M B Burchell & Associates
The Causes & Treatments
A helpful guide to understanding heel pain
and the treatments available to you.
Burchell & Associates
30 Farley Road, South Croydon, Surrey. CR2 8DA
020 8657 1648/6933 Fax 020 8651 4199. email@example.com
M B Burchell & Associates
210 Fulham Palace Road, Hammersmith, London. W6 9NT. MChS DPoDM
020 7385 0554 Fax 020 7386 0935 firstname.lastname@example.org
HPC Registered Podiatry
99 Moore Park Road, Fulham, London. SW6 2DA Core Value Podiatry for a Comfortable Lifestyle
020 7736 4715 email@example.com
Heel Pain Common complications surgery is usually for
the removal of a spur of
Heel pain is one of the most common HEEL SPUR
bone, but may involve
conditions treated by podiatrists. It A common cause of heel pain is the
the release of the
is often a message from the body heel spur, a bony growth under the
plantar fascia, removal
that something is in need of medical heel bone. There are no visible
of a bursa or a removal
attention. Pain that occurs right features on the heel, but a deep
of a neuroma or other
after an injury or early in an illness painful spot can be found in or
soft tissue growth.
may play a protective role, often around the middle of the sole of the
warning us about the damage we RECOVERY
heel, (see diagram).
have suffered. Your recovery will
Approximately 10 per cent of the
depend on the cause of
Who gets heel pain? population may have heel spurs
your heel pain and your
The greatest incidence of heel pain without any pain. Heel spurs result
individual health. If you
is seen in middle-aged men and from strain on the muscles of the
are suffering with a
women. It is also seen in those who foot. This may result from
Bruises or stress fractures to heel spur or plantar fascitis, it normally
take part in regular sporting biomechanical imbalance, a condition
the heel bone. takes about six to eight weeks for a
activities and those significantly occurring in many people.
overweight and on their feet a lot. PLANTAR FASCIITIS
Overcoming the problem healthy individual to fully recover. That
If the pain and other symptoms of is when the injured area is fully rested
Heel pain can also occur in children, Both heel pain and heel spurs are
inflammation – redness, swelling and or properly strapped.
usually between 8 and 13, as they frequently associated with an
become increasingly active in inflammation of the long band of
heat persist, you should limit normal Preventing future problems
daily activities and consult your FOOTWEAR
sporting activities. tissue that connects the heel and
podiatrist first and then your GP who
The causes of heel pain. the ball of the foot. Shoes that lack
may arrange a number of X-rays to look
Wear shoes that fit well – front, back
appropriate support, especially in and sides – and have shock-absorbent
While heel pain has many causes, it for heel spurs or fractures.
the arch area, may aggravate the soles, rigid uppers and supportive heel
is usually the result of faulty
biomechanics, (abnormalities in the
inflammation and by the chronic Treatment counters. Do not wear shoes with
irritation that sometimes Early treatment might involve exercise excessive wear on the heels or soles.
way we walk). This can place too
much stress on the heel bone and
accompanies an athletic lifestyle. and shoe recommendations, taping or STRETCHES AND EXERCISES
the soft tissues attached to it. The Other Causes of Pain strapping and anti-inflammatory Prepare properly before exercising.
medication, (such as aspirin). Taping or Warm up before running or walking and
stress may also result from injury, Excessive rolling in of the feet
strapping supports the foot, placing do some stretching afterwards.
or a bruise incurred while walking, when walking.
stressed muscles in a restful state and Pace yourself when you participate in
running or jumping on hard surfaces, An inflamed bursa, (bursitis), a
preventing stretching of the plantar athletic activities. If overweight, try
wearing poorly constructed small, irritated sack of fluid at
fascia. Other physical therapies may non-weight bearing activities such as
footwear, or being significantly the back of the heel.
also be used, including ice packs and swimming or cycling.
overweight. A neuroma, (a nerve growth).
ultra- sounds. These treatments will ADDITIONAL CONTROL
Systemic diseases such as arthritis Other soft tissue growths.
effectively treat the majority of heel
and diabetes can also contribute to Heel bumps or “pump bumps”, a Your Podiatrist may also use taping and
and arch pain without the need for
heel pain. bone enlargement at the back of strapping to provide extra support or
surgery. Only a relatively few cases of
the heel bone. Orthoses specifically made to your
heel pain require surgery. If required,