by Last updated on March 15th, 2024 at 11:01 am
If you are asking the question, when should I be concerned about heel pain? You should see a healthcare professional immediately, especially if the pain is persistent, wakes you at night, or is accompanied by other symptoms. This article will discuss some pathologies that may cause concern and for which you should get medical attention, so they don’t worsen. Read on!
Rheumatoid arthritis
Rheumatoid arthritis is an autoimmune disease. This means that your immune system attacks the healthy cells in your body by mistake. It most often attacks the joints and can cause long deformity term. It can cause referred pain. Symptoms include pain often more than one joint, fever, weakness, tiredness and fatigue, swelling and tenderness around the joints, stiffness and weight loss. See your doctor right away if you suspect this condition. See this CDC article for more on rheumatoid arthritis.
Plantar fasciitis
Heel pain that is most severe in the morning or after long periods of inactivity may be caused by plantar fasciitis. It occurs when the plantar fascia, a thick, strong band of tissue that supports the foot’s arch, becomes strained or inflamed. The pain is most often felt at the underside of the medial heel. It is essential to have early medical intervention as the condition can become chronic. You can try these simple but effective plantar fasciitis strengthening exercises.
Baxter’s nerve entrapment
This condition also causes pain in the underside of the medial heel, similar to plantar fasciitis. The difference, however, is that Baxter’s nerve entrapment may also be sharp shooting, pins and needles and burning sensations radiating up the inside of their heels towards the ankle. This is due to the nerve being compressed or pinched. Walking can be painful as well.
Calcaneal stress fracture
A stress fracture in the heel causes pain that worsens with activity. It occurs mainly due to impact from playing sports, jumping from a height or other trauma. Poor footwear choice is also a risk factor. Symptoms include pain which worsens on standing, swelling and redness. The heel may also appear bruised. If the squeeze test elicits pain, then the chances are high that you have a stress fracture.
Heel spur
This bony protrusion superior to the plantar fascia attachment on the heel may cause pain if it becomes irritated. Pain can be felt, especially when standing or walking for long periods. Symptoms include sharp pain and tenderness in the heels, inflammation and, in some cases, difficulty walking. Note that many people have a heel spur, but it is asymptomatic.
Fat pad contusion
A fat pad contusion is damage to the adipose tissue, which cushions the heel. Repeated impact or sudden trauma like a fall may cause it. Runners, police, soldiers and people who play sports are at risk. Symptoms include a bruised heel, pain, tenderness, redness and warmth in the area.
Insertional Achilles tendonitis
Pain at the back of the heel, primarily when walking or running, may be caused by insertional Achilles tendonitis. This condition occurs when the Achilles tendon, which connects the calf muscle to the heel bone, becomes inflamed or strained. Symptoms include stiffness in the morning or after rest, thickening of the tendon and pain and discomfort. It is essential to seek medical help to prevent the possibility of a rupture.
Retrocalcaneal bursitis
Pain and swelling at the back of the heel, especially when wearing tight or improper footwear, may be a sign of retrocalcaneal bursitis. This condition occurs when the bursa, a fluid-filled sac that cushions the Achilles tendon and heel bone, becomes inflamed. Symptoms include swelling, pain and tenderness, difficulty wearing shoes and pain participating in physical activities. Medical diagnosis is vital to differentiate it from other pathologies that can occur in the same area such as a Haglund’s deformity.
Infection
Heel pain accompanied by fever, redness, or exudate may be caused by an infection. It could be an infection of the soft tissue surrounding the heel or a bone infection, such as osteomyelitis. Cracked heels or fissures can lead to this type of infection. If you are a diabetic patient, antibiotics may be necessary, and in some cases, surgery. For this reason, do not delay seeing a healthcare professional if you suspect an infection.
Is there anything I can do?
If you are still asking, when should I be concerned about heel pain? It might be best if you made an appointment to see your healthcare provider as soon as possible. Nevertheless, most heel pain goes away over time, and if it’s not severe, you can try the things listed below.
- Rest: This is a simple strategy to relieve heel pain from walking, running or standing for long periods.
- Ice: Apply ice to your heels for 15-20 minutes several times daily to help reduce inflammation.
- Elevation: Elevate your feet as much as possible to help reduce swelling.
- Use over-the-counter medication: Take over-the-counter pain medication, such as ibuprofen or naproxen, to help reduce pain and inflammation.
- Footwear: Wear shoes with good arch support, a cushioned sole and a rocker bottom to help reduce the impact on your heels.
Final thoughts
Most cases of heel pain can be treated conservatively. However, if the heel pain persists or is severe, or you suffer from other underlying medical conditions, it is essential to see a physician. They can help determine the cause of your heel pain and recommend the appropriate treatment. Remember, your health is your wealth. Good luck with your heel pain! You may also be interested in sudden heel pain.
