Heel pain, particularly at the back of the heel, is a common complaint that can affect anyone, regardless of age or activity level. Understanding the causes of heel pain and knowing the right treatment options is essential for relieving discomfort and preventing further damage. Let’s dive into the common causes of heel pain at the back and explore how to treat it effectively.
Common Causes of Heel Pain at the Back
Achilles Tendinitis
Achilles tendinitis occurs when the Achilles tendon, which connects the calf muscles to the heel bone, becomes inflamed due to overuse or injury. This condition is commonly seen in athletes, runners, or people who engage in repetitive activities that strain the tendon.
Haglund’s Deformity
Haglund’s deformity is a bony bump that forms on the back of the heel, causing irritation and inflammation in the surrounding soft tissues. It can develop due to wearing tight or stiff shoes that rub against the heel, leading to pain.
Bursitis
Bursitis refers to the inflammation of the small fluid-filled sacs (bursae) that cushion the joints. In the case of heel pain, the retrocalcaneal bursa, located between the Achilles tendon and the heel bone, can become inflamed, leading to pain and swelling at the back of the heel.
Sever’s Disease
Sever’s disease, also known as calcaneal apophysitis, is a condition that affects growing children and adolescents. It occurs when the growth plate at the back of the heel becomes irritated, usually due to overuse during activities like running or jumping.
Injuries or Trauma
Any direct injury to the heel, such as a fall or an impact, can cause heel pain. Stress fractures or microtears in the Achilles tendon can also result in discomfort and pain at the back of the heel.
Treatment Options for Heel Pain
Rest and Ice
Resting the affected foot is one of the most important steps in healing. Applying ice to the painful area for 15-20 minutes several times a day can help reduce inflammation and alleviate pain.
Footwear Modification
Wearing properly fitting shoes with good cushioning and support can reduce pressure on the back of the heel. If your heel pain is due to Haglund’s deformity or Achilles tendinitis, avoid wearing shoes with stiff backs that rub against the heel.
Stretching and Strengthening Exercises
Gentle stretching of the Achilles tendon and calf muscles can help reduce tension and improve flexibility. Strengthening exercises can also prevent future injuries by stabilizing the muscles around the ankle.
Orthotic Devices
Custom orthotics or heel lifts can provide extra support and cushioning, reducing the strain on the Achilles tendon and relieving pressure on the heel.
Physical Therapy
A physical therapist can design a personalized rehabilitation program to strengthen the muscles and tendons around the ankle. This can improve flexibility and promote healing.
Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce inflammation and relieve pain in mild to moderate cases of heel pain.
Corticosteroid Injections
In some cases, your doctor may recommend corticosteroid injections to reduce severe inflammation and pain, especially if conservative treatments have not been effective.
Surgical Options
If conservative treatments fail to provide relief, surgical options may be considered. Surgery is typically used to repair damaged tissues, remove excess bone (in the case of Haglund’s deformity), or address chronic conditions like Achilles tendinitis.
When to See a Specialist
If you’ve tried home treatments and still experience persistent heel pain, it may be time to consult with a heel pain surgeon. Seeking professional help is crucial if:
- The pain doesn’t improve with rest and medications.
- You experience swelling, stiffness, or difficulty walking.
- The pain worsens with physical activity.
A specialist can provide a thorough diagnosis and recommend advanced treatments that are tailored to your specific condition.
Finding the Best Doctor For Heel Pain Treatment
Don’t let heel pain limit your mobility. Consult Dr. Chetan Oswal at Orthowin Clinic, Pune for the expert care you need. Dr.Chetan Oswal has extensive experience in treating various foot and ankle conditions, including chronic heel pain. His expertise in surgical and non-surgical treatments makes him a trusted choice for patients dealing with heel pain.