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What Could Be Behind Your Heel Pain? Exploring Other Potential Causes

Heel pain can be a frustrating issue that significantly impacts daily activities. Many people are aware of common causes like plantar fasciitis and Achilles tendinitis. However, many other factors may contribute to heel discomfort, and understanding them can be key to finding relief.


Other Common Causes of Heel Pain


1. Bursitis


Heel bursitis happens when the bursa, a small fluid-filled sac that cushions bones and soft tissues, becomes inflamed. This condition often arises from repetitive activities, such as running or standing for long periods, and can also result from pressure or injury to the heel. Symptoms typically include swelling and localised pain around the heel.


For example, runners who train regularly may experience bursitis due to the constant impact on their heels. Treatment usually involves rest, icing the area, and taking anti-inflammatory medications. Evaluating daily habits is crucial to avoid aggravating the condition. For instance, switching to cushioned footwear or varying your training routine might significantly help.


2. Tarsal Tunnel Syndrome


Tarsal tunnel syndrome occurs when the posterior tibial nerve, which runs through the tarsal tunnel located near the ankle, is compressed. This condition can lead to pain, tingling, and numbness that radiates into the heel and sole of the foot. Symptoms often worsen with prolonged standing or walking.


To illustrate, someone who is on their feet all day at work may develop this syndrome. Treatment options include physical therapy and orthotic devices designed to relieve pressure on the nerve. In some cases, surgery may be required to alleviate the compression.


3. Calcaneal Fracture


A calcaneal fracture is the result of a break in the heel bone, often due to trauma, such as a fall or impact accident. Acute pain is the primary symptom, accompanied by swelling and difficulty bearing weight.


If you think you may have a fracture, seek medical attention urgently. An X-ray or scan can confirm the diagnosis. Treatment typically involves immobilizing the foot in a cast or an orthopaedic boot. It’s important to remember that fractures may take weeks to heal, depending on the severity.


4. Peripheral Neuropathy


Peripheral neuropathy, often linked to diabetes or other health issues, can also be a cause of heel pain due to nerve damage. Affected individuals may experience a burning or tingling sensation that extends to their heels.


For instance, patients with diabetes must manage their blood sugar levels effectively to minimise nerve damage. Treatment plans may include specific medications to combat pain and support nerve function. Regular check-ups are essential for monitoring health and preventing complications.


5. Heel Spurs


Heel spurs are bony growths that form on the underside of the heel bone. While they can be asymptomatic, they frequently appear along with conditions like plantar fasciitis. Inflammation can lead to significant discomfort.


Diagnosis typically involves taking an X-ray, which can reveal the spur. Many sufferers find relief through orthotics, physical therapy, or injections. In severe cases, surgery may be recommended to remove the spur. According to a study, approximately 10% of people with heel pain also have heel spurs, which illustrates their commonality.


6. Sural Nerve Entrapment


Sural nerve entrapment, also known as sural neuralgia, occurs when the sural nerve—located in the lower leg—is compressed, irritated, or damaged. This condition can cause pain, tingling, numbness, or burning sensations in the lower leg, ankle, or foot, particularly along the outer edge.



Your Pathway to Relief


Understanding the various causes of heel pain, from bursitis and tarsal tunnel syndrome to fractures and systemic conditions, can empower you to seek appropriate treatment. Taking action early can lead to more effective outcomes, helping you return to daily activities pain-free.


If you experience persistent heel pain, reach out to a medical professional for an accurate diagnosis and personalised treatment plan. Taking the first step can set you on the road to recovery.


Heel pain
A focused view highlighting the discomfort in a heel during exercise

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