Heel pain is one of the most common concerns that bring patients to the office of a podiatrist. Most cases of heel pain are caused by plantar fasciitis but there are many other causes that may go undiagnosed.
San Antonio, Texas Oct 12, 2021 (Issuewire.com) - Most heel pain is caused by mechanical issues such as heel pain due to plantar fasciitis. There are numerous causes of heel pain so getting a proper diagnosis is important. Dr. Davis sees a number of patients with heel pain that they believe is caused by plantar fasciitis but the symptoms are not relieved by common treatments for plantar fasciitis. Such cases often involve other causes of heel pain.
Here is a partial list of heel pain causes:
1) Plantar fasciosis: Plantar fasciitis is an inflammatory condition of the plantar fascia. If inflammation is allowed to progress over time, it can lead to degeneration of the fascia. The fascia thickens and is replaced with scar-like tissue. Treatments need to be targeted specifically at plantar fasciosis.
This explains the differences between plantar fasciitis and plantar fasciosis: https://sanantoniopodiatrist.typepad.com/my-blog/2010/01/treatment-triad-for-plantar-fasciitis.html
2) Baxter's neuritis: There is a nerve that runs in between the heel bone and the plantar fascia that can become entrapped or compressed. https://sanantoniopodiatrist.typepad.com/my-blog/2012/04/baxters-neuritis-a-common-cause-of-heel-pain.html
3) Gout Gout is a metabolic disease in which the body collects too much of a waste product, uric acid. Uric acid levels can be raised because the body makes too much uric acid or because it has difficulty excreting it.
4) Rheumatoid arthritis Rheumatoid arthritis is a form of arthritis due to antibodies formed to the body's own tissues, most commonly tissues in joints. It is a fairly common cause of heel pain.
5) Reiter's syndrome, ankylosing spondylitis, and psoriatic arthritis This group of arthritic conditions are known as HLA-B27 arthritides due to the gene involved and can cause heel pain.
6) Osteoid osteoma This is a benign tumor of the heel bone that often causes heel pain at night.
7) Stress fracture A stress fracture is a fracture, often a hairline fracture, that is caused by overuse. The best way to visualize a stress fracture is to take a paper clip and bend it several times. It may break in two by the fourth bend but consider if that paper clip is normal after it has been bent 3 times. A magnifying glass or microscope would show tiny fractures in the paperclip at that point. Unlike the paper clip, our bodies are building up tissue and breaking them down. If the breakdown process exceeds the repair then stress fractures can occur. Stress fractures are more likely to occur when a bone is weakened as in osteoporosis or osteopenia.
8) Infections Infections of the heel bone can occur due to direct trauma such as puncture wounds or spread from nearby wounds. Infections in other parts of the body such as dental infections can spread by the blood to the heel.
Dr. Ed Davis - South Texas Podiatrist
109 Gallery Circle, Suite 119, San Antonio, Texas 78258
Source :Eddie Davis DPM PLLC
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