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Heel Pain / Plantar Fasciitis


plantar fasciitis

Heel pain Plantar Fasciitis can be experienced in different places but mostly in the posterior heel and the plantar heel. Heel pain Plantar fasciitis (PLAN-tur fas-e-I-tis) is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia).

Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. As you get up and move, the pain normally decreases, but it might return after long periods of standing or when you stand up after sitting.

Plantar fasciitis is more common in runners. People who are overweight and those who wear shoes with inadequate support also have an increased risk of plantar fasciitis.



  1. PLANTAR FASCIITIS– pain on the plantar surface of the foot, arising from the insertion of the plantar fascia. The following structures will be affected and may experience pain: subcalcaneal bursa, fat pad, tendinous insertion of the intrinsic muscles, long plantar ligament, medial calcaneal branch of the tibial nerve, or nerve to abductor digiti minimi. It is mainly characterized by progressive pain while weight-bearing, and, furthermore, pain with the first few steps upon rising from sitting position.
    1. CAUSES:
      1. Extreme stretch on the plantar fascia will cause small tears and later, be inflamed
      2. High-arched feet or flat feet
  • No arch support on the shoes
  1. Standing for prolonged periods of time
  2. Exercising without calf stretch
    1. Dull aching pain on the bottom of the heel
    2. After exercise, you will experience increased pain
  • The pain is at the arch of the foot
  1. The heel will be swollen
  2. Prolonged experience of pain for months
  3. Pain is worst in the morning or standing after seated for a long time
  • Achilles tendon is tight
    1. X-ray for ruling out bone fractures or arthritis
    2. MRI to rule out fractures


  1. RETROCALCANEAL BURSITIS– it happens when the bursae around the heel are being inflamed. It is located behind the Achilles tendon, where it attaches your heel bone.
  2. HEEL BURSITIS (SUBCALCANEAL BURSITIS)– pain is typically more at the center of the heel and it gets worst during the day. Pain radiates from the burs located between the Achilles tendon and skin.
    1. Symptoms– Pain and swelling; redness due to tight shoes
  3. HEEL BUMPS– these are firm bumps on the back of the heel, caused by too much rubbing of the shoe in the heel area, or the tissues got thicken with a tight Achilles tendon
  4. TARSAL TUNNEL SYNDROME– it is caused by compression of the tibial nerve as it passes the inside of the ankle. It can be felt under the heel within the arch of the foot like a burning or tingling sensation.
    1. Symptoms– numbness, shooting pain, and burning or tingling sensation on the area
    2. Diagnosis– clinical exam, medical history, electrical testing (EMG), and imaging such as x-rays, CT scan or MRI
  5. HAGLUND’S DEFORMITY- bony bump at the back of the heel bone. It also referred to as pump bump.
    1. Symptoms- pain in the back of the heel while walking, swelling, redness blisters or calluses
    2. Treatment- shoe modification and physical therapy. If the condition is severe, surgery will be recommended
  6. CALCANEAL APOPHYSITIS (Sever’s disease)- inflammation of the Achilles Tendon usually a painful condition between 8-12 years of age
    1. Symptoms- Pain at the back or bottom of the heel, tiredness, limping, tenderness when the heels are squeezed and difficulty on running, jumping, or sports activities


  • SPRAIN AND STRAINS – these are injuries to the muscles and ligaments
  • ACHILLES TENDONITIS – the tendon that connects from the heel to the calf muscles got injured and becomes inflamed from overuse injuries
  • OSTEOCHONDROSES – the growth of bones is affected in children and adults
  • REACTIVE ARTHRITIS – caused by an infection in the body


  • Age- commonly between the ages of 40 and 60
  • Obesity- too much pressure in the feet will cause extra stress on the plantar fascia
  • Occupations- workers who spend a lot of time walking and standing on hard surfaces

Contact Physioveda Medical Center

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You can book an appointment for a home consultation also by:

  • Call Physioveda Medical Center for inquiries on
  • 800 VEDA (800 8332)
  • 800 HOMECARE (800 466 322 73)
  • Secure an appointment at info@physioveda.ae

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