Women's Health     Healthy Kids     Teen Health     Health Guide    

What you need to know about heel pain



It is the number one reason patients seek medical care

What you need to know about heel pain

Very common in adults and on the rise in children, heel pain continues to be the number one reason patients seek care from foot and ankle surgeons. While experts say there are many reasons for heel pain, including bursitis, Achilles tendonitis, bone bruises, fractures, growth spurts and nerve pain, the most common cause is plantar fasciitis, a condition that one in 10 people will suffer from in their lifetime.

According to the American College of Foot and Ankle Surgeons (ACFAS), plantar fasciitis can have serious repercussions if left untreated. Here’s what to know:

What is Plantar Fasciitis?

Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes in which the fascia becomes irritated and then inflamed. Symptoms include pain on the bottom of the heel, pain in the arch of the foot, and swelling on the bottom of the heel. For many, the pain is worse upon arising and increases over a period of months.

A telltale sign of mechanical issues in the foot, those with overly flat feet or high-arched feet are more prone to developing plantar fasciitis. Lifestyle factors can also play a role. Wearing non-supportive footwear on hard, flat surfaces puts abnormal strain on the plantar fascia. This is particularly evident when one’s job requires long hours on the feet. Obesity and overuse may also contribute to plantar fasciitis.

How is it Treated?

“We typically treat plantar fasciitis conservatively, at first,” said Michael J. Cornelison, DPM, FACFAS, a foot and ankle surgeon and president of the American College of Foot and Ankle Surgeons. “This can include a combination of remedies, including rest, exercises that stretch the calf muscles, orthotics, icing the heel, over-the-counter medications like ibuprofen, supportive footwear and physical therapy.”


Most patients respond well to conservative treatments. However, depending on the severity of the plantar fasciitis, additional therapies may be required, including:
  • Injection Therapy: Growth factor injections and platelet rich plasma injections are used to boost the body’s healing response and help repair injured tissue.
  • Shockwave Therapy: This in-office treatment uses sound waves delivered over the skin to slightly damage the tissue and stimulate the body’s natural repair process. This helps the plantar fasciitis heal and relieves pain symptoms without making an incision. Patients can expect to be up and moving immediately after treatment, but it may take three to six months to see results.
  • Ultrasonic Treatment: In this newer procedure, a small incision is made into the heel of the foot and a probe directs ultrasonic energy at the fascia to break down bad tissue and help the healing process. A diagnostic ultrasound tool is used to create an image of the inside of the foot and guide the probe. Patients may need to wear a boot immediately after the procedure for up to two weeks and they can expect to see improvements anywhere from three to six months after the procedure.
  • Surgery: Also called a plantar fasciotomy, this minimally invasive, minimally traumatic surgical treatment involves making a small incision through the heel into the damaged tendon to try to lengthen it and relieve tension. Patients tend to recover in six to 10 weeks, but it may take up to three months to resume exercise and more vigorous activities.
No matter what kind of treatment a patient undergoes, the underlying causes that led to the condition may remain. Preventive measures, such as wearing supportive shoes, stretching and using custom orthotic devices, are the mainstay of long-term treatment for plantar fasciitis.

For more heel pain information and to find a foot and ankle surgeon near you, visit FootHealthFacts.org, the patient education website for the American College of Foot and Ankle Surgeons.

(StatePoint) 

PHOTO SOURCE: (c) Boyloso / iStockPhoto.com


Other articles by HVP News Reporters


  • 4 ways to promote positive maternal mental health

    It's important to take good care of yourself

    The joys of raising and nurturing a baby are practically endless for new parents, yet there remain challenges to overcome. While it may be natural to focus attention and energy on caring for a new baby, it’s equally important for mothers to maintain their own mental health. read more »
  • Foot and ankle safety tips for the summer months

    7 facts you need to know

    From the beach to the backyard, taking care of your feet and ankles in summer is essential. read more »
  • Donate plasma to save lives this summer

    It's a meaningful way to give back to your community

    Plasma donation is an impactful, meaningful way to give back to your community this summer. By donating plasma, you can help people like Machelle Pecoraro. read more »
  • Reinvigorate your plant collection

    Annual Master Gardener Program Great Plant Swap and Sale

    The Annual Cornell Cooperative Extension of Ulster County’s (CCEUC) Master Gardener “Great Plant Swap & Sale” Returns on Saturday, June 10, 2023 at the Forsyth Park Pavilion, 157 Lucas Avenue in Kingston. The proceeds benefit the Dominic Parise Master Gardener Scholarship. read more »
  • 5 garage safety tips

    Make sure everything is secure and functioning properly

    When you throw open the windows, you’ll likely be spending more time with the garage door open, too. Make access to your outdoor equipment safer with these tips to get your garage ready for the warmer months. read more »
  • 7 vegetables to grow easily in your home garden

    All you need is a little time and effort

    Growing fresh, healthy vegetables at home may not be as hard as it sounds. Novice gardeners just need good dirt, easy plants to grow, lots of sunshine and the right amount of water. read more »
  • 7 budget-friendly gardening hacks

    Tricks to help you create a cost-effective garden

    Gardening can be a simple way to beautify your yard, relieve stress and save money on your grocery bill, but like any hobby, you can get carried away buying necessary equipment. read more »
  • 2023 I Love My Parks Day Events

    Volunteer with your family to clean up a local state park

    I Love My Park Day is an annual event that brings together thousands of volunteers to enhance and celebrate New York's amazing parkland. read more »
  • Spinach and artichoke stuffed mushroom caps

    Simple, easy and delicious

    Bringing an element of elegance to your holiday celebration is easy when you start with party-pleasing ingredients, and great tasting food often starts with dairy. read more »
  • Parmesan crusted chicken

    Super easy to make

    Not only is this Parmesan Crusted Chicken dish delicious, it is super simple to make. read more »