Dr. Patricia A. Kirk, Podiatrist



Sunday, February 27, 2011

Plantar Fasciitis Heel Pain Part 3

Heel Pain Plantar Fasciitis Part 3

Other Causes of Heel Pain:
Excessive Pronation:

Pronation is what allows the foot to absorb shock as it hits the ground in walking.  When you have too much of this flexible motion and flattening of the arch, it is called excessive pronation.
If you will notice, when you are walking, your heel will hit the ground first, then the foot rolls toward the big toe before it lifts up for your next step.  As the foot rolls toward the big toe, it becomes rigid and lifts the arch up.  If you have excess pronation, you get excessive inward motion which puts extra stress on all of the ligaments and tendons that attach to your heel bone.  This can also lead to extra stress and injury on your lower back, hips and knees. 
There are some other conditions that can lead to heel pain:
1.       Bone Bruise: this can occur as the result of trauma.
2.       Haglund’s Deformity or Pump Bump, this is an enlargement of bone where the Achilles tendon attaches to bone.  As your shoe presses on this area, you develop increased pain in this area. 
3.       Arthritis: Psoriatic Arthritis, Reiters Syndrome or Rheumatoid Arthritis can create pain in this area.
4.       Bursitis: This is similar to tennis elbow where a small sack of fluid fills up and creates pressure in this area. 

So, as you can see so far there are many different causes of heel pain.  Which will lead to the next portion of our discussion: treatment.  With so many different causes of heel pain, there are many different treatments for heel pain. 
Even though your neighbor, or cousin or friend had heel pain and received a certain type of treatment for their heel pain, your treatment plan may be very different.

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