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Heel pain has many causes and is generally the result of faulty walking abnormalities that place too much stress on the heel bone and the soft tissues that attach to it. This stress may also be a result of an injury, or a bruise that occurred while walking, running or jumping on hard surfaces. In addition, it may be a result of wearing poorly constructed footwear or being overweight. The heel bone is the largest of the 26 bones in the human foot. It contains 33 joints and a network of more than 100 tendons, muscles, and ligaments. Like all bones, it is subject to outside influences that can affect its integrity and its ability to keep us on our feet. Heel pain can occur in the front, back, or bottom of the heel and can also be a way to alert us to seek medical attention. With the many complaints that contribute to heel pain, it is important to take all precautions necessary in avoiding heel pain or seeking treatment upon the initial onset of your pain. Plantar Fasciitis Plantar fasciitis is the most common source of heel pain. It is an inflammation of the band of tissue, the plantar fascia, which extends from the heel to the toes. The fascia becomes irritated and then inflamed, resulting in the heel pain. The most common cause of plantar fasciitis relates to faulty structure of the foot, such as when people, who have problems with their arches, overly flat feet or high-arched feet, are more prone to developing plantar fasciitis. Wearing non-supportive footwear on hard, flat surfaces put abnormal strain on the plantar fascia and can also lead to plantar fasciitis. Obesity may also contribute to plantar fasciitis. Some of the symptoms of plantar fasciitis include: ? Pain on the bottom of the heel ? Pain that is usually worse upon arising ? Pain that increases over a period of months Excessive Pronation Excessive pronation can also cause heel pain. Pronation is the normal flexible motion and flattening of the arch of the foot that allows it to adapt to ground surfaces and absorb shock in the normal walking pattern. As you walk, the heel contacts the ground first. Your weight shifts to the outside of the foot first, and then moves toward the big toe. The arch rises and the foot generally rolls upward and outward, becoming rigid and stable in order to lift the body and move it forward. Excessive pronation, which is the result of excessive inward motion, can create an abnormal amount of stretching and pulling on the ligaments and tendons attaching to the bottom of the heel bone. Preventative Measures Follow these simple preventative tips to avoid heel pain: ? Wear shoes that fit well in the front, back and sides. ? Wear the proper shoes for each activity ? Prepare properly before exercising ? Pace yourself when you participate in athletic activities ? Don't underestimate your body's need for rest and good nutrition If your pain and other symptoms of inflammation persist, you should limit activities that aggravate the pain and contact your podiatrist immediately. Your podiatrist will examine the area causing you pain. Early treatment is very important in preventing any further complications with your feet. Sean Hartmen writes for Dr. Scott Basinger of Ankle and Foot Center of Charlotte, a leading podiatrist in Charlotte, NC and Charlotte. Offering a full array of services, including heel pain, orthotics, foot pain, bunions and ingrown toenails, this Charlotte and Charlotte, NC podiatrist is qualified to treat any disorder of the foot and ankle for patients of all ages.
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