People who run or jog regularly, and older adults who are 40-60 years of age, are the two main groups affected by heel pain. An estimated one in 10 people will have at least one episode of heel pain at some point in their life. Possible further tests that may be recommended include blood tests, X-rays, a magnetic resonance imaging (MRI) scan or an ultrasound scan. your heel is stiff and swollen, which could be a sign of arthritis.your foot feels hot and you have a high temperature (fever) of 38☌ (100.4☏) or above, which could be a sign of a bone infection.numbness or a tingling sensation in your foot, which could be a sign of nerve damage in your feet and legs ( peripheral neuropathy).They should be able to diagnose the cause of your heel pain by asking about your symptoms and medical history and examining your heel and foot.įurther tests will only usually be needed if you have additional symptoms that suggest the cause of your heel pain isn't inflammation, such as: See your GP or a podiatrist (foot problems specialist) if you’ve had persistent heel pain for a number of weeks and it hasn't cleared up. The surrounding tissue and the heel bone can also sometimes become inflamed. This can cause the plantar fascia to thicken, resulting in heel pain. Sudden damage, or damage that occurs over many months or years, can cause tiny tears (microtears) to develop inside the tissue of the plantar fascia. It connects the heel bone with the bones of the foot, and acts as a kind of shock absorber to the foot. The plantar fascia is a tough and flexible band of tissue that runs under the sole of the foot. Plantar fasciitis is the medical term for the thickening of the plantar fascia. Most cases of heel pain are caused when a band of tissue in the foot, known as the plantar fascia, becomes damaged and thickens. Some people may limp or develop an abnormal walking style as they try to avoid placing weight on the affected heel. The pain is usually worse first thing in the morning, or when you first take a step after a period of inactivity. Walking usually improves the pain, but it often gets worse again after walking or standing for a long time. In most cases, only one heel is affected, although estimates suggest that around a third of people have pain in both heels. The pain is often severe and occurs when you place weight on your heel. Heel pain usually builds up gradually and gets worse over time. It's usually felt as an intense pain when using the affected heel.
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