Heel Pain

Plantar Fasciitis

Plantar Fasciitis is a painful inflammatory process of the plantar fascia. Longstanding cases of plantar fasciitis often demonstrate more degenerative changes than inflammatory changes. The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcaneus (heel bone) and extending along the sole of the foot towards the five toes. It has been reported that plantar fasciitis occurs in 10% of the population over a lifetime.

It is commonly associated with long periods of weight bearing. Among the non-athletic populations it can be associated with a high body mass index. The pain is usually felt on the underside of the heel and is often most intense with the first steps of the day.

Treatment options for plantar fasciitis include massage and stretching, but the most effective way of curing plantar fasciitis is orthoses management (i.e. insoles).

Retrocalcaneal Bursitis

Otherwise known as Achilles tendon bursitis it is a common foot problem in athletes, particularly runners. It can be mistaken for Achilles tendonitis.

Patients with this condition experience pain during activities such as running uphill, going up and down stairs, jumping or hopping.

Factors which can predispose patients to developing a retrocalcaneal bursitis include poor flexibility, inappropriate training, poor footwear, joint stiffness, muscle weakness and poor foot biomechanics.