HEEL PAIN

The problem usually occurs when part of the inflexible fascia is pulled away from the heel bone. This causes an inflammation, which results in pain. Plantar fascia injury may also occur mid-sole or towards the toes. Since it is difficult to rest the foot, a vicious cycle is set up, with each step aggravating the problem. In severe cases, the heel is visibly swollen. The problem progresses rapidly therefore help should be sought as soon as possible.

Heel Spur

As the fascia is pulled away from the bone, the body reacts by filling the space with new bone. This causes the classic "heel spur". The heel spur is a secondary x-ray finding and is a symptom, rather than a cause, of the problem.

Predisposing factors to Heel Pain/Plantar Fasciitis include:

(1) Flat, pronated feet
(2) High arched rigid feet
(3) Inappropriate shoes
(4) Running on the toe, hill running
(5) Soft terrain (i.e. running on sand)
(6) Aging
(7) Weight Gain

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