Adults-whether office worker, laborer or athlete develop the problem most frequently, although children, too, can be affected if the growing bone becomes irritated. Causes of Heel PainHeel pain originates deep within the foot, directly on the heel bone or within the foot's connective tissues, called the fascia.
Several layers of fatty tissue surround the heel bone, softening the impact or walking and running and protecting the bones and muscles of the foot. Beneath this padding, a fibrous band of connective tissue (the fascia) extends from the heel bone, supports the arch and reaches across to the toes. Pain can result when these tissues become irritated or inflamed, or when small spurs grow on the heel bone.
Inflammation
Most cases of heel pain are characterized by inflammation. First, the fascia begins to pull on the bone and the tissues become irritated, then inflamed. Inflammation of the fascia is called fascitis.
Heel Spurs
A projection or growth of bone may be called a spur, and can grow where the muscles of the foot attach to bone. While some heel spurs are painless, others that are determined to be the cause of chronic heel pain may require medical treatment or surgical removal (see "Surgical Treatments for Heel Pain").
Other Causes
While injury, overuse or other temporary, mechanical causes can bring on discomfort in the heel, a painful heel may also accompany a more serious condition, such as:
Gout • Arthritis • Psoriasis • Collagen disorders • Nerve injuries • Heel bone abnormalities • Tumors
Illnesses like these and others must be diagnosed and treated separately. Your podiatric surgeon may refer you to a local specialist if the problems are beyond his or her area of expertise.
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Sharp pain, aching or stiffness on the bottom of one or both heels is a very common ailment. The pain is often at its worst upon awakening in the morning (or after sitting down for an extended period and then resuming activity), causing hobbling or limping for a few minutes before a comfortable stride can be resumed. As weight continues to be applied during walking or standing, mild or severe pain may persist.
During surgery to separate all or a portion of the facial tissue from the heel bone, the podiatric surgeon will make a small incision on the inside of the heel. Then, the tissue is carefully cut away
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In fact, having cared for so many physicians and their families over the years, the Aloha Group has become "the doctor's choice" for podiatric medicine. Perhaps it's because they trust the skill of the Aloha Group, or because they know of their commitment to making providing the best treatment.