of the Achilles tendon, especially by jumping too much during exercise. Of course, Achilles tendonitis can also occur due to wearing inappropriate shoes that cover the upper part of the Achilles tendon. Occasionally, this complication is due to an inflammatory disease such as ankylosing spondylitis (also called axial spondylitis), reactive arthritis, gout, or rheumatoid arthritis.
9- Nerve entrapment
Compression of a small nerve (a branch of the external plantar nerve) can cause pain, numbness, or burning in the heel area. In many cases, this nerve compression is caused by a sprain, fracture, or swelling of a vein near the heel.
10- Abnormal protrusions of the heel
This complication is common in adolescents. The heel bone is not yet fully mature and has a lot of wear so more bone is made. It is common in people with flat feet or women who start wearing high heels before puberty.
You can easily recognize a flat foot by wetting your feet and walking on flat surfaces.
11- Chronic inflammation of the heel
This complication is caused by thinning heel tissue or by taking heavy steps.
12- Fracture due to pressure
Exercise or strenuous work is caused by repeated stress from strenuous exercise. Runners are particularly at risk for pressure fractures of the leg bones. It can also be caused by osteoporosis.
13- Severus disease (heel bone apophysis)
The most common cause of heel pain among adolescent athletes and children is foot pain, which is caused by overuse and causing a large number of microtraumas (small tears) in the growth plates of the heel bone. This complication is most common in children aged 7 to 15 years.
Other causes of heel pain
- Achilles tendon rupture
- Bone contusion
- Bone cyst
- Neuroma (Morton neuroma)
- Bone marrow
- Peripheral neuropathy
- Walking problems
Solutions for heel pain
Effective treatments to get rid of heel spurs
Do these movements to relieve heel pain
Investigating the causes of heel pain and its treatment methods
Compiled and edited by: Mahdieh Anisi
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