Plantar Fasciitis "Heel Spur"Plantar fasciopathy (Plantar Fasciitis or Plantar Fasciosis)
Usually worse with the first few steps in the morning or at the end of the day. Walking, running, sprinting, hill running and jumping will increase the pain. Often, the natural response is to walk on the outside of the foot – in supination – to lessen the stress on the plantar fascia – resulting in new problems. > Plantar Fasciitis |
Severs DiseaseThis heel pain occurs in children aged between 9 – 15 year old children and is more common in boys. This pain is often worse with jumping and running, however if bad enough can be painful at all times of the day. The pain occurs when the Achilles tendon continually pulls on the apophysis of the calcaneum and does not allow it to fuse with the body of the calcaneum.
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Haglund's Deformity "Pump Bump"Also known as Haglund’s Deformity, this is a bony enlargement that exists on the back of the heel – usually related to a congenital abnormality or with chronic bursitis, causing a thickening. There may have already been trauma or pressure from footwear. Treatment is usually protection of the bump and correct footwear.
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Retrocalcaneal BursitisAssociated with a symmetrical swelling at the base of the Achilles tendon. It is usually related to repetitive trauma or inappropriate footwear. It is often red and hot in the early stages. Treatment is usually to correct the footwear, provide padding and treat the local symptoms e.g. ice, rest, physiotherapy and cortisone injection.
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Fat Pad Syndrome and Bruising
Direct contact with the base of the heel may result in trauma to the fat pad. Related to obesity, training on hard surfaces, uneven grounds, poor shoes especially overlarge shoes which can cause shearing forces on the heel. These conditions are renowned for taking a long time to recover – usually many months.
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Achilles TendonitisAchilles Tendonitis causes pain at the back of the heel where the calf muscle attaches to the bone. Achilles tendinitis is one of the worlds most common tendon problems. Overuse, misalignment, improper footwear, flat feet and genetics and/or accidents can all result in Achilles tendon injuries.
> Achilies Tendonitis |
Calcaneal Nerve Impingment
Calcaneal Nerve Entrapment is a medical problem that can result in heel pain. There is a specific nerve known as the calcaneal nerve that runs under the inside of the heel. Sometimes this nerve can become entrapped and cause a burning pain on the underside of the heel. This pain is similar to the pain experienced by a plantar fasciitis sufferer, though heel pain from nerve entrapment will not get worse in the morning.
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